Learning outcomes of a group behavioral modification program to prevent urinary incontinence


This study describes acquisition of knowledge and motor skill in bladder training (BT) and pelvic floor muscle training (PFMT) and adherence following a behavioral modification program (BMP). Essentially continent (0–5 episodes in past year) community-dwelling older women (n=359) were randomized to treatment (n=164), a 2-h group education session supplemented by one brief individualized session of approximately 10 min, or control (n=195), no instruction, and followed for 12 months. Knowledge, motor skill, and adherence to the BMP were documented. Changes in pelvic muscle function and voiding interval were used to validate self-reported adherence. Following group instruction, mean BT and PFMT knowledge was 90 and 86%, respectively; 68% demonstrated correct PFMT technique without additional instruction, 29% required brief instruction, and 3% were unable to learn PFMT technique. Adherence ranged from 63 to 82% for PFMT and 58 to 67% for BT. Group instruction supplemented with brief individual instruction as needed is an effective teaching method for BT and PFMT.

DOI: 10.1007/s00192-005-1284-7

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@article{Sampselle2005LearningOO, title={Learning outcomes of a group behavioral modification program to prevent urinary incontinence}, author={Carolyn M. Sampselle and Kassandra L. Messer and J. Seng and T. E. Raghunathan and Sandra H. Hines and Ananias Diokno}, journal={International Urogynecology Journal}, year={2005}, volume={16}, pages={441-446} }