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dc.contributor.authorHoward, Zara
dc.contributor.authorRoss, Lynda
dc.contributor.authorWeir, Kelly A
dc.contributor.authorBaker, Nadine
dc.contributor.authorSmith, Leanne
dc.contributor.authorNucifora, Jennifer
dc.contributor.authorTownsend, Heidi
dc.contributor.authorRoberts, Shelley
dc.date.accessioned2021-09-14T01:20:38Z
dc.date.available2021-09-14T01:20:38Z
dc.date.issued2021
dc.identifier.issn0937-3462
dc.identifier.doi10.1007/s00192-021-04743-9
dc.identifier.urihttp://hdl.handle.net/10072/407921
dc.description.abstractIntroduction and hypothesis: Supervised pelvic floor muscle training (PFMT), weight loss and exercise are recommended for overweight/obese women with urinary incontinence (UI). This study aimed to implement and evaluate the feasibility, acceptability and effectiveness of a 12-week group exercise and healthy eating program (ATHENA) for overweight/obese women with UI. Methods: This study, using an implementation-effectiveness hybrid type 3 design, was conducted within a Women’s Health Physiotherapy outpatient service at an Australian tertiary public hospital. Intervention feasibility and acceptability were assessed through process evaluation of implementation, while clinical effectiveness was assessed via pre-/post-clinical and quality of life surveys. Process data were analyzed using descriptive statistics and effectiveness data were compared pre-/post-intervention using inferential statistics. Results: Of 156 eligible patients, 37 (24%) agreed to participate; 29 (78%) completed the ATHENA program. Median (IQR) age and body mass index were 53 (47–65) years and 30.8 (29.1–34.8) kg/m2 respectively. ATHENA was feasible to implement, with all components delivered as intended and high participant satisfaction. Ninety-seven percent of participants reported improved UI symptoms (global rating of change) and significant improvements in overall pelvic floor dysfunction and quality of life utility scores (p = 0.001). While weight did not change, significant improvements were found in body-food choice congruence (intuitive eating scale-2; p < 0.01). Conclusions: The ATHENA intervention was feasible, acceptable and clinically effective for overweight and obese women with urinary incontinence at a tertiary public hospital in Australia. Further research into longer term outcomes and the cost effectiveness of this group intervention is recommended. Trial registration: N/A. Ethics approval, HREC/2018/QGC/46582, date of registration 14/11/2018.
dc.description.peerreviewedYes
dc.languageEnglish
dc.publisherSpringer
dc.relation.ispartofjournalInternational Urogynecology Journal
dc.subject.fieldofresearchAllied health and rehabilitation science
dc.subject.fieldofresearchPhysiotherapy
dc.subject.fieldofresearchObstetrics and gynaecology
dc.subject.fieldofresearchcode4201
dc.subject.fieldofresearchcode420106
dc.subject.fieldofresearchcode321502
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsObstetrics & Gynecology
dc.subject.keywordsExercise
dc.titleA group program for overweight and obese women with urinary incontinence (ATHENA): an implementation-effectiveness hybrid type 3 study
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationHoward, Z; Ross, L; Weir, KA; Baker, N; Smith, L; Nucifora, J; Townsend, H; Roberts, S, A group program for overweight and obese women with urinary incontinence (ATHENA): an implementation-effectiveness hybrid type 3 study, International Urogynecology Journal, 2021
dcterms.dateAccepted2021-02-18
dc.date.updated2021-09-13T03:05:40Z
gro.description.notepublicThis publication has been entered in Griffith Research Online as an advanced online version.
gro.hasfulltextNo Full Text
gro.griffith.authorRoberts, Shelley J.


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