Female Urinary Incontinence Evidence-Based Treatment Pathway: An Infographic for Shared Decision-Making

McKinney, Jessica; Keyser, Laura; Pulliam, Samantha J.; Ferzandi, Tanaz R.

doi:10.1089/jwh.2021.0266

Cited by 9 publications

(15 citation statements)

References 43 publications

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“…The first dimension is information acquisition ability, which refers to the PPUI women's ability to actively seek relevant information regarding the diagnosis and treatment of UI through various channels. This is in line with the findings of previous studies emphasizing the significance of patients having access to relevant information to facilitate effective SDM 10 . Healthcare professionals play a vital role as the primary providers of this information.…”

Section: Discussionsupporting

confidence: 90%

“…This is in line with the findings of previous studies emphasizing the significance of patients having access to relevant information to facilitate effective SDM. 10 Healthcare professionals play a vital role as the primary providers of this information. Therefore, the ability of healthcare professionals to search for and integrate empirical data is essential.…”

Section: Information Acquisition Abilitymentioning

confidence: 99%

“…Research findings consistently highlight that patients' ability to acquire information is a critical factor for the sustained implementation of SDM. 10,27…”

Section: Information Acquisition Abilitymentioning

confidence: 99%

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Development and validation of a Decision‐Making Ability Scale for postpartum urinary incontinence women engaging in pelvic floor physical therapy

Li,

Zhao

et al. 2023

Neurourology and Urodynamics

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ObjectiveThis study aimed to develop and validate a Decision‐Making Ability Scale (DMA‐S) for postpartum urinary incontinence (PPUI) women engaging in pelvic floor physical therapy (PFPT).MethodsItems were created in line with a review of the literature and exploratory qualitative study with 22 women. The items were submitted for expert opinion and a pilot implementation was made with 58 women with PPUI. Furthermore, the construct validity of the scale was tested with exploratory factor analysis (EFA) (n = 220) and confirmatory factor analysis (CFA) (n = 240). Internal consistency for the Chronbach's α and test–retest reliability for the intraclass correlation coefficient (ICC) were also investigated for the DMA‐S in the study.ResultsThe results of the EFA indicated a Kaiser–Meyer–Olkin value of 0.85 and Bartlett's test of sphericity showed a χ2 value of 8352.101, p < 0.001. After removing one item with factor loading values below 0.50, the resulting factor structure accounted for 83.38% of the total variance. The fit indices of the scale model tested in the CFA were determined as χ2/df = 1.08 < 3, root mean square error of approximation = 0.018 < 0.08, comparative fit index = 0.996 > 0.90, Tucker–Lewis index = 0.995 > 0.90, goodness‐of‐fit index (GFI) = 0.933 > 0.90, adjusted GFI = 0.916 > 0.90, and incremental fit index = 0.996 > 0.90. The Cronbach's α values were 0.95–0.97 for the subdimensions of the scale and 0.93 for the total scale. Data also showed a good test–retest stability (ICC = 0.984).ConclusionThe DMA‐S is a reliable and valid tool for assessing the decision‐making ability for PPUI women engaging in PFPT.

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Section: Discussionsupporting

confidence: 90%

Section: Information Acquisition Abilitymentioning

confidence: 99%

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Development and validation of a Decision‐Making Ability Scale for postpartum urinary incontinence women engaging in pelvic floor physical therapy

Li,

Zhao

et al. 2023

Neurourology and Urodynamics

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“…1 First-line management for stress urinary incontinence (SUI), urgency urinary incontinence (UUI), and mixed urinary incontinence (MUI) subtypes includes pelvic floor muscle training. 2,3 Supervised pelvic floor muscle training optimizes treatment results and can lead to improvement or resolution of UI symptoms. 4 However, most women do not access skilled care, do not adhere to pelvic floor muscle training programs, or do not perform exercises correctly.…”

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confidence: 99%

Digital Therapeutic Device for Urinary Incontinence

Weinstein

Dunivan

Guaderrama

et al. 2022

Obstetrics &Amp; Gynecology

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To evaluate the long-term efficacy of an 8week regimen of pelvic floor muscle training guided by a motion-based digital therapeutic device compared with a standard home program in the treatment of stress urinary incontinence (SUI) and stress-predominant mixed urinary incontinence (MUI). METHODS:The primary virtual trial was conducted from October 2020 to March 2021; 363 women with SUI or stress-predominant MUI were randomized to complete pelvic floor muscle training using the device (intervention group) or a standard home pelvic floor muscle training program (control group) for 8 weeks. Primary outcomes included change in UDI-6 (Urogenital Distress Inventory, Short Form) score and SUI episodes on a 3-day bladder diary. The PGI-I (Patient Global Impression of Improvement) was also assessed, with "much better" and "very much better" responses considered as improvement. In this planned secondary analysis, symptom and adherence data were collected in follow-up at 6 and 12 months. A modified intention-to-treat analysis was performed using Student's t tests and x 2 tests as appropriate.RESULTS: Of 299 participants analyzed at 8 weeks, 286 (95.7%) returned 6-and 12-month data (151 in the control group, 135 in the intervention group). Mean age was 51.9612.8 years, and mean body mass index (BMI) was 31.867.4; 84.6% of participants were parous, and 54.9% were postmenopausal. Mean change in UDI-6 score from baseline to 6 and 12 months was significantly greater in the intervention group than in the control group (20.2620.9 vs 14.8619.5, P5. 03 and 22.7623.3 vs 15.9620.3, P5.01, respectively). Participants in the intervention group had more than twice the odds of reporting improvement on the PGI-I compared with participants in the control group (OR 2.45,.CONCLUSION: Pelvic floor muscle training guided by a motion-based digital therapeutic device yielded significantly greater urinary incontinence symptom improvement compared with a standard home pelvic floor muscle training program at 6 and 12 months, although continued improvement waned over time. This technology may facilitate pelvic floor muscle training access and adherence for women with SUI and stress-predominant MUI and represents an effective modality for scaling first-line care.

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“…1,2 According to the American Society of Urogynecology, one in four women aging 20 years or older will have PFD in their lifetime. 3,4 According to the World Health Organization, urinary incontinence (UI) is the most common PFD, affecting more than 200 million people worldwide. 3 The most common types are stress urinary incontinence (SUI), urgency urinary incontinence (UUI), and mixed urinary incontinence (MUI), which could be treated by conservative or surgical approaches.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and factors associated with pelvic floor dysfunction in university women: a cross-sectional study

et al. 2022

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Introduction Urinary incontinence (UI), fecal inconti-nence (FI), and genito-pelvic pain or penetration disorder (GPPPD) are considered pelvic floor dysfunction (PFD), and are mainly characterized by poor functionality of the pelvic floor muscles. Despite the relevance of these dysfunctions in women's lives, the demand for care is low. Objective To analyze the prevalence of PFD, in university women, and factors associated with PFD. Methods This is a cross-sectional study conducted at São Paulo State University, Marília, SP, Brazil, with undergraduate and/or postgraduate women aged over 18 years. An online questionnaire containing 40 open and multiple-choice questions about PFD was developed by the authors and a Google form was disclosed via social media (Facebook, Instagram) to the participants. The questionnaire was applied between April and July 2020. Results A sample of 707 participants was included. The average age was 22.5 ± 21.0 years old. The most prevalent PFD was GPPPD, reported by 30.7% of women, followed by UI (16.8%) and FI (3.2%). PFD was significant less reported in the Midwest region compared to other regions (p = 0.015) and significantly more prevalent in women who attended public university (p = 0.038), in women with UI, FI, and GPPPD. The association-test showed that attending public university showed association to UI (p < 0.001), FI (p = 0.008) and GPPPD (p = 0.006). In addition, parity showed association with GPPD (p = 0.032) and to attend health courses with UI (p = 0.002). Conclusion PFD is prevalent among university women and GPPPD was the most recurrent, followed by UI and FI. GPPPD was associated with parity and attending a public university. UI was associated with attending public university and health courses. FI was associated with attending a public university.

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Female Urinary Incontinence Evidence-Based Treatment Pathway: An Infographic for Shared Decision-Making

Cited by 9 publications

References 43 publications

Development and validation of a Decision‐Making Ability Scale for postpartum urinary incontinence women engaging in pelvic floor physical therapy

Development and validation of a Decision‐Making Ability Scale for postpartum urinary incontinence women engaging in pelvic floor physical therapy

Digital Therapeutic Device for Urinary Incontinence

Prevalence and factors associated with pelvic floor dysfunction in university women: a cross-sectional study

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