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Centre for Policy on Ageing | |
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| Effectiveness of behavioral therapy to treat incontinence in homebound older adults | | Author(s) | B Joan McDowell, Sandra Engberg, Susan Sereika |
| Journal title | Journal of the American Geriatrics Society, vol 47, no 3, March 1999 |
| Pages | pp 309-318 |
| Keywords | Incontinence ; Housebound ; Behaviour modification ; Clinical surveys ; United States of America. |
| Annotation | Behavioural therapies have been shown to be effective in reducing or eliminating urinary incontinence (UI) in non-housebound older people living in the community. In this American study of overs 60s with UI, 105 subjects were randomised to biofeedback-assisted pelvic floor muscle training (53 to treatment group and 52 to control groups). 45 control subjects with complete pre- and post-control data experienced a median 6.4% reduction in urinary accidents in contrast to a median 75% reduction in 48 subjects with complete pre- and post-treatment data. Following the control phase, subjects crossed over to the treatment protocol. 85 completed treatment, achieving a median 73.9% reduction in UI. Exercise adherence was the most common predictor of responsiveness to behavioural therapy. The absence of side effects makes behavioural therapies attractive options for the type of population described. Future studies should examine the impact of these interventions on quality of life, the cost of providing the treatment, and the methods used to maximise adherence to the prescribed exercise regime. (RH). |
| Accession Number | CPA-001107006 A |
| Classmark | CTM: C6: LODM: 3G: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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