Reasons Behind Preferences for Community-Based Continence Promotion

Abstract

Objectives-This study aimed to understand the potential reach of continence promotion intervention formats among incontinent women. Methods-The Survey of the Health of Wisconsin conducts household interviews on a population-based sample. In 2016, 399 adult women were asked about incontinence and likelihood of participation in continence promotion via 3 formats: single lecture, interactive 3-session workshop, or online. Descriptive analyses compared women likely versus unlikely to participate in continence promotion. To understand format preferences, modified grounded theory was used to conduct and analyze telephone interviews. Results-One hundred eighty-seven (76%) of 246 incontinent women reported being likely to attend continence promotion: 111 (45%) for a single lecture, 43 (17%) for an interactive 3-session workshop, and 156 (64%) for an online program. Obesity, older age, nonwhite race, prior health program participation, and Internet use for health information were associated with reported continence promotion participation. Cited advantages of a single lecture included convenience and ability to ask questions. A workshop offered accountability, hands-on learning, and opportunity to learn from others; online format offered privacy, convenience, and self-directed learning.

The Survey of the Health of Wisconsin (SHOW) Program: An Infrastructure for Advancing Population Health

“…Multi-disciplinary research teams and community partners have amplified SHOW's impact over the years through diverse ancillary studies. Examples include personalized vitamin D supplementation based on genetic analysis ( 42 ), impacts of caregiver strain on telomere length and quality of life ( 31 – 33 ), assessment of physical activity in rural women ( 23 , 30 ), and incontinence research in older women ( 43 ). Other ancillary studies have examined how the household context impacts personal health information management ( 44 – 46 ), analyzed chronic stress and cardio-metabolic risk ( 14 , 47 ), and found epigenetic signatures of aging and health disparities, among others.…”

“…Ancillary studies using the SHOW infrastructure aid basic scientists, clinicians, public health professionals and community leaders in advancing population health in Wisconsin and beyond. For example, clinical investigators used the ongoing collection and follow-up mailings of past participants to examine preferences for receiving information and education on urinary incontinence among women ( 43 ). Findings were used to design a follow-up feasibility study needed to inform future implementation research.…”

The Survey of the Health of Wisconsin (SHOW) Program: An infrastructure for Advancing Population Health Sciences

“…Numerous ancillary studies have either extended the focus of the baseline SHOW program or facilitated follow-up with cohort participants around particular etiologic, prevention or intervention research questions. Examples include personalized vitamin D supplementation based on genetic analysis, 20 impacts of caregiver strain on telomere length and quality of life, 21 – 23 assessment of physical activity in rural women, 24 25 incontinence research in older women, 26 examining how household context impacts personal health information management, 27 – 29 chronic stress and cardio-metabolic risk, 14 30 and epigenetic signatures of aging and health disparities, among others. SHOW also supports applied public health and surveillance.…”