International Urogynecology Journal

, Volume 24, Issue 11, pp 1947–1951 | Cite as

Does self-motivation improve success rates of pelvic floor muscle training in women with urinary incontinence in a secondary care setting?

  • M. Vella
  • E. Nellist
  • L. Cardozo
  • H. Mastoroudes
  • I. Giarenis
  • J. Duckett
Original Article

Abstract

Introduction and hypothesis

Pelvic floor muscle training (PFMT) is the recommended first-line treatment for women with urinary incontinence (UI). Success rates are variable and dependent on a number of factors. The development of an incontinence treatment motivation questionnaire (ITMQ) provides us with a tool to assess patient self-motivation with respect to PFMT and UI. The aim of this study was to determine the effect of women’s self-motivation to perform PFMT on outcome.

Methods

Women with stress predominant UI completed an ITMQ and a 24-h pad test and then underwent a 12-week course of supervised PFMT. At the end of their treatment they completed a patient global impression of improvement questionnaire (PGI-I) and a second 24-h pad test. The PGI-I scores and the difference in pad test weight correlated with the ITMQ according to Spearman’s correlation coefficient.

Results

Sixty-five women were recruited. Thirty-two (49 %) patients perceived themselves as having improved, 28 women (43 %) did not experience any change in symptoms and 5 women (8 %) felt that their symptoms deteriorated following treatment. When correlating the PGI-I with the ITMQ, 3 of the 5 domains: MQS1 (positive attitude for treatment; p = 0.003), MQS3 (frustration of living with incontinence; p = 0.002) and MQS4 (desire for treatment; p = 0.002) correlated significantly with outcome. Desire for treatment was the only domain to correlate with change in pad weight (p = 0.001).

Conclusion

Self-motivation is essential in order to determine improved success rates with PFMT.

Keywords

Pelvic floor muscle training Incontinence treatment motivation questionnaire 

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Copyright information

© The International Urogynecological Association 2013

Authors and Affiliations

  • M. Vella
    • 1
    • 3
  • E. Nellist
    • 1
  • L. Cardozo
    • 1
  • H. Mastoroudes
    • 1
  • I. Giarenis
    • 1
  • J. Duckett
    • 2
  1. 1.Department of UrogynaecologyKings College Hospital NHS Foundation TrustLondonUK
  2. 2.Department of Obstetrics and GynaecologyMedway NHS Foundation TrustKentUK
  3. 3.King’s College HospitalLondonUK

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