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DC Field | Value | Language |
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dc.contributor.author | Tannenbaum, C | - |
dc.contributor.author | Agnew, R | - |
dc.contributor.author | Benedetti, A | - |
dc.contributor.author | Thomas, D | - |
dc.contributor.author | van den Heuvel, E | - |
dc.date.accessioned | 2014-02-24T16:34:06Z | - |
dc.date.available | 2014-02-24T16:34:06Z | - |
dc.date.issued | 2013 | - |
dc.identifier.citation | BMJ Open, 3(12): e004135, 2013 | en_US |
dc.identifier.issn | 2044-6055 | - |
dc.identifier.uri | http://bmjopen.bmj.com/content/3/12/e004135 | en |
dc.identifier.uri | http://bura.brunel.ac.uk/handle/2438/8065 | - |
dc.description | This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 3.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/3.0/ | en_US |
dc.description.abstract | Objectives: The primary objective of this cluster randomised controlled trial was to compare the effectiveness of the three experimental continence promotion interventions against a control intervention on urinary symptom improvement in older women with untreated incontinence recruited from community organisations. A second objective was to determine whether changes in incontinence-related knowledge and new uptake of risk-modifying behaviours explain these improvements. Setting: 71 community organisations across the UK. Participants: 259 women aged 60 years and older with untreated incontinence entered the trial; 88% completed the 3-month follow-up. Interventions: The three active interventions consisted of a single 60 min group workshop on (1) continence education (20 clusters, 64 women); (2) evidence-based self-management (17 clusters, 70 women); or (3) combined continence education and self-management (17 clusters, 61 women). The control intervention was a single 60 min educational group workshop on memory loss, polypharmacy and osteoporosis (17 clusters, 64 women). Primary and secondary outcome measures: The primary outcome was self-reported improvement in incontinence 3 months postintervention at the level of the individual. The secondary outcome was change in the International Consultation on Incontinence Questionnaire (ICIQ) from baseline to 3-month follow-up. Changes in incontinence-related knowledge and behaviours were also assessed. Results: The highest rate of urinary symptom improvement occurred in the combined intervention group (66% vs 11% of the control group, prevalence difference 55%, 95% CI 43% to 67%, intracluster correlation 0). 30% versus 6% of participants reported significant improvement respectively (prevalence difference 23%, 95% CI 10% to 36%, intracluster correlation 0). The number-needed-to-treat was 2 to achieve any improvement in incontinence symptoms, and 5 to attain significant improvement. Compared to controls, participants in the combined intervention reported an adjusted mean 2.05 point (95% CI 0.87 to 3.24) greater improvement on the ICIQ from baseline to 3-month follow-up. Changes in knowledge and self-reported risk-reduction behaviours paralleled rates of improvement in all intervention arms. Conclusions: Continence education combined with evidence-based self-management improves symptoms of incontinence among untreated older women. Community organisations represent an untapped vector for delivering effective continence promotion interventions. | en_US |
dc.description.sponsorship | Canadian Institutes of Health Research – Institute on Aging and the Economic and Social Research Council (UK) | en_US |
dc.language.iso | en | en_US |
dc.publisher | BMJ Group | en_US |
dc.title | Effectiveness of continence promotion for older women via community organisations: A cluster randomised trial | en_US |
dc.type | Article | en_US |
dc.identifier.doi | http://dx.doi.org/10.1136/bmjopen-2013-004135 | - |
pubs.organisational-data | /Brunel | - |
pubs.organisational-data | /Brunel/Brunel Active Staff | - |
pubs.organisational-data | /Brunel/Brunel Active Staff/Brunel Institute for Bioengineering | - |
pubs.organisational-data | /Brunel/Brunel Active Staff/Brunel Institute for Bioengineering/BIB | - |
pubs.organisational-data | /Brunel/University Research Centres and Groups | - |
pubs.organisational-data | /Brunel/University Research Centres and Groups/School of Health Sciences and Social Care - URCs and Groups | - |
pubs.organisational-data | /Brunel/University Research Centres and Groups/School of Health Sciences and Social Care - URCs and Groups/Brunel Institute for Ageing Studies | - |
Appears in Collections: | Brunel Institute for Bioengineering (BIB) Publications |
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