title: Development and pilot testing of a self-management internet-based program for older adults with overactive bladder.
abstract: OBJECTIVE
  To implement and pilot test our Self-Management Internet-Based Program for Older Adults with Overactive Bladder (OAB-SMIP) in a group of older adults with overactive bladder (OAB) to determine its usability and outcomes, including knowledge, self-efficacy, perception of bladder condition, and health-related quality of life.
  
  
  METHODS
  In a single-group study design with pre- and post-tests, we recruited 25 men and women age 55 or older with symptoms of OAB. The OAB-SMIP intervention consisted of 3 multimedia e-learning tutorials, social networking features, and other online resources delivered over 6 weeks.
  
  
  RESULTS
  Participants enjoyed the OAB-SMIP and found it easy to use. Participants demonstrated increased knowledge (SMD=4.17, large effect size), and their symptoms improved after the intervention (SMD=1.20-1.30, large effect sizes). Participants improved their overall self-efficacy (SMD=1.84, large effect size) as well as their self-efficacy in performing pelvic muscle exercises (SMD=1.41, large effect size) and controlling urge symptoms (SMD=1.32, large effect size), and there were significant increases in health-related quality of life (SMD=1.13, large effect size) after exposure to the OAB-SMIP. We did not find any significant gender differences.
  
  
  CONCLUSIONS
  Participants using the OAB-SMIP improved their knowledge, symptoms, self-efficacy in performing pelvic muscle exercises and overall management of OAB, as well as health-related quality-of-life scores.
authors: Geriatric Research, Education, and Clinical Center (GRECC), Bruce W. Carter Veterans Affairs Medical Center, Miami, FL 33125, USA. jruiz2@med.miami.edu
authors: Jorge G
authors: JG
authors: Ruiz
authors: Renuka
authors: R
authors: Tunuguntla
authors: Pedro
authors: P
authors: Cifuentes
authors: Allen D
authors: AD
authors: Andrade
authors: Joseph G
authors: JG
authors: Ouslander
authors: Bernard A
authors: BA
authors: Roos
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D010865:Pilot Projects; D011788:Quality of Life; D012648:Self Care; D020377:Self Efficacy; D053201:Urinary Bladder, Overactive / Q000628:therapy*