Evidence map›Paper›PMID 41094497›Full record

Trial reportBMC women's health2025

The effect of group counseling based on the Pender health promotion model on quality of life of women suffering from stress urinary incontinence: a randomized controlled trial.

Mahtab Mahvashi, Hadi Tehrani, Jamshid Jamali, Nahid Jahani Shoorab, Leila Pourali, Kobra Mirzakhani

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC women's health, 2025. 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
–field-weighted citation impact
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.

  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

6 authors.

Mahtab MahvashiMaster of Midwifery Counseling, Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.
Hadi TehraniDepartment of Health Education, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
Jamshid JamaliDepartment of Biostatistics and Epidemiology, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
Nahid Jahani ShoorabNursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Leila PouraliPelvic Floor Disorders Fellowship, Department of Obstetrics and Gynecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Kobra MirzakhaniNursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Mirzakhanikkb@gmail.com.

Funding

Research Vice-Chancellor of Mashhad University of Medical Sciences. 4000965
6 · The paper itself

Abstract

backgroundUrinary stress incontinence leads to a decrease in the quality of life of women. Pender's health promotion model discusses how to change one's lifestyle. In some populations, adopting the Pender model and lifestyle improvements have improved people's quality of life. However, limited studies have been conducted on improving the quality of life of people with stress urinary incontinence using models. In this regard, the present study was conducted to determine the effect of group counseling based on the Pender Health Promotion Model on the quality of life of women with stress urinary incontinence.

methodsThis study is a randomized controlled clinical trial. Seventy women were selected using available methods and then randomly assigned to two intervention and control groups using permutation blocks. Sampling was conducted at two pelvic floor disease specialty clinics, Qaim Hospital and Imam Reza Hospital, Mashhad from May 2022 to September 2022. The intervention group received six group counseling sessions and one individual counseling session based on the configurations of Pender's health promotion model. Data development tools included the Demographic Questionnaire, the Quality-of-Life Questionnaire for Patients with Urinary Incontinence (IQOL), the Questionnaire for Urinary Incontinence Diagnosis (QUID), and the Depression Anxiety and Stress Scales (DASS21). The tool’s validity was confirmed by content validity and reliability using the Cronbach alpha method. In both groups, questionnaires were completed before and immediately two months after the intervention ended. Data were analyzed using SPSS 25 software.

resultsBefore the intervention, there was no significant difference in the two groups' average total score on the quality of life questionnaires (P = 0.945). However, there was a substantial increase in the intervention group's quality of life questionnaires compared to the pre-intervention and control groups immediately following the intervention and over the next two months (P < 0.001).

conclusionGroup counseling based on the Pender's health promotion model improves the quality of life of women with stress urine incontinence, and it is recommended that this model be used.

trial registrationIt is registered in the Iranian clinical trials database under the code IRCT20211216053423N1. Date of first registration: 14/03/2022.

Indexed as

CounselingHealth PromotionQuality of LifeUrinary Incontinence, StressAdultFemaleHumansMiddle AgedSurveys and QuestionnairesCounselingHealth promotion modelQuality of lifeStress urinary incontinence

Identifiers

PMID41094497
PMCPMC12522334

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.