Abstract
adherence to pelvic floor muscle training (PFMT) to recommend future directions for practice and research.
Methods: Primary 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. Results: Thirteen 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. Conclusions: Individuals’ 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.
| Original language | English |
|---|---|
| Pages | 622-631 |
| DOIs | |
| Publication status | Published - Sep 2015 |
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Keywords
- adherence
- pelvic floor muscle training
- qualitative
Cite this
}
Pelvic-floor-muscle-training adherence “modifiers” : a review of primary qualitative studies—2011 ICS state-of-the-science seminar research paper III of IV. / Dean, Sarah; Hay-Smith, Jean; Burgio, Kathryn; McClurg, Doreen; Frawley, Helena; Dumoulin, Chantale.
2015. 622-631.Research output: Contribution to conference › Paper
TY - CONF
T1 - Pelvic-floor-muscle-training adherence “modifiers”
T2 - a review of primary qualitative studies—2011 ICS state-of-the-science seminar research paper III of IV
AU - Dean, Sarah
AU - Hay-Smith, Jean
AU - Burgio, Kathryn
AU - McClurg, Doreen
AU - Frawley, Helena
AU - Dumoulin, Chantale
PY - 2015/9
Y1 - 2015/9
N2 - Aims: This review aims to locate and summarize the findings of qualitative studies exploring the experience of andadherence to pelvic floor muscle training (PFMT) to recommend future directions for practice and research.Methods: Primary 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 fromparticipants 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) andsystematically displayed with supporting illustrative quotes. Results: Thirteen studies (14 study reports) wereincluded; eight recruited only or predominantly women with urinary incontinence, three recruited postnatal women, andtwo included women with pelvic organ prolapse. The quality of methodological reporting varied. Six “modifiers” ofadherence were described: knowledge; physical skill; feelings about PFMT; cognitive analysis, planning, and attention;prioritization; and service provision. Conclusions: Individuals’ 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 strategiesdirected to the “modifiers” of adherence identified in the review may improve PFMT outcomes. Future research is neededto explore whether the review findings are congruent with the PFMT experiences of antenatal women, men, and adultswith fecal incontinence.
AB - Aims: This review aims to locate and summarize the findings of qualitative studies exploring the experience of andadherence to pelvic floor muscle training (PFMT) to recommend future directions for practice and research.Methods: Primary 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 fromparticipants 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) andsystematically displayed with supporting illustrative quotes. Results: Thirteen studies (14 study reports) wereincluded; eight recruited only or predominantly women with urinary incontinence, three recruited postnatal women, andtwo included women with pelvic organ prolapse. The quality of methodological reporting varied. Six “modifiers” ofadherence were described: knowledge; physical skill; feelings about PFMT; cognitive analysis, planning, and attention;prioritization; and service provision. Conclusions: Individuals’ 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 strategiesdirected to the “modifiers” of adherence identified in the review may improve PFMT outcomes. Future research is neededto explore whether the review findings are congruent with the PFMT experiences of antenatal women, men, and adultswith fecal incontinence.
KW - adherence
KW - pelvic floor muscle training
KW - qualitative
U2 - 10.1002/nau.22771
DO - 10.1002/nau.22771
M3 - Paper
SP - 622
EP - 631
ER -