title: Adherence to a behavioral program to prevent incontinence.
abstract: This exploratory study assesses factors predicting adherence to a behavioral intervention to prevent urinary incontinence. Community-dwelling, post-menopausal women (N = 164) were taught pelvic floor muscle training (PFMT) and bladder training (BT) and followed with surveys for 1 year. Content analysis of open-ended responses coded descriptions of approaches participants used to incorporate PFMT into daily life. Exploratory bivariate and logistic regression analyses determined predictors of approach used and adherence. Results indicate women incorporated PFMT into their lives using either a routine or ad hoc approach. Those using a routine approach at 3 months were 12 times more likely to adhere (odds ratio [OR] = 12.4, confidence interval [CI] = 4.0-38.8, p < .001) at a high level at 3 months and significantly more likely to maintain that level 12 months post-intervention (OR = 2.7, CI = 1.2-6.0, p < .014). Practicing BT was related to high adherence.
authors.affiliation: University of Michigan, School of Nursing, Ann Arbor, USA.
authors.forename: Sandra H
authors.initials: SH
authors.lastname: Hines
authors.forename: Julia S
authors.initials: JS
authors.lastname: Seng
authors.forename: Kassandra L
authors.initials: KL
authors.lastname: Messer
authors.forename: T E
authors.initials: TE
authors.lastname: Raghunathan
authors.forename: Ananias C
authors.initials: AC
authors.lastname: Diokno
authors.forename: Carolyn M
authors.initials: CM
authors.lastname: Sampselle
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001521:Behavior Therapy / Q000379:methods; D016009:Chi-Square Distribution; D016001:Confidence Intervals; D005081:Exercise Therapy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016015:Logistic Models; D008875:Middle Aged; D015999:Multivariate Analysis; D015404:Nursing Methodology Research; D016017:Odds Ratio; D010349:Patient Compliance / Q000523:psychology*; D010353:Patient Education as Topic / Q000379:methods; D017773:Pelvic Floor; D015995:Prevalence; D036301:Qualitative Research; D016032:Randomized Controlled Trials as Topic; D011795:Surveys and Questionnaires; D014039:Toilet Training; D014549:Urinary Incontinence / Q000175:diagnosis / Q000517:prevention & control* / Q000523:psychology*