Adherence to pelvic floor muscle training with or without vaginal spheres in women with urinary incontinence: a secondary analysis from a randomized trial
| Autor: | Jesus Vara Paniagua, Miguel Angel Diaz Lopez, Marta Simo Gonzalez, Juan José Espinós Gómez, Paloma Diaz Bellido, Oriol Porta Roda |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty Urology 030232 urology & nephrology Urinary incontinence Pelvic Floor Muscle law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Secondary analysis Surveys and Questionnaires medicine Humans In patient 030219 obstetrics & reproductive medicine Pelvic floor business.industry Significant difference Obstetrics and Gynecology Pelvic Floor Middle Aged Confidence interval Exercise Therapy medicine.anatomical_structure Treatment Outcome Urinary Incontinence Spain Vagina Physical therapy Patient Compliance Female medicine.symptom business Follow-Up Studies |
| Zdroj: | International urogynecology journal. 27(8) |
| ISSN: | 1433-3023 |
| Popis: | Pelvic floor muscle training (PFMT) is widely recommended as first-line therapy for women with urinary incontinence. However, adherence to PFMT decreases over time, and information regarding barriers to PFMT is scarce. The primary aim of our study was to investigate whether a vaginal spheres device helped improve adherence to PFMT. The secondary aim was to assess determinants of adherence and the association with treatment outcome. This was a secondary analysis of a randomized trial with a 6-month follow-up in women with urinary incontinence (UI) in whom we evaluated adherence to PFMT, performed either with (spheres group) or without (control group) vaginal spheres. The Morisky-Green Questionnaire (MGQ) was used to assess adherence, defined as the extent to which participants corresponded to the agreed recommendations; participants were classified as adherent or nonadherent according to their responses. Efficacy of PFMT was assessed using the International Consultation on Incontinence Questionnaire Short Form scale (ICIQ-SF). Seventy women were enrolled and data from 65 (35 treated and 30 controls) were suitable for analysis. There were no significant differences in adherence to treatment between groups at the end of follow-up (33.3 % in controls and 42.9 % in spheres). The largest group of nonadherent women in both arms were those who mainly forgot to do the exercises. ICIQ-SF results between adherent and nonadherent women did not differ significantly [mean 0.55, 95 % confidence interval (CI) 1.13–2.25]. No significant difference was observed between women who attained greater and lesser improvement in UI after treatment (4.5 %; 95 % CI −11.7 to 20.6). In patients with UI, vaginal spheres as an adjunct to PFMT did not increase adherence to pelvic muscle exercises. Lack of persistence appeared to be due to forgetfulness and did not seem to be influenced by the efficacy of PFMT. |
| Databáze: | OpenAIRE |
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