111536
论文已发表
注册即可获取德孚的最新动态
IF 收录期刊
- 3.4 Breast Cancer (Dove Med Press)
- 3.2 Clin Epidemiol
- 2.6 Cancer Manag Res
- 2.9 Infect Drug Resist
- 3.7 Clin Interv Aging
- 5.1 Drug Des Dev Ther
- 3.1 Int J Chronic Obstr
- 6.6 Int J Nanomed
- 2.6 Int J Women's Health
- 2.9 Neuropsych Dis Treat
- 2.8 OncoTargets Ther
- 2.0 Patient Prefer Adher
- 2.2 Ther Clin Risk Manag
- 2.5 J Pain Res
- 3.0 Diabet Metab Synd Ob
- 3.2 Psychol Res Behav Ma
- 3.4 Nat Sci Sleep
- 1.8 Pharmgenomics Pers Med
- 2.0 Risk Manag Healthc Policy
- 4.1 J Inflamm Res
- 2.0 Int J Gen Med
- 3.4 J Hepatocell Carcinoma
- 3.0 J Asthma Allergy
- 2.2 Clin Cosmet Investig Dermatol
- 2.4 J Multidiscip Healthc
已发表论文
基于盆底肌训练的社区居住老年女性尿失禁综合干预措施：一项可行性研究及过程评估
Authors Liu W, Xiong X, Sun X, Gao Y, Song J, Sun D, Wang B, Wu IX
Received 1 July 2025
Accepted for publication 2 December 2025
Published 15 December 2025 Volume 2025:20 Pages 2593—2605
DOI https://doi.org/10.2147/CIA.S550792
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Maddalena Illario
Wenqi Liu,1 Xin Xiong,1 Xuemei Sun,2 Yinyan Gao,1 Jinlu Song,1 Dingkui Sun,1 Baoxiang Wang,3 Irene XY Wu1,4
1Department of Epidemiology and Biostatistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, People’s Republic of China; 2Department of General Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, People’s Republic of China; 3Health Management Center, Xiangya Hospital, Central South University, Changsha, Hunan, People’s Republic of China; 4Hunan Provincial Key Laboratory of Clinical Epidemiology, Changsha, Hunan, People’s Republic of China
Correspondence: Baoxiang Wang, Health Management Center, Xiangya Hospital, Central South University, No. 87, Xiangya Road, Kaifu District, Changsha, Hunan, People’s Republic of China, Email 270650414@qq.com Irene XY Wu, Department of Epidemiology and Biostatistics, Xiangya School of Public Health, Central South University, No. 172, Tongzipo Road, Yuelu District, Changsha, Hunan, People’s Republic of China, Email irenexywu@csu.edu.cn
Purpose: Urinary incontinence is a common health issue among older women, negatively affecting quality of life. Although pelvic floor muscle training (PFMT) is recommended as the first-line treatment, its uptake remains low. We previously developed a PFMT-based complex intervention to improved adherence and implementation fidelity among community-dwelling older women. This study aimed to test its acceptability and feasibility.
Patients and Methods: This study consisted of two parts. First, a cluster randomized controlled pilot trial was conducted in Changsha, China. Four community daycare centers were randomly assigned to the intervention arm (receiving the PFMT-based complex intervention) or the control arm (receiving health education). Primary outcomes were the acceptability, appropriateness and feasibility of the complex intervention. Additionally, a mixed-method process evaluation was conducted to assess the implementation fidelity and the contextual factors influencing the implementation outcomes, with quantitative data collected from research logs and qualitative data from interviews, respectively.
Results: From October 2023 to January 2024, the pilot trial enrolled 36 eligible older women, with 22 in the intervention arm and 14 in the control arm. Compared with health education, the complex intervention demonstrated greater acceptability, appropriateness, and feasibility, with mean differences and corresponding 95% confidence intervals being 1.25 (0.19, 2.31), 1.25 (− 0.02, 2.53) and 2.29 (0.78, 3.81), respectively. The process evaluation revealed that the complex intervention was implemented successfully, with 48% of the approached older women enrolled and intervention content delivered as planned. However, low motivation, monotonous content, limited promotion and inadequate attention were identified as barriers requiring further improvement.
Conclusion: Our preliminary findings indicate that the PFMT-based complex intervention, developed with consideration of participants’ preferences and implementation influence factors, is acceptable and feasible. These findings support a larger confirmatory trial and indicate that future research should further improve data collection strategies, adopt objective outcome measures, and optimize intervention components.
Keywords: urinary incontinence, older women, community, complex intervention, pilot trial, process evaluation
1Department of Epidemiology and Biostatistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, People’s Republic of China; 2Department of General Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, People’s Republic of China; 3Health Management Center, Xiangya Hospital, Central South University, Changsha, Hunan, People’s Republic of China; 4Hunan Provincial Key Laboratory of Clinical Epidemiology, Changsha, Hunan, People’s Republic of China
Correspondence: Baoxiang Wang, Health Management Center, Xiangya Hospital, Central South University, No. 87, Xiangya Road, Kaifu District, Changsha, Hunan, People’s Republic of China, Email 270650414@qq.com Irene XY Wu, Department of Epidemiology and Biostatistics, Xiangya School of Public Health, Central South University, No. 172, Tongzipo Road, Yuelu District, Changsha, Hunan, People’s Republic of China, Email irenexywu@csu.edu.cn
Purpose: Urinary incontinence is a common health issue among older women, negatively affecting quality of life. Although pelvic floor muscle training (PFMT) is recommended as the first-line treatment, its uptake remains low. We previously developed a PFMT-based complex intervention to improved adherence and implementation fidelity among community-dwelling older women. This study aimed to test its acceptability and feasibility.
Patients and Methods: This study consisted of two parts. First, a cluster randomized controlled pilot trial was conducted in Changsha, China. Four community daycare centers were randomly assigned to the intervention arm (receiving the PFMT-based complex intervention) or the control arm (receiving health education). Primary outcomes were the acceptability, appropriateness and feasibility of the complex intervention. Additionally, a mixed-method process evaluation was conducted to assess the implementation fidelity and the contextual factors influencing the implementation outcomes, with quantitative data collected from research logs and qualitative data from interviews, respectively.
Results: From October 2023 to January 2024, the pilot trial enrolled 36 eligible older women, with 22 in the intervention arm and 14 in the control arm. Compared with health education, the complex intervention demonstrated greater acceptability, appropriateness, and feasibility, with mean differences and corresponding 95% confidence intervals being 1.25 (0.19, 2.31), 1.25 (− 0.02, 2.53) and 2.29 (0.78, 3.81), respectively. The process evaluation revealed that the complex intervention was implemented successfully, with 48% of the approached older women enrolled and intervention content delivered as planned. However, low motivation, monotonous content, limited promotion and inadequate attention were identified as barriers requiring further improvement.
Conclusion: Our preliminary findings indicate that the PFMT-based complex intervention, developed with consideration of participants’ preferences and implementation influence factors, is acceptable and feasible. These findings support a larger confirmatory trial and indicate that future research should further improve data collection strategies, adopt objective outcome measures, and optimize intervention components.
Keywords: urinary incontinence, older women, community, complex intervention, pilot trial, process evaluation