Self-Efficacy as a Predictor to PFMT Adherence in a Prevention of Urinary Incontinence Clinical Trial

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

doi:10.1177/1090198106295399

Cited by 45 publications

(37 citation statements)

References 14 publications

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“…Our experience in using group session to prevent incontinence confirmed the previous observation of positive correlation between self-efficacy and adherence [21]. The result of the present study will serve as the stepping-stone to a larger study that will incorporate factors that could predict adherence.…”

Section: Discussionsupporting

confidence: 89%

Group session teaching of behavioral modification program (BMP) for urinary incontinence: a randomized controlled trial among incontinent women

et al. 2009

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Section: Discussionsupporting

confidence: 89%

Group session teaching of behavioral modification program (BMP) for urinary incontinence: a randomized controlled trial among incontinent women

et al. 2009

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“…Indeed, self-efficacy has been consistently linked to the performance of several health-related behaviors, for example, physical activity or exercise (Conn, 1998;Pender, Bar-Or, Wilk, & Mitchell, 2002;Stutts, 2002;Wilbur, Vassalo, Chandler, McDeritt, & Miller, 2005). Regulatory self-efficacy and task self-efficacy were found to be good predictors of long-term practice of PFM training (Messer et al, 2007). However, study participants were continent women, and predisposing factors other than self-efficacy were not assessed.…”

Section: Introductionmentioning

confidence: 84%

Path Analysis for Adherence to Pelvic Floor Muscle Exercise Among Women With Urinary Incontinence

Chen

Tzeng

2009

Journal of Nursing Research

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This study developed and tested the accuracy of a model designed to predict adherence to a pelvic floor muscle exercise regimen by Taiwanese women with urinary incontinence. The sample was composed of 106 women treated for urinary incontinence at urban hospitals in central and northern Taiwan from April 2000 to March 2003. All participants had practiced prescribed pelvic floor muscle exercises for at least 6 weeks at the time they completed study measures, which included adherence to pelvic floor muscle exercise, self-efficacy for the exercise, knowledge of the exercise, attitudes toward the exercise, dyadic cohesion, perceived benefits of the exercise, and severity of urine loss. After stepwise multiple regression analysis, a path analysis was conducted, with significant paths retained as modifiers. Self-efficacy for pelvic floor muscle exercise strongly and directly affected adherence to the exercise regimen. Attitudes toward the exercise, dyadic cohesion, and perceived benefits of the exercise affected adherence when mediated by self-efficacy for pelvic floor muscle exercise. Severity of urine loss also directly affected adherence. Exercise knowledge affected neither self-efficacy nor adherence. The model fit the data and accounted for 40% of adherence variance. Findings affirm the significant role of self-efficacy in predicting adherence to pelvic floor muscle exercise. Thus, self-efficacy for exercise can be an indicator for nurses to tailor exercise-training programs for women with urinary incontinence. Nurses can use the study findings to develop interventions to increase women's adherence to the exercise.

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“…Self-efficacy is used to decide which actions are possible to perform while anticipating positive or negative results. Establishing a basis for action is important 9 . The current instrument differentiated between women who did or did not adhere to PFEs; therefore, it has an adequate predictive ability because theory suggests that self-efficacy beliefs are an important predictor of adherence to health-related behaviors [5][6][7][8][9][10][19][20][21] .…”

Section: Discussionmentioning

confidence: 99%

“…Physical therapists often use health education strategies to change certain patient habits. The study of the issues that interfere with treatment adherence (e.g., a fear of falling among elderly patients 22 , the use of biomechanical insoles 23 , or practicing PFEs [5][6][7][8][9][10] ) is becoming increasingly important.…”

Section: Discussionmentioning

confidence: 99%

“…One systematic review indicated that physical therapy effectively reduces urinary symptoms in older women with urinary incontinence 4 . In addition, previous studies have suggested that a relationship exists between high self-efficacy and positive adherence rates to these treatments for urinary incontinence [5][6][7][8][9][10] . Existing scales to evaluate self-efficacy with regard to practicing PF exercises (PFEs) have been developed and validated in other countries (e.g., the US 7 , Taiwan 11 , Canada 12 , and Turkey 13 ); however, none have been validated in Brazil.…”

Section: Introductionmentioning

confidence: 99%

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The development and psychometric evaluation of a self-efficacy scale for practicing pelvic floor exercises

Sacomori¹,

Cardoso²,

Porto³

et al. 2013

Braz. J. Phys. Ther.

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| Background: Self-efficacy has been shown to be a predictor of many health-related behaviors, including the practice of pelvic floor exercises with a focus on prevention or cure. Objectives: To describe the process of construction and the psychometric properties of the scale of self-efficacy for the practice of pelvic floor exercises (EAPEAP). Method: A cross-sectional study of validation was carried out with 81 from community and 96 postpartum women, 54.8% of them complained of urinary leakage. An exploratory factor analysis and internal consistency analysis was performed.To check predictive capacity, we analyzed the adherence at 3 months post -intervention and compared the scores of self-efficacy between adherent and non-adherent women. Reliability was analyzed by split half procedure. Results: The instrument showed α=0.923, and revealed three factors: performance expectation considering the action, performance expectation considering the preparation for action and outcome expectations. These factors accounted for 65.32% of the total variance. The instrument was able to differentiate between women who adhere and have not adhered to the exercises (U=352, p=0.013) and there was strong correlation between the two halves of the instrument (rho=0.889, p<0.001). Conclusion: The scale is a valid and reliable tool to measure self-efficacy to practice pelvic floor exercises.Keywords: self-efficacy; pelvic floor; movement; validation studies; adherence. HOW TO CITE THIS ARTICLESacomori C, Cardoso FL, Porto IP, Negri NB. The development and psychometric evaluation of a self-efficacy scale for practicing pelvic floor exercises. Braz J Phys Ther. 2013 July-Aug; 17(4):336-342. http://dx

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Self-Efficacy as a Predictor to PFMT Adherence in a Prevention of Urinary Incontinence Clinical Trial

Cited by 45 publications

References 14 publications

Group session teaching of behavioral modification program (BMP) for urinary incontinence: a randomized controlled trial among incontinent women

Group session teaching of behavioral modification program (BMP) for urinary incontinence: a randomized controlled trial among incontinent women

Path Analysis for Adherence to Pelvic Floor Muscle Exercise Among Women With Urinary Incontinence

The development and psychometric evaluation of a self-efficacy scale for practicing pelvic floor exercises

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