title: Does motivation predict outcome of pelvic floor muscle retraining?
abstract: Although pelvic floor muscle training (PFMT) is effective for stress urinary incontinence (SUI), patients need to be motivated to obtain cure. An instrument to assess motivation in such patients was published in 2009: the Incontinence Treatment Motivation Questionnaire (ITMQ). The ITMQ consists of five domains: (i) positive attitudes toward PFMT; (ii) reasons for not doing PFMT; (iii) difficulties living with incontinence; (iv) desire for treatment; and (v) incontinence severity influencing motivation. The aim of the present study was to examine the relationship between ITMQ scores and treatment success.
  
  
  
  After referral for PFMT, women with SUI completed the ITMQ. Pre- and post-treatment outcomes were the International Consultation on Incontinence Questionnaire (ICIQ) score and a 24-hr pad test. Correlations between ITMQ scores and baseline, as well as post-treatment change in ICIQ scores and pad test results were examined. Additionally, the demographics of non-participants, participants, and patients lost to follow-up were compared.
  
  
  
  Of 85 recruits, 18 did not complete the ITMQ, 14 were lost to follow-up, thus 53 completed the PFMT programme and undertook either one or both outcomes. Pre-treatment, severity on ICIQ correlated with total ITMQ (ρ = 0.33, P = 0.01). Post-treatment change in pad test was inversely correlated with Domain 2 (ρ = -0.33, P = 0.03).
  
  
  
  The pre-treatment severity of incontinence was significantly associated with motivation for treatment. Unfortunately, post-treatment change correlated with only one domain of the questionnaire. Further modification of the ITMQ is envisaged. Neurourol. Urodynam. 36:316-321, 2017. © 2015 Wiley Periodicals, Inc.
authors.affiliation: Department of Urogynaecology, St. George Hospital, School of Women's and Children's Health, University of New South Wales, Sydney, New South Wales, Australia.
authors.forename: Nevine I D
authors.initials: NI
authors.lastname: Te West
authors.affiliation: Department of Urogynaecology, St. George Hospital, School of Women's and Children's Health, University of New South Wales, Sydney, New South Wales, Australia.
authors.forename: Katrina
authors.initials: K
authors.lastname: Parkin
authors.affiliation: Department of Urogynaecology, St. George Hospital, School of Women's and Children's Health, University of New South Wales, Sydney, New South Wales, Australia.
authors.forename: Wendy
authors.initials: W
authors.lastname: Hayes
authors.affiliation: Psycho-Oncology Co-Operative Research Group, School of Psychology, University of Sydney, Sydney, New South Wales, Australia.
authors.forename: Daniel S J
authors.initials: DS
authors.lastname: Costa
authors.affiliation: Discipline of Paediatrics, School of Women's and Children's Health, University of New South Wales, Sydney, New South Wales, Australia.
authors.forename: Nadine A
authors.initials: NA
authors.lastname: Kasparian
authors.affiliation: Department of Urogynaecology, St. George Hospital, School of Women's and Children's Health, University of New South Wales, Sydney, New South Wales, Australia.
authors.forename: Kate H
authors.initials: KH
authors.lastname: Moore
mesh_terms: D000328:Adult; D000368:Aged; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009042:Motivation; D017773:Pelvic Floor / Q000503:physiopathology*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*
keywords: adherence; incontinence treatment motivation questionnaire; motivation; pelvic floor muscle training; treatment adherence; urinary incontinence