- Title
- 2014 consensus statement on improving pelvic floor muscle training adherence: International Continence Society 2011 State-of-the-Science Seminar
- Creator
- Dumoulin, Chantale; Hay-Smith, Jean; Hagen, Suzanne; Herbert, Julia; Mahfooza, Aishath; Mair, Frances; Stark, Diane; Van Kampen, Marijke; Frawley, Helena; McClurg, Doreen; Alewijnse, Dianne; Bo, Kari; Burgio, Kathryn; Chen, Shu-Yueh; Chiarelli, Pauline; Dean, Sarah
- Relation
- Neurourology and Urodynamics Vol. 34, Issue 7, p. 600-605
- Publisher Link
- http://dx.doi.org/10.1002/nau.22796
- Publisher
- John Wiley & Sons
- Resource Type
- journal article
- Date
- 2015
- Description
- Aims: To summarize the findings and "expert-panel" consensus of the State-of-the-Science Seminar on pelvic floor muscle training (PFMT) adherence held prior to the 41st International Continence Society scientific meeting, Glasgow, 2011. Methods: Summaries of research and theory about PFMT adherence (based on a comprehensive literature search) were presented by subject experts at the 2011 Seminar to generate discussion and guidance for clinical practice and future research. Supplemental research, post-seminar, resulted in, three review papers summarizing: (1) relevant behavioral theories. ; (2) adherence measurement, determinants and effectiveness of PFMT adherence interventions. ; (3) patients' PFMT experiences. A fourth, reported findings from an online survey of health professionals and the public. Results Few high-quality studies were found. Paper I summarizes 12 behavioral frameworks relevant to theoretical development of PFMT adherence interventions and strategies. Findings in Paper II suggest both PFMT self-efficacy and intention-to-adhere predict PFMT adherence. Paper III identified six potential adherence modifiers worthy of further investigation. Paper IV found patient-related factors were the biggest adherence barrier to PFMT adherence. Conclusion: Given the lack of high-quality studies, the conclusions were informed by expert opinion. Adherence is central to short- and longer-term PFMT effect. More attention and explicit reporting is needed regarding: (1) applying health behavior theory in PFMT program planning; (2) identifying adherence determinants; (3) developing and implementing interventions targeting known adherence determinants; (4) using patient-centred approaches to evaluating adherence barriers and facilitators; (5) measuring adherence, including refining and testing instruments; and (6) testing the association between adherence and PFMT outcome.
- Subject
- consensus statement; pelvic floor muscle training; treatment adherence
- Identifier
- http://hdl.handle.net/1959.13/1314774
- Identifier
- uon:22822
- Identifier
- ISSN:0733-2467
- Language
- eng
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