S L McFall1, A M Yerkes, L D Cowan. 1. Department of Health Promotion Sciences, University of Oklahoma Health Sciences Center, USA.
Abstract
OBJECTIVES: This community-based intervention to reduce urinary incontinence (UI) in elderly women used a small group educational approach. This article reports on change in episodes of incontinence and other urinary symptoms. METHODS: Participants were randomly assigned to intervention or wait control condition. This article is restricted to 49 intervention and 59 control participants with acceptable diaries. RESULTS: There was a significant treatment effect for a number of incontinent episodes. In the intervention group, 61% had a 50% or greater reduction in episodes, with more than one third having 100% reduction; 38% of the control group had a reduction of 50% or greater. One year postprogram, 75% of treated women reported subjective improvement. There was a reduction in frequency of daily, but not nocturnal, micturition. DISCUSSION: This community-based intervention is an encouraging option for behavioral treatment of UI. Public health models may be particularly appropriate with moderate levels of urinary incontinence.
RCT Entities:
OBJECTIVES: This community-based intervention to reduce urinary incontinence (UI) in elderly women used a small group educational approach. This article reports on change in episodes of incontinence and other urinary symptoms. METHODS:Participants were randomly assigned to intervention or wait control condition. This article is restricted to 49 intervention and 59 control participants with acceptable diaries. RESULTS: There was a significant treatment effect for a number of incontinent episodes. In the intervention group, 61% had a 50% or greater reduction in episodes, with more than one third having 100% reduction; 38% of the control group had a reduction of 50% or greater. One year postprogram, 75% of treated women reported subjective improvement. There was a reduction in frequency of daily, but not nocturnal, micturition. DISCUSSION: This community-based intervention is an encouraging option for behavioral treatment of UI. Public health models may be particularly appropriate with moderate levels of urinary incontinence.
Authors: Beatriz Sánchez-Sánchez; Beatriz Arranz-Martín; Beatriz Navarro-Brazález; Fernando Vergara-Pérez; Javier Bailón-Cerezo; María Torres-Lacomba Journal: Int J Environ Res Public Health Date: 2021-03-01 Impact factor: 3.390