2014 consensus statement on improving pelvic floor muscle training adherence: International Continence Society 2011 State‐of‐the‐Science Seminar

Abstract

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.

Mobile app for treatment of stress urinary incontinence: A randomized controlled trial

“…The first‐line treatment for SUI is pelvic floor muscle training (PFMT), but there is no clear consensus on whether the training must be supervised . Adherence to PFMT is a key factor in its effectiveness, but many barriers to exercise exist, including forgetting, not prioritising, and not perceiving the benefits of training …”

“…5,6 Adherence to PFMT is a key factor in its effectiveness, but many barriers to exercise exist, including forgetting, not prioritising, and not perceiving the benefits of training. 7,8 With increasing smartphone availability, mobile health apps are a growing field that offers new possibilities for delivering health services. 9 Health apps may increase access to care for people who are unwilling to seek out or have limited access to ordinary health care.…”

Strategies to assist uptake of pelvic floor muscle training for people with urinary incontinence: A clinician viewpoint

“…[7][8][9][10][11][12] It is also recommended in clinical practice guidelines. [13][14][15][16][17] The clinical implementation of this knowledge is argued to benefit from close collaborations between researchers and knowledge users. 18 The Knowledge to Action Translation framework 18 suggests identification of barriers and facilitators, involvement of stakeholders such as clinicians and patients and tailoring knowledge messages to the end-user as supporting the process of change.…”

Factors influencing long‐term adherence to pelvic floor exercises in women with urinary incontinence

“…For PFE, long‐term adherence refers to the period 6 months to 2 years after discharge from Physical Therapy. It is estimated that 64% of patients adhere to PFE programs in the short term but only 23% remain adherent over the long term …”