Development and Pilot Testing of a Self-management Internet-based Program for Older Adults with Overactive Bladder

作者：Ruiz Jorge G^*; Tunuguntla Renuka; Cifuentes Pedro; Andrade Allen D; Ouslander Joseph G; Roos Bernard A

来源：Urology, 2011, 78(1): 48-53.

DOI：10.1016/j.urology.2011.01.043

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. UROLOGY 78: 48-53, 2011. Published by Elsevier Inc.

• 出版日期2011-7