Pelvic-floor-muscle training adherence: tools, measurements and strategies—2011 ICS state-of-the- science seminar research paper II

Chantale Dumoulin*, Dianne Alewijnse, Kari Bo, Suzanne Hagen, Diane Stark, Marijke Van Kampen, Julia Herbert, Jean Hay-Smith, Helena Frawley, Doreen McClurg, Sarah Dean

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Aims
This paper on pelvic‐floor‐muscle training (PFMT) adherence, the second of four from the International Continence Society's 2011 State‐of‐the‐Science Conference, aims to (1) identify and collate current adherence outcome measures, (2) report the determinants of adherence, (3) report on PFMT adherence strategies, and (4) make actionable clinical and research recommendations.

Method
Data were amassed from a literature review and an expert panel (2011 conference), following consensus statement methodology. Experts in pelvic floor dysfunction collated and synthesized the evidence and expert opinions on PFMT adherence for urinary incontinence (UI) and lower bowel dysfunction in men and women and pelvic organ prolapse in women.

Results
The literature was scarce for most of the studied populations except for limited research on women with UI. Outcome measures: Exercise diaries were the most widely‐used adherence outcome measure, PFMT adherence was inconsistently monitored and inadequately reported. Determinants: Research, mostly secondary analyses of RCTs, suggested that intention to adhere, self‐efficacy expectations, attitudes towards the exercises, perceived benefits and a high social pressure to engage in PFMT impacted adherence. Strategies: Few trials studied and compared adherence strategies. A structured PFMT programme, an enthusiastic physiotherapist, audio prompts, use of established theories of behavior change, and user‐consultations seem to increase adherence.

Conclusion
The literature on adherence outcome measures, determinants and strategies remains scarce for the studied populations with PFM dysfunction, except in women with UI. Although some current adherence findings can be applied to clinical practice, more effective and standardized research is urgently needed across all the sub‐populations.
Original languageEnglish
Pages (from-to)615-621
Number of pages7
JournalNeurourology and Urodynamics
Volume34
Issue number7
Early online date21 May 2015
DOIs
Publication statusPublished - Sep 2015
EventInternational Continence Society 2011 State-of-the-Science Conference - Glasgow, United Kingdom
Duration: 29 Aug 20112 Sep 2011
https://www.ics.org/2011

Keywords

  • adherence
  • determinants
  • pelvic floor muscle training
  • facilitators

Fingerprint Dive into the research topics of 'Pelvic-floor-muscle training adherence: tools, measurements and strategies—2011 ICS state-of-the- science seminar research paper II'. Together they form a unique fingerprint.

  • Cite this