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  • An Exercise Training and Healthy Eating Group Program (ATHENA) for Overweight and Obese Women with Urinary Incontinence: An Intervention Description

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    Author(s)
    Howard, Zara
    Ross, Lynda
    Smith, Leanne
    Baker, Nadine
    Nucifora, Jennifer
    Townsend, Heidi
    Weir, Kelly
    Roberts, Shelley
    Griffith University Author(s)
    Roberts, Shelley J.
    Year published
    2020
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    Abstract
    BACKGROUND: Despite strong evidence for supervised pelvic floor muscle training (PFMT) for women with urinary incontinence (UI), and weight loss and exercise for overweight and obese women with UI, implementation literature on these combined interventions is limited. This paper aimed to describe the rigorous and systematic processes involved in the collaborative development, implementation, refinement and evaluation of a novel, holistic 12 week exercise training and healthy eating group program (ATHENA) for overweight and obese women with UI. METHODS/DESIGN: This intervention description paper is part of a larger mixed-methods ...
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    BACKGROUND: Despite strong evidence for supervised pelvic floor muscle training (PFMT) for women with urinary incontinence (UI), and weight loss and exercise for overweight and obese women with UI, implementation literature on these combined interventions is limited. This paper aimed to describe the rigorous and systematic processes involved in the collaborative development, implementation, refinement and evaluation of a novel, holistic 12 week exercise training and healthy eating group program (ATHENA) for overweight and obese women with UI. METHODS/DESIGN: This intervention description paper is part of a larger mixed-methods feasibility study of implementing the ATHENA intervention within a physiotherapy service at a public hospital in Australia. The collaborative intervention design had input from clinicians, researchers and a consumer representative. RESULTS: The intervention involved four evidence-based components-(1) supervised PFMT; (2) general exercise training; (3) pelvic health education; and (4) healthy eating education-delivered face to face over a 12 week period. Supporting resources developed included a Facilitator's Guide and Participant Workbook. CONCLUSION: ATHENA is an evidence-based, multifaceted, group-based intervention targeting exercise training and healthy eating for management of UI for overweight and obese women. The structured development process and transparency of intervention content and resources aims to enhance practical application and success in future studies.
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    Journal Title
    Healthcare
    Volume
    8
    Issue
    4
    DOI
    https://doi.org/10.3390/healthcare8040575
    Copyright Statement
    © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Subject
    Allied health and rehabilitation science
    Physiotherapy
    Nutrition and dietetics
    Science & Technology
    Life Sciences & Biomedicine
    Health Care Sciences & Services
    Health Policy & Services
    urinary incontinence
    Publication URI
    http://hdl.handle.net/10072/401246
    Collection
    • Journal articles

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