title: Learning outcomes of a group behavioral modification program to prevent urinary incontinence.
abstract: This study describes acquisition of knowledge and motor skill in bladder training (BT) and pelvic floor muscle training (PFMT) and adherence following a behavioral modification program (BMP). Essentially continent (0-5 episodes in past year) community-dwelling older women (n = 359) were randomized to treatment (n = 164), a 2-h group education session supplemented by one brief individualized session of approximately 10 min, or control (n = 195), no instruction, and followed for 12 months. Knowledge, motor skill, and adherence to the BMP were documented. Changes in pelvic muscle function and voiding interval were used to validate self-reported adherence. Following group instruction, mean BT and PFMT knowledge was 90 and 86%, respectively; 68% demonstrated correct PFMT technique without additional instruction, 29% required brief instruction, and 3% were unable to learn PFMT technique. Adherence ranged from 63 to 82% for PFMT and 58 to 67% for BT. Group instruction supplemented with brief individual instruction as needed is an effective teaching method for BT and PFMT.
authors.affiliation: Obstetrics and Gynecology, School of Nursing, University of Michigan, 400 North Ingalls, Ann Arbor, MI 48109-0482, USA. csampsll@umich.edu
authors.forename: Carolyn M
authors.initials: CM
authors.lastname: Sampselle
authors.forename: Kassandra L
authors.initials: KL
authors.lastname: Messer
authors.forename: Julia S
authors.initials: JS
authors.lastname: Seng
authors.forename: T E
authors.initials: TE
authors.lastname: Raghunathan
authors.forename: Sandra H
authors.initials: SH
authors.lastname: Hines
authors.forename: Ananias C
authors.initials: AC
authors.lastname: Diokno
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001521:Behavior Therapy / Q000379:methods*; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D007721:Knowledge of Results, Psychological; D008875:Middle Aged; D009048:Motor Skills; D017773:Pelvic Floor / Q000502:physiology; D011615:Psychotherapy, Group / Q000379:methods; D011795:Surveys and Questionnaires; D001743:Urinary Bladder / Q000502:physiology; D014549:Urinary Incontinence / Q000503:physiopathology / Q000517:prevention & control* / Q000523:psychology*