Development and Pilot Testing of a Self-management Internet-based Program for Older Adults with Overactive Bladder - 20/08/11
, Renuka Tunuguntla a, b, Pedro Cifuentes a, b, Allen D. Andrade a, b, Joseph G. Ouslander d, Bernard A. Roos a, b, c
Reprint requests: Jorge G. Ruiz, M.D., F.A.C.P., Associate Professor of Clinical Medicine, University of Miami, Miller School of Medicine; and GRECC Associate Director for Education and Evaluation, VA Medical Center, GRECC (11 GRC), 1201 NW 16 Street, Miami, FL 33125Résumé |
Objectives |
To implement and pilot test our Self-Management Internet-Based Program for Older Adults with Overactive Bladder (OAB-SMIP) in a group of older adults with overactive bladder (OAB) to determine its usability and outcomes, including knowledge, self-efficacy, perception of bladder condition, and health-related quality of life.
Methods |
In a single-group study design with pre- and post-tests, we recruited 25 men and women age 55 or older with symptoms of OAB. The OAB-SMIP intervention consisted of 3 multimedia e-learning tutorials, social networking features, and other online resources delivered over 6 weeks.
Results |
Participants enjoyed the OAB-SMIP and found it easy to use. Participants demonstrated increased knowledge (SMD = 4.17, large effect size), and their symptoms improved after the intervention (SMD = 1.20-1.30, large effect sizes). Participants improved their overall self-efficacy (SMD = 1.84, large effect size) as well as their self-efficacy in performing pelvic muscle exercises (SMD = 1.41, large effect size) and controlling urge symptoms (SMD = 1.32, large effect size), and there were significant increases in health-related quality of life (SMD = 1.13, large effect size) after exposure to the OAB-SMIP. We did not find any significant gender differences.
Conclusions |
Participants using the OAB-SMIP improved their knowledge, symptoms, self-efficacy in performing pelvic muscle exercises and overall management of OAB, as well as health-related quality-of-life scores.
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| Funding sources: Bruce W. Carter VAMC GRECC and Pfizer OABLUTS. |
Vol 78 - N° 1
P. 48-53 - juillet 2011 Retour au numéro
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