Self-efficacy as a predictor to PFMT adherence in a prevention of urinary incontinence clinical trial.
Past research suggests a positive correlation between self-efficacy (SE) and adherence to behavioral interventions. Less is known about SE and adherence in behavioral programs that are preventive in nature and specific to urinary incontinence (UI). Using treatment-group data from a previously reported randomized controlled trial, the authors assess the role of SE in predicting adherence to pelvic-floor muscle training (PFMT) for UI prevention in a sample of postmenopausal women. Results indicate that at 12 months follow-up, nearly 70% of participants reported medium or high adherence, performing the recommended PFMT regimen 2 to 3 times per week or more. Summary scores of both Task SE, beta = .25, SE (beta) = .08, p < .01, and Regulatory SE, beta = .43, SE (beta) = .06, p < .0001, predict adherence. Also, the authors found a modest decline in self-efficacy scores over time. These findings highlight the importance of SE in sustained behavioral change.
Messer
Kassandra L
KL
Kidney Epidemiology and Cost Center, School of Public Health, University of Michigan, Ann Arbor 48103, USA. kasey@umich.edu
Hines
Sandra H
SH
Raghunathan
T E
TE
Seng
Julia S
JS
Diokno
Ananias C
AC
Sampselle
Carolyn M
CM
D000368:Aged; D000369:Aged, 80 and over; D005081:Exercise Therapy / Q000706:statistics & numerical data*; D005260:Female; D005544:Forecasting; D015438:Health Behavior; D006801:Humans; D008875:Middle Aged; D009119:Muscle Contraction / Q000502:physiology*; D010349:Patient Compliance / Q000523:psychology*; D017773:Pelvic Floor / Q000502:physiology*; D012044:Regression Analysis; D020377:Self Efficacy; D014549:Urinary Incontinence / Q000517:prevention & control*