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Title: | Predicting response to a community-based educational workshop on incontinence among community-dwelling older women: post-hoc analysis of the CACTUS-D trial. |
Authors: | Xavier, F van den Heuvel, E Wagg, A Ragot, S Tannenbaum, C |
Keywords: | ageing;urinary incontinence;educational workshop |
Issue Date: | 5-Feb-2021 |
Publisher: | Wiley |
Citation: | Fritel, X, van den Heuvel, E, Wagg, A, Ragot, S, and Tannenbaum, C. (2021) 'Predicting response to a community-based educational workshop on incontinence among community-dwelling older women: Post hoc analysis of the CACTUS-D trial', Neurourology and Urodynamics, 40 (2) pp. 705 - 713. doi: 10.1002/nau.24614. |
Abstract: | Copyright © 2021 The Authors. Aims: Our goal was to identify which women participating in an educational workshop on incontinence were most likely to benefit from it. Methods: We included women aged 65 or older, living in the community, and not treated for incontinence despite reporting urinary leakage at least twice a week. The workshop's aims were to change beliefs about accepting incontinence as a normal part of ageing, explain that incontinence is not irreversible, and that solutions exist. We performed structured interviews at 6 and 12 months to assess impressions of improvement (PGI-I) and changes in both continence (ICIQ-FLUTS) and quality of life (I-QOL). Results: The analysis included 392 women, 39% aged 80 or older and 57% with daily urinary incontinence. Twelve months after the workshop, 16% of women were “much better” (PGI-I); factors associated with impression of improvement were refusal to believe that incontinence is part of normal ageing at baseline and improvement of urinary symptoms. The median improvement was 4 points on the ICIQ-FLUTS and 8 on the I-QOL. Factors associated with a clinically significant improvement in urinary symptoms were more severe baseline urinary incontinence, obesity, and starting Kegel exercises. Factors associated with a clinically significant improvement in quality of life were a poor urinary quality of life at baseline and an age younger than 81 years. Conclusions: A short, inexpensive and nonmedical intervention can change the mind-set and behavior of older women with incontinence who are not seeking care. A clinically significant improvement is possible even in women with severe symptoms. |
URI: | https://bura.brunel.ac.uk/handle/2438/22160 |
DOI: | https://doi.org/10.1002/nau.24614 |
ISSN: | 0733-2467 |
Appears in Collections: | Dept of Mechanical and Aerospace Engineering Research Papers |
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