Adherence to a Behavioral Program to Prevent Incontinence

Hines, Sandra; Seng, Julia S.; Messer, Kassandra L.; Raghunathan, T. E.; Diokno, Ananias C.; Sampselle, Carolyn M.

doi:10.1177/0193945906293793

Cited by 27 publications

(16 citation statements)

References 24 publications

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“…However, their rate for daily PFM exercise (34.8%) were higher than that observed in our study. 41 As was the case during supervised intervention, long-term exercise rates did not differ between women who received the behavioral intervention alone or in combination with the continence pessary. Because PFM exercise generally declines over time, we might expect this trend to be greater for women using the continence pessary.…”

Section: Discussionmentioning

confidence: 75%

“…When patients link their exercises to such cues, the new exercise habit can be integrated with daily activities and PFM exercise becomes more automatic or habitual. For example, Hines and colleagues 41 found that women who performed their PFM exercises at routine times of the day had a 12-fold and 2.7-fold greater likelihood of achieving adherence during the initial 3 months of exercise and at the end of the first-year follow-up, respectively.…”

Section: Adherence To Behavioral Interventions For Stress Incontinencementioning

confidence: 99%

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Adherence to Behavioral Interventions for Stress Incontinence: Rates, Barriers, and Predictors

et al. 2013

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Section: Discussionmentioning

confidence: 75%

Section: Adherence To Behavioral Interventions For Stress Incontinencementioning

confidence: 99%

Adherence to Behavioral Interventions for Stress Incontinence: Rates, Barriers, and Predictors

et al. 2013

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“…A few studies have examined factors that impact on women's participation in and adherence to a PFM training regimen during treatment (in class and at home), as well as in the long‐term, post‐treatment 27–29. In a qualitative descriptive study using individual and focus‐group interviews, In 2006, Milne and Moore27 studied the self‐care strategies employed by community‐dwelling individuals to adhere to the PFM training regimen at home.…”

Section: Types Of Behavior and Adherence Strategies For Effective Pfmmentioning

confidence: 99%

Determining the optimal pelvic floor muscle training regimen for women with stress urinary incontinence

Dumoulin

Glazener

Jenkinson

2011

Neurourology and Urodynamics

102

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Pelvic floor muscle (PFM) training has received Level-A evidence rating in the treatment of stress urinary incontinence (SUI) in women, based on meta-analysis of numerous randomized control trials (RCTs) and is recommended in many published guidelines. However, the actual regimen of PFM training used varies widely in these RCTs. Hence, to date, the optimal PFM training regimen for achieving continence remains unknown and the following questions persist: how often should women attend PFM training sessions and how many contractions should they perform for maximal effect? Is a regimen of strengthening exercises better than a motor control strategy or functional retraining? Is it better to administer a PFM training regimen to an individual or are group sessions equally effective, or better? Which is better, PFM training by itself or in combination with biofeedback, neuromuscular electrical stimulation, and/or vaginal cones? Should we use improvement or cure as the ultimate outcome to determine which regimen is the best? The questions are endless. As a starting point in our endeavour to identify optimal PFM training regimens, the aim of this study is (a) to review the present evidence in terms of the effectiveness of different PFM training regimens in women with SUI and (b) to discuss the current literature on PFM dysfunction in SUI women, including the up-to-date evidence on skeletal muscle training theory and other factors known to impact on women's participation in and adherence to PFM training.

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“…For example, the exercises could be scheduled before regular activities such as before meals. Scheduling PFMT at specific times is a more effective strategy than remembering to perform exercise on an ad hoc schedule (83). For optimal efficacy, PFMT may need to be continued for 8–12 weeks (35).…”

Section: Behavioural Interventionsmentioning

confidence: 99%

Practical aspects of lifestyle modifications and behavioural interventions in the treatment of overactive bladder and urgency urinary incontinence

Wyman

Burgio

Newman

2009

International Journal of Clinical Practice

182

158

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Behavioural interventions are effective treatments for overactive bladder (OAB) and urgency urinary incontinence (UUI). They are in part aimed at improving symptoms with patient education on healthy bladder habits and lifestyle modifications, including the establishment of normal voiding intervals, elimination of bladder irritants from the diet, management of fluid intake, weight control, management of bowel regularity and smoking cessation. Behavioural interventions also include specific training techniques aimed at re-establishing normal voiding intervals and continence. Training techniques include bladder training, which includes a progressive voiding schedule together with relaxation and distraction for urgency suppression, and multicomponent behavioural training, which, in conjunction with pelvic floor muscle (PFM) exercises, includes PFM contraction to control urgency and increase the interval between voids. Guidelines for the conservative treatment of OAB and UUI have been published by several organisations and the physiological basis and evidence for the effectiveness of behavioural interventions, including lifestyle modifications, in the treatment of OAB and UUI have been described. However, many primary care clinicians may have a limited awareness of the evidence supporting the often straight-forward treatment recommendations and guidance for incorporating behavioural interventions into busy primary care practices, because most of this information has appeared in the specialty literature. The purpose of this review is to provide an overview of behavioural interventions for OAB and UUI that can be incorporated with minimal time and effort into the treatment armamentarium of all clinicians that care for patients with bladder problems. Practical supporting materials that will facilitate the use of these interventions in the clinic are included; these can be used to help patients understand lifestyle choices and voiding behaviours that may improve function in patients experiencing OAB symptoms and/or UUI as well as promote healthy bladder behaviours and perhaps even prevent future bladder problems. Interventions for stress urinary incontinence are beyond the scope of this review.

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Adherence to a Behavioral Program to Prevent Incontinence

Cited by 27 publications

References 24 publications

Adherence to Behavioral Interventions for Stress Incontinence: Rates, Barriers, and Predictors

Adherence to Behavioral Interventions for Stress Incontinence: Rates, Barriers, and Predictors

Determining the optimal pelvic floor muscle training regimen for women with stress urinary incontinence

Practical aspects of lifestyle modifications and behavioural interventions in the treatment of overactive bladder and urgency urinary incontinence

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