Doreen McClurg1, Helena Frawley2,3, Jean Hay-Smith4,5, Sarah Dean6, Shu-Yueh Chen7, Pauline Chiarelli8, Frances Mair9, Chantale Dumoulin10,11. 1. Nursing, Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Glasgow, Scotland, UK. 2. Allied Health, La Trobe University, Melbourne, Australia. 3. Allied Health, Cabrini Health, Melbourne, Australia. 4. Rehabilitation Teaching and Research Unit, University of Otago, Wellington, New Zealand. 5. Department of Women's and Children's Health, Dunedin School of Medicine, University of Otago, New Zealand. 6. Psychology Applied to Health, University of Exeter Medical School, Exeter, UK. 7. Department of Nursing, Hungkuang University, Taiwan. 8. School of Health Sciences, University of Newcastle, Australia. 9. Primary Care Research, Institute of Health and Wellbeing, University of Glasgow, Scotland, UK. 10. School of rehabilitation, Faculty of Medicine, University of Montreal, Montreal, Canada. 11. Research Centre of the Institut Universitaire de Geriatrie de Montreal, Montreal, Canada.
Abstract
AIMS: This paper, the first of four emanating from the International Continence Society's 2011 State-of-the-Science Seminar on pelvic-floor-muscle training (PFMT) adherence, aimed to summarize the literature on theoretical models to promote PFMT adherence, as identified in the research, or suggested by the seminar's expert panel, and recommends future directions for clinical practice and research. METHODS: Existing literature on theories of health behavior were identified through a conventional subject search of electronic databases, reference-list checking, and input from the expert panel. A core eligibility criterion was that the study included a theoretical model to underpin adherence strategies used in an intervention to promote PFM training/exercise. RESULTS: A brief critique of 12 theoretical models/theories is provided and, were appropriate, their use in PFMT adherence strategies identified or examples of possible uses in future studies outlined. CONCLUSION: A better theoretical-based understanding of interventions to promote PFMT adherence through changes in health behaviors is required. The results of this scoping review and expert opinions identified several promising models. Future research should explicitly map the theories behind interventions that are thought to improve adherence in various populations (e.g., perinatal women to prevent or lessen urinary incontinence). In addition, identified behavioral theories applied to PFMT require a process whereby their impact can be evaluated.
AIMS: This paper, the first of four emanating from the International Continence Society's 2011 State-of-the-Science Seminar on pelvic-floor-muscle training (PFMT) adherence, aimed to summarize the literature on theoretical models to promote PFMT adherence, as identified in the research, or suggested by the seminar's expert panel, and recommends future directions for clinical practice and research. METHODS: Existing literature on theories of health behavior were identified through a conventional subject search of electronic databases, reference-list checking, and input from the expert panel. A core eligibility criterion was that the study included a theoretical model to underpin adherence strategies used in an intervention to promote PFM training/exercise. RESULTS: A brief critique of 12 theoretical models/theories is provided and, were appropriate, their use in PFMT adherence strategies identified or examples of possible uses in future studies outlined. CONCLUSION: A better theoretical-based understanding of interventions to promote PFMT adherence through changes in health behaviors is required. The results of this scoping review and expert opinions identified several promising models. Future research should explicitly map the theories behind interventions that are thought to improve adherence in various populations (e.g., perinatal women to prevent or lessen urinary incontinence). In addition, identified behavioral theories applied to PFMT require a process whereby their impact can be evaluated.
Keywords:
adherence; adherence strategies; compliance; concordance; health behavior models; health theory models; pelvic floor exercise; pelvic floor muscle training
Authors: Suzanne Hagen; Carol Bugge; Sarah G Dean; Andrew Elders; Jean Hay-Smith; Mary Kilonzo; Doreen McClurg; Mohamed Abdel-Fattah; Wael Agur; Federico Andreis; Joanne Booth; Maria Dimitrova; Nicola Gillespie; Cathryn Glazener; Aileen Grant; Karen L Guerrero; Lorna Henderson; Marija Kovandzic; Alison McDonald; John Norrie; Nicole Sergenson; Susan Stratton; Anne Taylor; Louise R Williams Journal: Health Technol Assess Date: 2020-12 Impact factor: 4.014
Authors: Aileen Grant; Sarah Dean; Jean Hay-Smith; Suzanne Hagen; Doreen McClurg; Anne Taylor; Marija Kovandzic; Carol Bugge Journal: BMJ Open Date: 2019-02-19 Impact factor: 2.692