Highlights
- •The 2-hrClass format unsupervised behavioral and pelvic floor muscle training program improved urinary outcomes of women.
- •The 20-minVideo format unsupervised behavioral and pelvic floor muscle training program improved urinary outcomes of women.
- •The moderating effects of the intervention delivery formats could not be determined.
Abstract
Objective
To determine and compare the effects of an unsupervised behavioral and pelvic floor
muscle training (B-PFMT) program delivered in two formats on nocturia, urinary urgency,
and urinary frequency in postmenopausal women.
Study design
A secondary analysis used data collected from women enrolled in the TULIP study. Women
aged 55 years or more with no urinary incontinence were provided the B-PFMT program.
Each woman was randomly assigned to a face-to-face class that took about 2 h (2-hrClass)
or to a DVD showing essentially the same information as a 20-minute video (20-minVideo).
All women were instructed to independently continue the program following their education
session. Three urinary outcomes were assessed at baseline, 3, 12, and 24 months.
Main outcome measures
Nocturia and urinary urgency were examined with one item each from the questionnaire-based
voiding diary, and urinary frequency was assessed with patients’ self-documenting
3-day bladder diary.
Results
Women in the 2-hrClass group experienced significantly fewer nocturia episodes and
longer average inter-void interval at each follow-up and fewer urinary urgency episodes
at 12 months. Women in the 20-minVideo group experienced significantly fewer episodes
of nocturia and urinary urgency and longer average inter-void interval at each follow-up
time point. No significant between-group differences were found for any outcome, except
for nocturia at 24 months, when effectiveness favored women in the 20-minVideo group.
Conclusions
Unsupervised B-PFMT programs are effective for improving postmenopausal women’s urinary
outcomes regardless of the format. The optimal format to deliver B-PFMT programs in
terms of effectiveness should be explored in future studies.
Keywords
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Article info
Publication history
Published online: February 04, 2021
Accepted:
January 28,
2021
Received in revised form:
January 22,
2021
Received:
November 5,
2020
Identification
Copyright
© 2021 Elsevier B.V. All rights reserved.
