Evidence map›Paper›PMID 33733697›Full record

ArticleInternational urogynecology journal2022

A group program for overweight and obese women with urinary incontinence (ATHENA): an implementation-effectiveness hybrid type 3 study.

Zara Howard, Lynda Ross, Kelly A Weir, Nadine Baker, Leanne Smith, Jennifer Nucifora, Heidi Townsend, Shelley Roberts

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In one paragraph

Article in International urogynecology journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Zara HowardGold Coast Hospital and Health Service, 1 Hospital Blvd, Southport, QLD, 4215, Australia. zara.howard@health.qld.gov.au.ORCID 0000-0002-7056-0172
Lynda RossSchool of Exercise and Nutrition Services, Queensland University of Technology, Kelvin Grove Campus, Brisbane, QLD, 4059, Australia.
Kelly A WeirGold Coast Hospital and Health Service, 1 Hospital Blvd, Southport, QLD, 4215, Australia.ORCID 0000-0002-5042-1925
Nadine BakerGold Coast Hospital and Health Service, 1 Hospital Blvd, Southport, QLD, 4215, Australia.
Leanne SmithGold Coast Hospital and Health Service, 1 Hospital Blvd, Southport, QLD, 4215, Australia.
Jennifer NuciforaGold Coast Hospital and Health Service, 1 Hospital Blvd, Southport, QLD, 4215, Australia.ORCID 0000-0002-2231-8306
Heidi TownsendConsumer researcher, Gold Coast, Southport, QLD, 4215, Australia.
Shelley RobertsGold Coast Hospital and Health Service, 1 Hospital Blvd, Southport, QLD, 4215, Australia.ORCID 0000-0002-7779-8415
Gold Coast Hospital · AUGriffith University · AUGold Coast Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisSupervised pelvic floor muscle training (PFMT), weight loss and exercise are recommended for overweight/obese women with urinary incontinence (UI). This study aimed to implement and evaluate the feasibility, acceptability and effectiveness of a 12-week group exercise and healthy eating program (ATHENA) for overweight/obese women with UI.

methodsThis study, using an implementation-effectiveness hybrid type 3 design, was conducted within a Women's Health Physiotherapy outpatient service at an Australian tertiary public hospital. Intervention feasibility and acceptability were assessed through process evaluation of implementation, while clinical effectiveness was assessed via pre-/post-clinical and quality of life surveys. Process data were analyzed using descriptive statistics and effectiveness data were compared pre-/post-intervention using inferential statistics.

resultsOf 156 eligible patients, 37 (24%) agreed to participate; 29 (78%) completed the ATHENA program. Median (IQR) age and body mass index were 53 (47-65) years and 30.8 (29.1-34.8) kg/m

conclusionsThe ATHENA intervention was feasible, acceptable and clinically effective for overweight and obese women with urinary incontinence at a tertiary public hospital in Australia. Further research into longer term outcomes and the cost effectiveness of this group intervention is recommended.

trial registrationN/A. Ethics approval, HREC/2018/QGC/46582, date of registration 14/11/2018.

Indexed as

Urinary IncontinenceUrinary Incontinence, StressAustraliaExercise TherapyFemaleHumansObesityOverweightPelvic FloorQuality of LifeTreatment OutcomeExerciseGroup therapyNutritionObesityOverweightPelvic floor muscle trainingUrinary incontinence

Identifiers

PMID33733697
OpenAlexW3135965088

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.