The Effect of Program on Women's Urinary Incontinence Awareness and Health Beliefs

NCT04689113 | Completed DMC

• 1 other identifier: B.30.2.ODM.0.20.08/111-224
• Study Type: interventional
• Target: 160
• Locations: 1 country
• Sites: 1

Brief Summary

Background: The aim of this study is to determine the effect of "Incontinence Health Belief Development Program" on urinary incontinence awareness and health beliefs of women in premenopausal period.The research was conducted in a randomized controlled double-blind pretest-posttest control group experimental research design type.The data of the research were collected in Samsun / Atakum District Healthy Life Center and three Family Health Centers. The study was completed with 76 women in the experimental group and 77 women in the control group. The pre-test data of the study were collected using the sociodemographic characteristics information form , the Incontinence Awareness Scale (ISI), the "Health Belief Scale for Urinary Incontinence and Kegel Exercise" and the "Broome Pelvic Muscle Self-Efficacy Scale" for the experimental and control groups.A 5-week "Incontinence Health Belief Development Program" was applied to the experimental group. Posttests were applied to the experimental and control groups 3 months after the program. Descriptive statistics, paired t test, chi-square, Mann-Whitney U, Wilcoxon analysis were used in the analysis of the data. What does this paper contribute? \*Urinary incontinence awareness, health belief on urinary incontinence and kegel exercise and pelvic muscle self-efficacy of women increased after the Incontinence Health Belief Development Program based on the health belief model.

Conditions

Urinary Incontinence

Keywords

kegel exercise; urinary incontinence; Awareness; Health Belief Model; Training; Randomization

Outcome Measures

Primary Outcomes (3)

• Incontinence Awareness Scale

  The urinary incontinence awareness scale, developed by Avci et al. (2017) to measure individuals' awareness of urinary incontinence, consists of 26 items. It consists of 5 sub-dimensions: factors that prevent it from being accepted as a health problem, coping with urinary incontinence, health motivation, restriction and fear of urinary incontinence. The scale does not have a total score.Having a high score in the factors preventing its acceptance as a health problem indicates that it accepts urinary incontinence as a health problem.High scores on the sub-dimensions of restriction and incontinence indicate that he does not have a fear of restriction and urinary incontinence.Low scores on the health motivation and coping with urinary incontinence sub-dimensions indicate that their health motivation and coping with urinary incontinence are betterence.

  3 month

• Health Belief Scale for Urinary Incontinence and Kegel Exercise

  The scale consists of 49 questions in 5-point likert type. Scale items are separated according to susceptibility, seriousness, health motivation, Kegel exercise benefit perception, Kegel exercise barrier perception and self-efficacy subdimensions created according to health belief model. There is no total score of the scale. Increasing scores indicate positive perception for susceptibility, seriousness, health motivation, Kegel exercise benefit perception and self-efficacy subdimensions and negative perception for Kegel exercise barrier perception. Increasing scores mean that susceptibility, seriousness and motivation increase; that benefits are perceived high for benefit perception while barriers are perceived high for barrier perception.

  3 month

• Broome Pelvic Muscle Self-Efficacy Scale

  The scale, which consists of 23 statements in total, consists of two sub-dimensions: "effectiveness expectation" and "result expectation". Total scale score is determined by taking the average of the scores obtained from all expressions in the scale. The sub-dimension score is calculated by the average of the total score of the expressions of that dimension. The total score of the scale varies between 0-100; A score of 32 or less indicates low self-efficacy, 33-66 points medium, and a score above 66 indicates high self-efficacy. The validity and reliability of the scale is Cronbach's alpha: 0.95.

  3 month

Study Arms (2)

Intervention Group

EXPERIMENTAL

ıntervention group After determining the women according to the research criteria, they were randomized into intervention and control groups.Firstly, Pre-tests were applied to the women in the experimental group. The Incontinence Health Belief Development Program was applied to the women in the experimental group as 5 sessions.This program includes the following topics; urinary system anatomy and physiology, urinary incontinence and risk factors, definition of kegel exercise and its place in urinary incontinence treatment, kegel exercise applied expression, health motivation. A WhatsApp group was established to remind women in the intervention group about the kegel exercise 3 times a day for 3 months to increase their self-efficacy. In addition, a facebook group was opened and posts about urinary incontinence and kegel exercises were made. Posttests were made 3 months after the training ended

Behavioral: Incontinence Health Belief Development Program

Control Group

NO INTERVENTION

Firstly, Pre-tests were applied to the women in the control group. No intervention was applied to this group.Posttests were made 3 months after pre-test.

Interventions

Incontinence Health Belief Development Program BEHAVIORAL

After the applied interventions, it is desired to develop kegel exercise behavior in women.

Intervention Group

Eligibility Criteria

• Age: 45 Years - 55 Years
• Gender Eligibility Details: Since the prevalence of urinary incontinence increases during menopause, only women in the premenopausal period were recruited.
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Being a woman over the age of 45 in the premenopausal period who has not entered menopause
• Being able to communicate and volunteer
• Not having urinary incontinence
• Absence of a disease affecting the genital and urinary system (based on self-report)
• Using a smart mobile phone (to be included in Facebook and whatsapp groups)
• There is no obstacle to doing Kegel exercise

You may not qualify if:

• Having entered the menopause period
• Refusing to participate in research
• Having a problem with the genito-urinary system Previous treatment for urinary incontinence
• Not having a smart mobile phone
• Not using Facebook and Whatsapp Having urinary incontinence

Sponsors & Collaborators

• Ondokuz Mayıs University: lead
• The Scientific and Technological Research Council of Turkey: collaborator

Study Sites (1)

Liv Hospital Samsun

Samsun, 55200, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Urinary Incontinence

Condition Hierarchy (Ancestors)

Urination Disorders; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Lower Urinary Tract Symptoms; Urological Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• İlknur Aydin AVCİ, Prof

  Ondokuz Mayıs University

  STUDY DIRECTOR

• Yakup BOSTANCI, Assoc.Prof.

  Ondokuz Mayıs University

  STUDY CHAIR

• Eren Yıldırım, Dr.

  Liv Hospital Samsun

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Head of Nursing Department

Model Details: Randomized controlled experimental design

Study Record Dates

• First Submitted: December 9, 2020
• First Posted: December 30, 2020
• Study Start: November 1, 2019
• Primary Completion: September 1, 2020
• Study Completion: November 1, 2020
• Last Updated: April 6, 2021

Record last verified: 2021-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)