Kegel Exercise-focused Interventions in Elderly Women
24 de octubre de 2020 actualizado por: Hilal Gamze Hakbilen, Akdeniz University
The Effect of Kegel Exercise-focused Interventions on Urinary Incontinence in Elderly Women
Purpose: This study was conducted to investigate the effects of Kegel exercises-focused intervention undergone by elderly women diagnosed with urinary incontinence on their incontinence, quality of life and perceived impact level.
Design: The study has a single-blind randomized controlled experimental research design.
Methods: The study was carried out between December 2017 and March 2019 with 60 elderly women registered at the Home Health Unit of a Metropolitan Municipality in Turkey. The women were assigned to the intervention (n=30) and control (n=30) groups. The participants in the intervention group were paid home visits to provide them with individual training and counseling on Kegel exercises. Whether the participants did the exercises was followed up by weekly phone calls. The frequency of urinary incontinence, the amount of urine leaking and the quality of life of the participants and their complaints about incontinence were assessed with the International Consultation on Incontinence Questionnaire Short Form and questions on the assessment of the perceived impact at the onset of the study (0th week), and at home visits paid at the 6th and 12th weeks after the intervention.
Descripción general del estudio
Estado
Terminado
Condiciones
Intervención / Tratamiento
Tipo de estudio
Intervencionista
Inscripción (Actual)
60
Fase
- No aplica
Contactos y Ubicaciones
Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.
Ubicaciones de estudio
-
-
Muratpaşa
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Antalya, Muratpaşa, Pavo, 07310
- Home Health Unit of Antalya Metropolitan Municipality
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-
Criterios de participación
Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.
Criterio de elegibilidad
Edades elegibles para estudiar
65 años y mayores (Adulto Mayor)
Acepta Voluntarios Saludables
No
Géneros elegibles para el estudio
Femenino
Descripción
Inclusion Criteria:
- Over the age of 65,
- Being women,
- Diagnosed with UI,
- Being literate,
- Being able to communicate in Turkish,
- Standardized Mini Mental Test result was > 24,
- Agree to participate in research.
Exclusion Criteria:
- Who had received training on incontinence and Kegel exercises in the last 1 year,
- Had symptoms of urinary tract infection were identified,
- Being treated for UI,
- Having health problems affecting the muscle and nervous system,
- Being not able to perform daily life activities,
- Having pelvic organ prolapse,
Plan de estudios
Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Único
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
|
Experimental: Intervention
The arm where the Kegel exercise focused intervention is applied
|
After the patients in the intervention group were interviewed on the telephone, the second home visit.
During this visit, the patients were trained on Kegel exercises and they were administered the ICIQ-SF.
Six weeks after the second visit, the third home visit was paid to determine whether the patients did the Kegel exercises and whether they did them accurately, to assess the perceived impact and to re-administer the ICIQ-SF.
After the 2nd and 3rd visit, the patients were called once a week for 6 weeks to monitor if they kept up with doing the Kegel exercises as they were taught.
Six weeks later, the 4th home visit were paid to the patients.
During this visit, whether the patients did the Kegel exercises and whether they did them accurately was determined, the perceived impact was assessed and the ICIQ-SF was re-administered.
|
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Experimental: Control
The arm where home follow-up and scale evaluations are made
|
After the 1st visit, the patients included in the control group were called by phone and the 2nd home visit was planned.
During the second home visit, the ICIQ-SF was administered to them.
At the 3rd home visit paid 6 weeks after the 2nd visit, the ICIQ-SF was re-administered to the patients and the perceived impact assessment was performed.
During the 4th home visit paid 6 weeks after the 3rd home visit, the ICIQ-SF was re-administered to the patients, assessment of the perceived impact was performed, and finally they were given training on Kegel exercises.
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Change in frequency of urinary incontinence after onset
Periodo de tiempo: 6. week
|
The International Consultation on Incontinence Questionnaire Short Form has the following four sub-dimensions: frequency of urinary incontinence, the amount of leakage, the impact of urinary incontinence on daily life, and causes of urinary incontinence.
The first three sub-dimensions are included in scoring.
The responses given to the fourth dimension, which is not included in the scoring process enable the health professional to determine the type of urinary incontinence based on the person's complaints.
The minimum and maximum possible scores to be obtained from the scale are 0 and 21 respectively.
While low scores indicate that urinary incontinence has little impact on the quality of life, high scores indicate that urinary incontinence has a great impact on the quality of life.
|
6. week
|
|
Change in frequency of urinary incontinence after onset
Periodo de tiempo: 12. week
|
The International Consultation on Incontinence Questionnaire Short Form has the following four sub-dimensions: frequency of urinary incontinence, the amount of leakage, the impact of urinary incontinence on daily life, and causes of urinary incontinence.
The first three sub-dimensions are included in scoring.
The responses given to the fourth dimension, which is not included in the scoring process enable the health professional to determine the type of urinary incontinence based on the person's complaints.
The minimum and maximum possible scores to be obtained from the scale are 0 and 21 respectively.
While low scores indicate that urinary incontinence has little impact on the quality of life, high scores indicate that urinary incontinence has a great impact on the quality of life.
|
12. week
|
|
Change in amount of urinary incontinence after onset
Periodo de tiempo: 6. week
|
The International Consultation on Incontinence Questionnaire Short Form has the following four sub-dimensions: frequency of urinary incontinence, the amount of leakage, the impact of urinary incontinence on daily life, and causes of urinary incontinence.
The first three sub-dimensions are included in scoring.
The responses given to the fourth dimension, which is not included in the scoring process enable the health professional to determine the type of urinary incontinence based on the person's complaints.
The minimum and maximum possible scores to be obtained from the scale are 0 and 21 respectively.
While low scores indicate that urinary incontinence has little impact on the quality of life, high scores indicate that urinary incontinence has a great impact on the quality of life.
|
6. week
|
|
Change in amount of urinary incontinence after onset
Periodo de tiempo: 12. week
|
The International Consultation on Incontinence Questionnaire Short Form has the following four sub-dimensions: frequency of urinary incontinence, the amount of leakage, the impact of urinary incontinence on daily life, and causes of urinary incontinence.
The first three sub-dimensions are included in scoring.
The responses given to the fourth dimension, which is not included in the scoring process enable the health professional to determine the type of urinary incontinence based on the person's complaints.
The minimum and maximum possible scores to be obtained from the scale are 0 and 21 respectively.
While low scores indicate that urinary incontinence has little impact on the quality of life, high scores indicate that urinary incontinence has a great impact on the quality of life.
|
12. week
|
|
Change in effects of urinary incontinence on daily life after onset
Periodo de tiempo: 6. week
|
The International Consultation on Incontinence Questionnaire Short Form has the following four sub-dimensions: frequency of urinary incontinence, the amount of leakage, the impact of urinary incontinence on daily life, and causes of urinary incontinence.
The first three sub-dimensions are included in scoring.
The responses given to the fourth dimension, which is not included in the scoring process enable the health professional to determine the type of urinary incontinence based on the person's complaints.
The minimum and maximum possible scores to be obtained from the scale are 0 and 21 respectively.
While low scores indicate that urinary incontinence has little impact on the quality of life, high scores indicate that urinary incontinence has a great impact on the quality of life.
|
6. week
|
|
Change in effects of urinary incontinence on daily life after onset
Periodo de tiempo: 12. week
|
The International Consultation on Incontinence Questionnaire Short Form has the following four sub-dimensions: frequency of urinary incontinence, the amount of leakage, the impact of urinary incontinence on daily life, and causes of urinary incontinence.
The first three sub-dimensions are included in scoring.
The responses given to the fourth dimension, which is not included in the scoring process enable the health professional to determine the type of urinary incontinence based on the person's complaints.
The minimum and maximum possible scores to be obtained from the scale are 0 and 21 respectively.
While low scores indicate that urinary incontinence has little impact on the quality of life, high scores indicate that urinary incontinence has a great impact on the quality of life.
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12. week
|
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Change in assessment of the perceived impact after onset
Periodo de tiempo: 6. week
|
Patient Information Form developed by the researchers based on the pertinent literature consists of 5 parts and 28 questions.
The first part questions the patient's age, height, weight etc.
The second part is on the patient's obstetric characteristics.
The third part questions the patient's health history.
The fourth part questions the patient's incontinence status.
The fifth part is on the assessment of the perceived impact.
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6. week
|
|
Change in assessment of the perceived impact after onset
Periodo de tiempo: 12. week
|
Patient Information Form developed by the researchers based on the pertinent literature consists of 5 parts and 28 questions.
The first part questions the patient's age, height, weight etc.
The second part is on the patient's obstetric characteristics.
The third part questions the patient's health history.
The fourth part questions the patient's incontinence status.
The fifth part is on the assessment of the perceived impact.
|
12. week
|
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Evaluation of the participants in terms of performing Kegel Exercises
Periodo de tiempo: 6. week
|
The Weekly Exercise Follow-up Form was developed by the researchers to assess the frequency of exercises in patients who were given Kegel exercise training.
The Weekly Exercise Follow-up Form has a timetable consisting of 7 days of the week and 3 parts of the day (morning, noon and evening).
The patients mark the timetable by placing an "X" on the blank corresponding to the time when they perform the exercise.
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6. week
|
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Evaluation of the participants in terms of performing Kegel Exercises
Periodo de tiempo: 12. week
|
The Weekly Exercise Follow-up Form was developed by the researchers to assess the frequency of exercises in patients who were given Kegel exercise training.
The Weekly Exercise Follow-up Form has a timetable consisting of 7 days of the week and 3 parts of the day (morning, noon and evening).
The patients mark the timetable by placing an "X" on the blank corresponding to the time when they perform the exercise.
|
12. week
|
|
Assesment of which cases do you leak urine?
Periodo de tiempo: 6. week
|
The International Consultation on Incontinence Questionnaire Short Form has the following four sub-dimensions: frequency of urinary incontinence, the amount of leakage, the impact of urinary incontinence on daily life, and causes of urinary incontinence.
The first three sub-dimensions are included in scoring.
The responses given to the fourth dimension, which is not included in the scoring process enable the health professional to determine the type of urinary incontinence based on the person's complaints.
The minimum and maximum possible scores to be obtained from the scale are 0 and 21 respectively.
While low scores indicate that urinary incontinence has little impact on the quality of life, high scores indicate that urinary incontinence has a great impact on the quality of life.
|
6. week
|
|
Assesment of which cases do you leak urine?
Periodo de tiempo: 12. week
|
The International Consultation on Incontinence Questionnaire Short Form has the following four sub-dimensions: frequency of urinary incontinence, the amount of leakage, the impact of urinary incontinence on daily life, and causes of urinary incontinence.
The first three sub-dimensions are included in scoring.
The responses given to the fourth dimension, which is not included in the scoring process enable the health professional to determine the type of urinary incontinence based on the person's complaints.
The minimum and maximum possible scores to be obtained from the scale are 0 and 21 respectively.
While low scores indicate that urinary incontinence has little impact on the quality of life, high scores indicate that urinary incontinence has a great impact on the quality of life.
|
12. week
|
Colaboradores e Investigadores
Aquí es donde encontrará personas y organizaciones involucradas en este estudio.
Patrocinador
Fechas de registro del estudio
Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.
Fechas importantes del estudio
Inicio del estudio (Actual)
21 de diciembre de 2017
Finalización primaria (Actual)
17 de marzo de 2019
Finalización del estudio (Actual)
28 de junio de 2019
Fechas de registro del estudio
Enviado por primera vez
21 de octubre de 2020
Primero enviado que cumplió con los criterios de control de calidad
24 de octubre de 2020
Publicado por primera vez (Actual)
29 de octubre de 2020
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
29 de octubre de 2020
Última actualización enviada que cumplió con los criterios de control de calidad
24 de octubre de 2020
Última verificación
1 de octubre de 2020
Más información
Términos relacionados con este estudio
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- Akdeniz Uni
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
No
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
No
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