Chantale Dumoulin1,2, Jean Hay-Smith3,4, Helena Frawley5,6, Doreen McClurg7, Dianne Alewijnse8, Kari Bo9, Kathryn Burgio10,11, Shu-Yueh Chen12, Pauline Chiarelli13, Sarah Dean14, Suzanne Hagen15, Julia Herbert16, Aishath Mahfooza17, Frances Mair18, Diane Stark19, Marijke Van Kampen20. 1. School of Rehabilitation, Faculty of Medicine, University of Montreal, Montreal, Canada. 2. Urogynecological Health and Aging Research Chair, Research Centre of the Institut Universitaire de Geriatrie de Montreal, Montreal, Canada. 3. Rehabilitation Teaching and Research Unit, University of Otago, Wellington, New Zealand. 4. Department of Women's and Children's Health, Dunedin School of Medicine, University of Otago, New Zealand. 5. School of Allied Health, La Trobe University, Melbourne, Australia. 6. Allied Health Research, Cabrini Health, Melbourne, Australia. 7. Midwifery and Allied Health Professions Research Unit, Glasgow Caledonian University, Glasgow, Scotland. 8. PR and Marketing, Gelre Hospitals, Apeldoorn and Zutphen, The Netherlands. 9. Departement of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway. 10. Division of Gerontology, Geriatrics and Palliative Care, University of Alabama at Birmingham, Birmingham. 11. Birmingham/Atlanta Geriatric Research, Education and Clinical Center, Department of Veterans Affairs, Birmingham. 12. Department of Nursing, Hungkuang University, Taiwan. 13. School of Health Sciences, University of Newcastle, Australia. 14. Psychology Applied to Health, University of Exeter Medical School, Exeter, United Kingdom. 15. Nursing Midwifery & Allied Health Professions (NMAHP) Research Unit. 16. Bradford University, Bradford, United Kingdom. 17. Indira Gandhi Memorial Hospital, Male', Maldives. 18. General Practice and Primary Care, Institute of Health and Wellbeing, University of Glasgow, Scotland. 19. Functional Bowel Service, Clinic 2 Balmoral Building, Leicester Royal infirmary, Leicester, United Kingdom. 20. Faculty of Kinesiology and Rehabilitation Sciences, K.U.Leuven, Leuven, Belgium.
Abstract
AIMS: To summarize the findings and "expert-panel" consensus of the State-of-the-Science Seminar on pelvic floor muscle training (PFMT) adherence held prior to the 41st International Continence Society scientific meeting, Glasgow, 2011. METHODS: Summaries of research and theory about PFMT adherence (based on a comprehensive literature search) were presented by subject experts at the 2011 Seminar to generate discussion and guidance for clinical practice and future research. Supplemental research, post-seminar, resulted in, three review papers summarizing: (1) relevant behavioral theories, (2) adherence measurement, determinants and effectiveness of PFMT adherence interventions, and (3) patients' PFMT experiences. A fourth, reported findings from an online survey of health professionals and the public. RESULTS: Few high-quality studies were found. Paper I summarizes 12 behavioral frameworks relevant to theoretical development of PFMT adherence interventions and strategies. Findings in Paper II suggest both PFMT self-efficacy and intention-to-adhere predict PFMT adherence. Paper III identified six potential adherence modifiers worthy of further investigation. Paper IV found patient-related factors were the biggest adherence barrier to PFMT adherence. CONCLUSION: Given the lack of high-quality studies, the conclusions were informed by expert opinion. Adherence is central to short- and longer-term PFMT effect. More attention and explicit reporting is needed regarding: (1) applying health behavior theory in PFMT program planning; (2) identifying adherence determinants; (3) developing and implementing interventions targeting known adherence determinants; (4) using patient-centred approaches to evaluating adherence barriers and facilitators; (5) measuring adherence, including refining and testing instruments; and (6) testing the association between adherence and PFMT outcome.
AIMS: To summarize the findings and "expert-panel" consensus of the State-of-the-Science Seminar on pelvic floor muscle training (PFMT) adherence held prior to the 41st International Continence Society scientific meeting, Glasgow, 2011. METHODS: Summaries of research and theory about PFMT adherence (based on a comprehensive literature search) were presented by subject experts at the 2011 Seminar to generate discussion and guidance for clinical practice and future research. Supplemental research, post-seminar, resulted in, three review papers summarizing: (1) relevant behavioral theories, (2) adherence measurement, determinants and effectiveness of PFMT adherence interventions, and (3) patients' PFMT experiences. A fourth, reported findings from an online survey of health professionals and the public. RESULTS: Few high-quality studies were found. Paper I summarizes 12 behavioral frameworks relevant to theoretical development of PFMT adherence interventions and strategies. Findings in Paper II suggest both PFMT self-efficacy and intention-to-adhere predict PFMT adherence. Paper III identified six potential adherence modifiers worthy of further investigation. Paper IV found patient-related factors were the biggest adherence barrier to PFMT adherence. CONCLUSION: Given the lack of high-quality studies, the conclusions were informed by expert opinion. Adherence is central to short- and longer-term PFMT effect. More attention and explicit reporting is needed regarding: (1) applying health behavior theory in PFMT program planning; (2) identifying adherence determinants; (3) developing and implementing interventions targeting known adherence determinants; (4) using patient-centred approaches to evaluating adherence barriers and facilitators; (5) measuring adherence, including refining and testing instruments; and (6) testing the association between adherence and PFMT outcome.
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: Oriol Porta Roda; Miguel A Díaz López; Jesús Vara Paniagua; Marta Simó González; Paloma Díaz Bellido; Juan J Espinós Gómez Journal: Int Urogynecol J Date: 2016-01-15 Impact factor: 2.894
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
Authors: Arnoud W Kastelein; Maarten F A Dicker; Brent C Opmeer; Sonia S Angles; Kaisa E Raatikainen; Joan F Alonso; Diana Tăut; Olavi Airaksinen; Linda D Cardozo; Jan-Paul W R Roovers Journal: Int Urogynecol J Date: 2017-04-21 Impact factor: 2.894