Effect of Coping Training on Attitudes, Sleep, and Quality of Life in Women With Stress Urinary Incontinence

NCT07126080 | Not Yet Recruiting

• 2 other identifiers: 2025-845There is no funding.
• Study Type: interventional
• Target: 96
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to examine the effects of urinary incontinence management training provided to postmenopausal women on their urinary incontinence attitudes, sleep, and quality of life. Hypothesis H1: Following the urinary incontinence management training, there will be an increase in urinary incontinence attitudes, sleep, and quality of life in the women in the experimental group compared to the women in the control group.

Conditions

Stress Urinary Incontinence

Keywords

Postmenopausal; Stress Urinary Incontinence; coping strategies; health quality; Attitude; Sleep Quality

Outcome Measures

Primary Outcomes (5)

• Personal Information Form

  It consists of a total of 21 questions asking about women's sociodemographic characteristics such as age, education level, income level, birth-related characteristics and urinary incontinence.

  4 weeks

• The incontinence short test:

  A Turkish validity and reliability study was conducted by Kara et al. The test consists of 14 statements and is answered with "Agree," "Disagree," or "Don't Know." The correct answer for statements 1, 4, 6, 8, 10, and 11 is "Agree." The correct answer for the remaining statements is "Disagree." A "Don't Know" response is considered incorrect. The total score ranges from 0 to 14, with higher scores indicating a higher level of knowledge and a more positive attitude toward urinary incontinence.

  16 weeks

• Pittsburgh Sleep Quality Index:

  The scale's validity and reliability studies in Turkey were conducted by Ağargün and colleagues in 1996. The PSQI assesses sleep quality over the past month. The PSQI consists of 24 questions, 19 of which are answered by the individual themselves, and 5 by their spouse or roommate. The total score ranges from 0 to 21. A high total score indicates poor sleep quality. A total PSQI score of 5 or higher is considered the cut-off score for poor sleep quality. The scale's Cronbach's alpha reliability coefficient was found to be 0.804.

  16 weeks

• Urinary Incontinence Quality of Life Scale (I-QOL):

  The validity and reliability of the I-QOL was determined by Özerdoğan. All items in the Incontinence Quality of Life Scale are evaluated on a five-category Likert-type scale (1=a great deal, 2=quite a bit, 3=moderately, 4=a little, 5=not at all), and the calculated total score is converted to a scale value from 0 to 100 for better understanding. The Incontinence Quality of Life Scale consists of three subscales: behavioral limitation (items 1, 2, 3, 4, 10, 11, 13, and 20), psychological impact (items 5, 6, 7, 9, 15, 16, 17, 21, and 22), and social limitation (items 8, 12, 14, 18, and 19). High scores indicate better quality of life than low scores.

  16 weeks

• Personal Information Form

  It consists of a total of 21 questions asking about women's sociodemographic characteristics such as age, education level, income level, birth-related characteristics and urinary incontinence.

  16 weeks

Study Arms (2)

Intervention Group-Training in Coping with Incontinence

EXPERIMENTAL

Intervention: Women in the experimental group will receive a four-week training program on managing urinary incontinence. The training will cover the following topics: * Definition, types, and risk factors of urinary incontinence * Treatment and prevention of urinary incontinence * Symptoms of urinary incontinence and non-drug management strategies (addressing eating and toilet habits, such as limiting caffeinated beverages and cautioning spicy foods) * The importance and implementation of Kegel exercises After the training, the experimental group will be reminded to practice Kegel exercises, and post-tests will be administered at 1 and 3 months. The control group will also receive post-tests at 1 and 3 months. Training will be conducted individually online.

Behavioral: Incontinence Coping Training

Control Group

NO INTERVENTION

No ıntervention.

Interventions

Incontinence Coping Training BEHAVIORAL

Intervention: Women in the experimental group will receive a four-week training program on managing urinary incontinence. The training will cover the following topics: * Definition, types, and risk factors of urinary incontinence * Treatment and prevention of urinary incontinence * Symptoms of urinary incontinence and non-drug management strategies (addressing eating and toilet habits, such as limiting caffeinated beverages and cautioning spicy foods) * The importance and implementation of Kegel exercises After the training, the experimental group will be reminded to practice Kegel exercises, and post-tests will be administered at 1 and 3 months. The control group will also receive post-tests at 1 and 3 months. Training will be conducted individually online.

Intervention Group-Training in Coping with Incontinence

Eligibility Criteria

• Age: 45 Years - 55 Years
• Gender Eligibility Details: Female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Female
• Having entered menopause
• Volunteering to participate in the study
• Having no communication barriers
• Using a smartphone
• Having the WhatsApp application
• Experiencing urine leakage when coughing or sneezing, as defined by the ICS (International Continence Association)

You may not qualify if:

• Having a communication barrier
• Not having gone through menopause
• Not experiencing urinary incontinence
• Having undergone surgical menopause
• Being obese

Sponsors & Collaborators

• Ondokuz Mayıs University: lead

Study Sites (1)

Ondokuz Mayıs University

Samsun, Samsun, 55200, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Urinary Incontinence, Stress; Behavior; Sleep Initiation and Maintenance Disorders

Condition Hierarchy (Ancestors)

Urinary Incontinence; 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; Sleep Disorders, Intrinsic; Dyssomnias; Sleep Wake Disorders; Nervous System Diseases; Mental Disorders

Study Officials

• İlknur AYDIN AVCİ, Prof. Dr.

  Ondokuz Mayıs University

  STUDY DIRECTOR

Central Study Contacts

Dilek ÇELİK EREN, Dr.

CONTACT

+905076976158; dilek-celik-61@hotmail.com

Özge ÖZ YILDIRIM, Dr.

CONTACT

+905054914471; ozge.oz@omu.edu.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Ass. Prof.

Model Details: randomized controlled pretest-posttest control group experimental research design

Study Record Dates

• First Submitted: July 29, 2025
• First Posted: August 17, 2025
• Study Start: August 15, 2025
• Primary Completion: December 15, 2025
• Study Completion: June 15, 2026
• Last Updated: August 17, 2025

Record last verified: 2025-08

Locations

TU (1)