Abstract:| 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 explorator… Show more
“…Comparing individual response items from the three measures of PFMT self‐efficacy and the Incontinence Treatment Motivation Questionnaire to the six modifiers, we could map each item to one or more of the modifier categories. Response items in these instruments often included multiple modifiers.…”
Section: Discussionmentioning
confidence: 99%
“…We found congruence between our findings and existing measures of PFMT self-efficacy and treatment motivation, as well as with broader theories of health behavior and adherence. 27 Comparing individual response items from the three measures of PFMT self-efficacy [28][29][30] and the Incontinence Treatment Motivation Questionnaire 31 to the six modifiers, we could map each item to one or more of the modifier categories. Response items in these instruments often included multiple modifiers.…”
AimsThis review aims to locate and summarize the findings of qualitative studies exploring the experience of and adherence to pelvic floor muscle training (PFMT) to recommend future directions for practice and research.
MethodsPrimary qualitative studies were identified through a conventional subject search of electronic databases, reference-list checking, and expert contact. A core eligibility criterion was the inclusion of verbatim quotes from participants about PFMT experiences. Details of study aims, methods, and participants were extracted and tabulated. Data were inductively grouped into categories describing "modifiers" of adherence (verified by a second author) and systematically displayed with supporting illustrative quotes.
ResultsThirteen studies (14 study reports) were included; eight recruited only or predominantly women with urinary incontinence, three recruited postnatal women, and two included women with pelvic organ prolapse. The quality of methodological reporting varied. Six "modifiers" of adherence were described: knowledge; physical skill; feelings about PFMT; cognitive analysis, planning, and attention; prioritization; and service provision.
ConclusionsIndividuals' experience substantial difficulties with capability (particularly knowledge and skills), motivation (especially associated with the considerable cognitive demands of PFMT), and opportunity (as external factors generate competing priorities) when adopting and maintaining a PFMT program. Expert consensus was that judicious selection and deliberate application of appropriate behavior change strategies directed to the "modifiers" of adherence identified in the review may improve PFMT outcomes. Future research is needed to explore whether the review findings are congruent with the PFMT experiences of antenatal women, men, and adults with fecal incontinence.
“…Comparing individual response items from the three measures of PFMT self‐efficacy and the Incontinence Treatment Motivation Questionnaire to the six modifiers, we could map each item to one or more of the modifier categories. Response items in these instruments often included multiple modifiers.…”
Section: Discussionmentioning
confidence: 99%
“…We found congruence between our findings and existing measures of PFMT self-efficacy and treatment motivation, as well as with broader theories of health behavior and adherence. 27 Comparing individual response items from the three measures of PFMT self-efficacy [28][29][30] and the Incontinence Treatment Motivation Questionnaire 31 to the six modifiers, we could map each item to one or more of the modifier categories. Response items in these instruments often included multiple modifiers.…”
AimsThis review aims to locate and summarize the findings of qualitative studies exploring the experience of and adherence to pelvic floor muscle training (PFMT) to recommend future directions for practice and research.
MethodsPrimary qualitative studies were identified through a conventional subject search of electronic databases, reference-list checking, and expert contact. A core eligibility criterion was the inclusion of verbatim quotes from participants about PFMT experiences. Details of study aims, methods, and participants were extracted and tabulated. Data were inductively grouped into categories describing "modifiers" of adherence (verified by a second author) and systematically displayed with supporting illustrative quotes.
ResultsThirteen studies (14 study reports) were included; eight recruited only or predominantly women with urinary incontinence, three recruited postnatal women, and two included women with pelvic organ prolapse. The quality of methodological reporting varied. Six "modifiers" of adherence were described: knowledge; physical skill; feelings about PFMT; cognitive analysis, planning, and attention; prioritization; and service provision.
ConclusionsIndividuals' experience substantial difficulties with capability (particularly knowledge and skills), motivation (especially associated with the considerable cognitive demands of PFMT), and opportunity (as external factors generate competing priorities) when adopting and maintaining a PFMT program. Expert consensus was that judicious selection and deliberate application of appropriate behavior change strategies directed to the "modifiers" of adherence identified in the review may improve PFMT outcomes. Future research is needed to explore whether the review findings are congruent with the PFMT experiences of antenatal women, men, and adults with fecal incontinence.
“…The occurrence of associated contractions of the abdominal, gluteal, and adductor muscles during the voluntary contraction of the PFMs before and immediately after the intervention; and 4. Self-efficacy, before and immediately after the intervention, as measured by the self-efficacy scale for the practice of pelvic floor exercises [12].…”
Section: Objectives and Hypothesismentioning
confidence: 99%
“…The specific objectives are to compare the experimental group (verbal instructions + body awareness techniques + vaginal palpation) and the control group (verbal instructions + body awareness techniques) with regard to the following factors: The number of fast-twitch muscle fibres, as determined by the number of effective contractions (fast contractions with maximal force lasting 1 s each) out of ten contractions performed [ 11 ], before and immediately after the intervention; PFM function (voluntary contraction of the PFMs) and muscular endurance (duration of the muscular contractions in seconds), as measured by the Oxford scale [ 11 ], before and immediately after the intervention; The occurrence of associated contractions of the abdominal, gluteal, and adductor muscles during the voluntary contraction of the PFMs before and immediately after the intervention; and Self-efficacy, before and immediately after the intervention, as measured by the self-efficacy scale for the practice of pelvic floor exercises [ 12 ]. …”
Background: Approximately 30 to 50% of women are unable to correctly perform pelvic floor muscle (PFM) contractions. For women to benefit from a pelvic floor muscle training (PFMT) programme for stress urinary incontinence (SUI), the awareness phase of PFMT cannot be omitted. The purpose of this study is to evaluate whether vaginal palpation together with verbal instructions about PFMs and body awareness techniques helps women with SUI learn how to correctly contract the PFMs and improve their functions. Methods: This single-centre, double-blind randomized controlled trial with two intervention groups was designed following the standard protocol items for randomized interventional trials (SPIRIT). The results will be reported in a manner consistent with the Consolidated Standards of Reporting Trials (CONSORT) guidelines. Patients with SUI (n = 172) will be recruited. The experimental group will receive verbal instructions about PFM function and body awareness techniques together with vaginal palpation; the control group will receive similar protocol without vaginal palpation. The primary outcome includes the number of fast-twitch muscle fibres assessed by vaginal palpation and visual observation. Secondary outcomes include power and muscular endurance that will be assessed by visual observation and vaginal palpation (Oxford scale), the use of accessory muscles during the voluntary contraction of PFMs, and the self-efficacy and the expectations for the results using the self-efficacy scale of pelvic floor exercises. Discussion: This study will determine whether vaginal palpation can help women with SUI to correctly perform PFM contractions and improve their functions. Trial registration: ClinicalTrials.gov NCT 03325543. Registered on 30 November 2017. Study protocol version 1; 30 November 2020. Prospectively registered.
“…The SESPPFE was elaborated and validated by Sacomori et al (2013) and developed based on the instructions provided by Bandura(2008), it is a scale that aims to predict adherence to PFMT in which 13 items of the scale measure the selfefficacy in the areas expected performance, considering the action and the preparation for action, plus four items assessing the expectation results. 11,18 The data collected in these reassessments will include the urinary symptoms, miccional diary, KHQ, pelvic floor muscles functional asessment, perineometry, SESPPFE, exercise diary and presence of the participants in the surpevisioned sessions. The study design, including the monitoring and follow up are described in the timeline below as shown in Figure 1.…”
Background: Pelvic floor muscle training can be practiced in an individual format or in a group. The research question for this randomised, controlled trial will be: pelvic floor muscle training format including individualized and group training, would be more effective than an individualized training only or groups only? Additionally, it will be evaluated the adherence and follow up (results after 3 and 6 months of the end of training). Methods: This is a randomized clinical trial. Data collection will be performed at the Women's Health Research Laboratory, allocated in the Department of Physical Therapy of Federal University of São Carlos, from January 2016 to December 2016. It will be included, women with stress urinary incontinence, older than 18 years old. The participants will be will be allocated into three groups. In Group 1 sessions will be only individualized and Group 2 will perform individualized treatment and then the volunteer will be referred to join the group training sessions. Group 3 only group treatment. Later, all volunteers will be reassessed after 12 sessions, three months and six months from the discharge date. The primary outcome is the severity measures of the King's Health Questionnaire. The secondary outcomes are miccional diary, PERFECT scheme, perineometry, self-efficacy scale for pelvic floor exercises practice, exercise diary and presence of the participants in the surpevisioned sessions. Data normality will be tested by the Shapiro-Wilk test. The comparison between the evaluations will be performed by ANOVA, and the comparison between groups will be performed by Student t-test (independent Measures). In order to measure the practical significance of the date, the size effect and the confidence interval will be calculated. A 5% significance level will be assumed. The data are presented as mean ± standard deviation. Conclusions: A combined treatment format including individualized and group training, would be more effective than an individualized training only or groups only.
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