Evidence map›Paper›PMID 37400236›Full record

ArticleBMJ open2023

Exploring support, experiences and needs of older women and health professionals to inform a self-management package for urinary incontinence: a qualitative study.

Yu Fu, Cath Jackson, Andrea Nelson, Heather Iles-Smith, Linda McGowan

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

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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

5 authors at 5 institutions in 1 country.

Yu FuDepartment of Primary Care and Mental Health, University of Liverpool, Liverpool, UK yu.fu@liverpool.ac.uk.ORCID 0000-0003-4972-0626
Cath JacksonValid Research Ltd, Wetherby, UK.
Andrea NelsonSchool of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.
Heather Iles-SmithSchool of Health and Society, University of Salford, Salford, UK.
Linda McGowanSchool of Healthcare, University of Leeds, Leeds, UK.
Glasgow Caledonian University · GBNorthern Health and Social Care Trust · GBUniversity of Leeds · GBUniversity of Liverpool · GBValid International (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMany women attempt to manage urinary incontinence (UI) independently with variable success while health professionals may be unaware of their needs. This study aimed to (1) understand older women's experiences of UI, their self-management strategies and support needs; (2) explore health professionals' experiences of supporting women and providing relevant services and (3) combine their experiences contribute to development of a theory-based and evidence-based self-management package for UI.

designQualitative semi-structured interviews were conducted with 11 older women with UI and 11 specialist health professionals. Data were analysed independently using the framework approach, then synthesised in a triangulation matrix to identify implications for content and delivery of the self-management package.

settingCommunity centres, community continence clinic and urogynaecology centre of a local teaching hospital in northern England.

participantsWomen aged 55 years and over who self-reported symptoms of UI and health professionals delivering UI services.

resultsThree overarching themes emerged. Older women see UI as a 'fact of life' but many struggle with it: women typically considered UI as part of ageing yet expressed annoyance, distress, embarrassment and had made significant lifestyle changes. Access to information and limited high-quality professional support: health professionals provided specialist UI care and information. Yet less than half of women accessed specialist services, those who had, highly valued these services. 'Trial and error' with different self-management strategies: women had tried or were using different strategies (continence pads, pelvic floor exercises, bladder management and training, fluid management and medication), with mixed success. Health professionals provided evidence-based, personalised support and motivation.

conclusionsFindings informed the content of the self-management package that focused on providing facts, acknowledging challenges of living with/self-managing UI, sharing others' experiences, using motivational strategies and self-management tools. Delivery preferences were independent use by women or working through the package with a health professional.

Indexed as

Self-ManagementUrinary IncontinenceAgedExercise TherapyFemaleHumansLife StyleQualitative Researchqualitative researchurinary incontinencesurogynaecology

Identifiers

PMID37400236
PMCPMC10335539
OpenAlexW4382932124

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.