Erschienen in:
01.12.2005 | Original Article
Learning outcomes of a group behavioral modification program to prevent urinary incontinence
verfasst von:
Carolyn M. Sampselle, Kassandra L. Messer, Julia S. Seng, T. E. Raghunathan, Sandra H. Hines, Ananias C. Diokno
Erschienen in:
International Urogynecology Journal
|
Ausgabe 6/2005
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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.