Trial reportPhysical therapy2010
Adherence to behavioral interventions for urge incontinence when combined with drug therapy: adherence rates, barriers, and predictors.
Trial report in Physical therapy, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00090584 (Behavior Enhances Drug Reduction of Incontinence), which is not on this map. Cited by 34 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Behavior Enhances Drug Reduction of Incontinence
Who cites it
34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 81 citations in OpenAlex.
- Bladder training for treating overactive bladder in adults.The Cochrane database of systematic reviews · 2023Pooled it
- Pelvic floor muscle training added to another active treatment versus the same active treatment alone for urinary incontinence in women.The Cochrane database of systematic reviews · 2015Pooled it
- Pooled it
- Remote Access to Urinary Incontinence Treatments for Women Veterans: The PRACTICAL Randomized Clinical Trial.JAMA network open · 2025Trial
- Efficacy of a Therapeutic Pelvic Yoga Program Versus a Physical Conditioning Program on Urinary Incontinence in Women : A Randomized Trial.Annals of internal medicine · 2024Trial
- A randomized controlled pilot trial to assess the effectiveness of a specially formulated food supplement and pelvic floor muscle training in women with stress-predominant urinary incontinence.BMC women's health · 2023Trial
- App-based self-management of urgency and mixed urinary incontinence in women: One-year follow-up.Neurourology and urodynamics · 2022Trial
- Basic versus biofeedback-mediated intensive pelvic floor muscle training for women with urinary incontinence: the OPAL RCT.Health technology assessment (Winchester, England) · 2020Trial
- A group-based yoga program for urinary incontinence in ambulatory women: feasibility, tolerability, and change in incontinence frequency over 3 months in a single-center randomized trial.American journal of obstetrics and gynecology · 2019Trial
- Two-Year Outcomes of Sacral Neuromodulation Versus OnabotulinumtoxinA for Refractory Urgency Urinary Incontinence: A Randomized Trial.European urology · 2018Trial
- Structured behavioral treatment research protocol for women with mixed urinary incontinence and overactive bladder symptoms.Neurourology and urodynamics · 2018Trial
- Characteristics Associated with Treatment Response and Satisfaction in Women Undergoing OnabotulinumtoxinA and Sacral Neuromodulation for Refractory Urgency Urinary Incontinence.The Journal of urology · 2017Trial
- Methods for a multicenter randomized trial for mixed urinary incontinence: rationale and patient-centeredness of the ESTEEM trial.International urogynecology journal · 2016Trial
- A group-based yoga therapy intervention for urinary incontinence in women: a pilot randomized trial.Female pelvic medicine & reconstructive surgeryTrial
- Consensus Statements on the Definition of Surgical Success Following Obstetric Urinary Pelvic Floor Fistula Repair: An IUGA-ICS Proposal.International urogynecology journal · 2026Article
- Supervised vs. Self-Managed Exercise Therapy for Improving Shoulder Function After Traumatic Dislocation and Sprain: A Systematic Review and Meta-Analysis.Sports (Basel, Switzerland) · 2025Review
- Article
- Optimizing remote access to urinary incontinence treatments for women veterans (PRACTICAL): Study protocol for a pragmatic clinical trial comparing two virtual care options.Contemporary clinical trials · 2023Article
- Barriers and facilitators to overactive bladder therapy adherence.Neurourology and urodynamics · 2022Review
- Women's Experiences with Compliance with Pelvic Floor Home Exercise Therapy and Lifestyle Changes for Pelvic Organ Prolapse Symptoms: A Qualitative Study.Journal of personalized medicine · 2022Article
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundBehavioral intervention outcomes for urinary incontinence (UI) depend on active patient participation.
objectiveThe purpose of this study was to describe adherence to behavioral interventions (pelvic-floor muscle [PFM] exercises, UI prevention strategies, and delayed voiding), patient-perceived exercise barriers, and predictors of exercise adherence in women with urge-predominant UI.
designThis was a prospectively planned secondary data analysis from a 2-stage, multicenter, randomized clinical trial. PATIENTS AND
interventionThree hundred seven women with urge-predominant UI were randomly assigned to receive either 10 weeks of drug therapy only or 10 weeks of drug therapy combined with a behavioral intervention for UI. One hundred fifty-four participants who received the combined intervention were included in this analysis. MEASUREMENTS: Pelvic-floor muscle exercise adherence and exercise barriers were assessed during the intervention phase and 1 year afterward. Adherence to UI prevention strategies and delayed voiding were assessed during the intervention only.
resultsDuring intervention, 81% of women exercised at least 5 to 6 days per week, and 87% performed at least 30 PFM contractions per day. Ninety-two percent of the women used the urge suppression strategy successfully. At the 12-month follow-up, only 32% of the women exercised at least 5 to 6 days per week, and 56% performed 15 or more PFM contractions on the days they exercised. The most persistent PFM exercise barriers were difficulty remembering to exercise and finding time to exercise. Similarly, difficulty finding time to exercise persisted as a predictor of PFM exercise adherence over time. LIMITATIONS: Co-administration of medication for UI may have influenced adherence.
conclusionsMost women adhered to exercise during supervised intervention; however, adherence declined over the long term. Interventions to help women remember to exercise and to integrate PFM exercises and UI prevention strategies into daily life may be useful to promote long-term adherence.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.