International Urogynecology Journal

, Volume 20, Issue 9, pp 1085–1093

The development of an Incontinence Treatment Motivation Questionnaire for patients undergoing pelvic floor physiotherapy in the treatment of stress incontinence


  • Susmita Sarma
    • The University of New South Wales
  • Graeme Hawthorne
    • Department of PsychiatryThe University of Melbourne
  • Kiran Thakkar
    • Obstetrics and GynaecologyThe University of New South Wales
  • Wendy Hayes
    • Obstetrics and GynaecologyThe University of New South Wales
    • Obstetrics and GynaecologyThe University of New South Wales
Original Article

DOI: 10.1007/s00192-009-0907-9

Cite this article as:
Sarma, S., Hawthorne, G., Thakkar, K. et al. Int Urogynecol J (2009) 20: 1085. doi:10.1007/s00192-009-0907-9


Introduction and hypothesis

The aim of this paper is to develop a motivation questionnaire regarding perseverance in pelvic floor muscle training (PFMT) supervised by physiotherapists for stress urinary incontinence.


Sixteen semi-structured interviews were conducted in women with stress urinary incontinence that revealed 15 common themes; 117 items were constructed and reviewed by continence advisors. Surviving items (n = 73) were administered to 210 women. Data were analysed for item properties, factor analysis was used to examine the questionnaire structure and tests of convergence/divergence used to check for sensitivity.


The Incontinence Treatment Motivation Questionnaire (ITMQ) comprises 18-items in five scales, assessing attitudes towards treatment (72.62% of explained variance; α = 0.87), reasons for not doing PFMT (55.73%; α = 0.74), living with incontinence (62.70% variance; α = 0.70), desire for treatment (65.37% variance; α = 0.74) and the effect of incontinence severity on PFMT (51.62% variance, α = 0.68). Scales were generally sensitive to known group differences.


This study represents the first effort to develop a motivation scale for PFMT. This validated Motivation Questionnaire is an instrument to test the impact of motivation upon cure, in PFMT.


Motivation questionnairePelvic floor muscle trainingTreatment adherenceUrinary incontinence

Copyright information

© The International Urogynecological Association 2009