Effectiveness of Continence Promotion Interventions Among Community-dwelling Older Women

Summary

Urinary incontinence is a common and bothersome condition that remains frequently untreated among senior women. The aim of this trial is to compare the effectiveness of two community-based continence promotion interventions aimed at improving rates of self-care and/or professional health-care seeking in older women with urinary incontinence. The main hypothesis posits that participation in a constructivist interactive workshop combined with use of an evidence-based self-management tool will yield rates of improvement in incontinence frequency and reduce the cost of pad use by 20% compared to either intervention alone, which individually are expected to yield minimal effect sizes of at least 0.3 compared to a sham intervention.

Conditions

• Urinary Incontinence

Interventions

BEHAVIORAL

Constructivist interactive workshop on urinary incontinence

A one hour interactive group workshop aimed at contradicting commonly held beliefs and maladaptive practices about incontinence. The interactive continence workshop was designed to create cognitive dissonance and challenge these beliefs and practices, as well as to promote more effective therapeutic strategies for correcting urine leakage.

BEHAVIORAL

Evidence-based self-management tool

Participants will receive a customized evidence-based risk factor modification self-management tool targeting up to 6 risk factors and associated therapeutic strategies. The six risk factors are pelvic floor muscle weakness, consumption of caffeinated drinks, obesity, constipation, vision loss and smoking.

BEHAVIORAL

General health lecture

Participants will attend a lecture on general women's health issues that does not address urinary incontinence.

Sponsors & Collaborators

• Brunel University

  collaborator OTHER

• Canadian Institutes of Health Research (CIHR)

  collaborator OTHER_GOV

• Centre de Recherche de l'Institut Universitaire de Geriatrie de Montreal

  lead OTHER

Principal Investigators

• Cara Tannenbaum, MD · Centre de recherche de l'Institut universitaire de gériatrie de Montréal

• Eleanor van den Heuvel, PhD · Brunel University

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

FACTORIAL

Eligibility

Min Age

60 Years

Sex

FEMALE

Healthy Volunteers

No

Timeline & Regulatory

Start

2010-09-30

Primary Completion

2013-01-31

Completion

2013-01-31

Countries

• United Kingdom

Study Locations