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Non-face-to-face treatment of stress urinary incontinence: predictors of success after 1 year
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine. (Unit for Research, Education and Development—Östersund)
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine. (Unit for Research, Education and Development—Östersund)
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine.
2016 (English)In: International Urogynecology Journal, ISSN 0937-3462, E-ISSN 1433-3023, Vol. 27, no 12, 1857-1865 p.Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION AND HYPOTHESIS: The objective was to determine predictors of long-term success in women with stress urinary incontinence (SUI) treated with a 3-month pelvic floor muscle training (PFMT) program delivered via the Internet or a brochure.

METHODS: We included 169 women with SUI ≥1 time/week who completed the 1-year follow-up (n = 169, mean age 50.3, SD 10.1 years). Three outcome variables defined success after 1 year: Patient Global Impression of Improvement (PGI-I), International Consultation on Incontinence Modular Questionnaire Urinary Incontinence Short Form (ICIQ-UI SF), and sufficient treatment. Using logistic regression, we analyzed data from the baseline, and from the 4-month and 1-year follow-ups, for potential predictors of success.

RESULTS: Of the participants, 77 % (129 out of 169) were successful in ≥1 of the outcomes, 23 % (37 out of 160) were successful in all 3. Participants with successful short-term results were more likely to succeed in the corresponding outcome at 1 year than those without successful short-term results (adjusted odds ratios [ORs]: PGI 5.15, 95 % confidence interval [CI] 2.40-11.03), ICIQ-UI SF 6.85 (95 % CI 2.83-16.58), and sufficient treatment 3.78 (95 % CI 1.58-9.08). Increasing age predicted success in PGI-I and sufficient treatment (adjusted OR 1.06, 95 % CI 1.02-1.10, and 1.08, 95 % CI, 1.03-1.13 respectively). Compared with not training regularly, regular PFMT at 1 year predicted success for PGI and sufficient treatment (adjusted OR 2.32, 95 % CI 1.04-5.20, and 2.99, 95 % CI 1.23-7.27 respectively).

CONCLUSION: The long-term success of a non-face-to-face treatment program for SUI with a focus on PFMT can be predicted by successful short-term results, increasing age, and the performance of regular PFMT after 1 year.

Place, publisher, year, edition, pages
Springer London, 2016. Vol. 27, no 12, 1857-1865 p.
Keyword [en]
eHealth, Long-term, Pelvic floor muscle training, Predictors, Self-management, Stress urinary incontinence
National Category
Urology and Nephrology
Identifiers
URN: urn:nbn:se:umu:diva-127494DOI: 10.1007/s00192-016-3050-4ISI: 000389203200011PubMedID: 27260323OAI: oai:DiVA.org:umu-127494DiVA: diva2:1046501
Available from: 2016-11-14 Created: 2016-11-14 Last updated: 2017-01-13Bibliographically approved

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Lindh, AnnaSjöström, MalinStenlund, HansSamuelsson, Eva
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