dc.contributor.author | Howard, Zara | |
dc.contributor.author | Ross, Lynda | |
dc.contributor.author | Weir, Kelly A | |
dc.contributor.author | Baker, Nadine | |
dc.contributor.author | Smith, Leanne | |
dc.contributor.author | Nucifora, Jennifer | |
dc.contributor.author | Townsend, Heidi | |
dc.contributor.author | Roberts, Shelley | |
dc.date.accessioned | 2021-09-14T01:20:38Z | |
dc.date.available | 2021-09-14T01:20:38Z | |
dc.date.issued | 2021 | |
dc.identifier.issn | 0937-3462 | |
dc.identifier.doi | 10.1007/s00192-021-04743-9 | |
dc.identifier.uri | http://hdl.handle.net/10072/407921 | |
dc.description.abstract | Introduction 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.peerreviewed | Yes | |
dc.language | English | |
dc.publisher | Springer | |
dc.relation.ispartofjournal | International Urogynecology Journal | |
dc.subject.fieldofresearch | Allied health and rehabilitation science | |
dc.subject.fieldofresearch | Physiotherapy | |
dc.subject.fieldofresearch | Obstetrics and gynaecology | |
dc.subject.fieldofresearchcode | 4201 | |
dc.subject.fieldofresearchcode | 420106 | |
dc.subject.fieldofresearchcode | 321502 | |
dc.subject.keywords | Science & Technology | |
dc.subject.keywords | Life Sciences & Biomedicine | |
dc.subject.keywords | Obstetrics & Gynecology | |
dc.subject.keywords | Exercise | |
dc.title | A group program for overweight and obese women with urinary incontinence (ATHENA): an implementation-effectiveness hybrid type 3 study | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dcterms.bibliographicCitation | Howard, 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.dateAccepted | 2021-02-18 | |
dc.date.updated | 2021-09-13T03:05:40Z | |
gro.description.notepublic | This publication has been entered in Griffith Research Online as an advanced online version. | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | Roberts, Shelley J. | |