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Journal of Aging and Health, Vol. 12, No. 2, 250-267 (2000)
DOI: 10.1177/089826430001200206

Outcomes of a Small Group Educational Intervention for Urinary Incontinence

Episodes of Incontinence and Other Urinary Symptoms

Stephanie L. Mcfall, PhD

Department of Health Promotion Sciences, University of Oklahoma Health Sciences Center

Adeline M. Yerkes, RN, MPH

Oklahoma State Department of Health

Linda D. Cowan, PhD

Department of Biostatistics and Epidemiology, University of Oklahoma Health Sciences Center

Objectives:This community-based intervention to reduce urinary incontinence (UI) in elderly women used a small group educational approach. This article reports on change in episodes of incontinence and other urinary symptoms. Methods: Participants were randomly assigned to intervention orwait control condition. This article is restricted to 49 intervention and 59 control participants with acceptable diaries. Results:There was a significant treatment effect for a number of incontinent episodes. In the intervention group, 61% had a 50% or greater reduction in episodes, with more than one third having 100% reduction; 38% of the control group had a reduction of 50% or greater. One year postprogram, 75% of treated women reported subjective improvement. Therewas a reduction in frequency of daily, but not nocturnal, micturition. Discussion:This community-based intervention is an encouraging option for behavioral treatment of UI. Public health models may be particularly appropriate with moderate levels of urinary incontinence.


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T. A. Shamliyan, R. L. Kane, J. Wyman, and T. J. Wilt
Systematic Review: Randomized, Controlled Trials of Nonsurgical Treatments for Urinary Incontinence in Women
Ann Intern Med, March 18, 2008; 148(6): 459 - 473.
[Abstract] [Full Text] [PDF]