The Effect of Incontinence Health Belief Development Program on Women's Urinary Incontinence Awareness and Health Beliefs
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 160
- 试验地点
- 1
- 主要终点
- Health Belief Scale for Urinary Incontinence and Kegel Exercise
研究概览
简要总结
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.
详细描述
Aim of study 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.
Study design ans setting The research was conducted in a randomized controlled double-blind pretest-posttest control group experimental research design type. To avoid bias the participants were not told whether they were in the experimental or the control group. The randomized clinical trial was based on the guidelines proposed by the Consolidated standard of Reporting Trials- CONSORT 2010. The data of the research were collected in Samsun / Atakum District Healthy Life Center and three Family Health Centers between November 2019- September 2020.
Randomization An intervention group and a control group formed using the research randomizer software. the program used random numbers to select participants and randomly assign them to the experimental or control group(total 160 women, each group 80 women).
Blinding of data collectors and statistician was implemented in this randomized blinded study. another researcher who did not know the group assignments coded the data in the computer. after statistical analysis was conducted and research report was written, assistant researcher explained tge codes for experimental and control group. Therefore, blinding of the collectors, statistical analysis and report writing was provided.
Implementing the Incontinence Health Belief Development Program The trainings were applied to the women in the experimental group in groups of 10 in the Atakum Healthy Life Center in 5 sessions of 45-60 minutes and 5 weeks. For 5 weeks, 8 group trainings were conducted by taking two different groups every week, 4 days a week. Also Establishing Whatsapp and Facebook Groups 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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 45 Years 至 55 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •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
排除标准
- •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
研究组 & 干预措施
Intervention Group
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
干预措施: Incontinence Health Belief Development Program (Behavioral)
Control Group
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.
结局指标
主要结局
Health Belief Scale for Urinary Incontinence and Kegel Exercise
时间窗: 3 month
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.
Broome Pelvic Muscle Self-Efficacy Scale
时间窗: 3 month
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.
Incontinence Awareness Scale
时间窗: 3 month
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.
次要结局
未报告次要终点
研究者
Ilknur Aydin Avci
Head of Nursing Department
Ondokuz Mayıs University