Evidence map›Paper›PMID 41425757›Full record

Trial reportClinical interventions in aging2025

A Pelvic Floor Muscle Training-Based Complex Intervention for Community-Dwelling Older Women with Urinary Incontinence: A Feasibility Study and Process Evaluation.

Wenqi Liu, Xin Xiong, Xuemei Sun, Yinyan Gao, Jinlu Song, Dingkui Sun, Baoxiang Wang, Irene X Y Wu

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical interventions in aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Wenqi LiuDepartment of Epidemiology and Biostatistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, People's Republic of China.
Xin XiongDepartment of Epidemiology and Biostatistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, People's Republic of China.
Xuemei SunDepartment of General Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, People's Republic of China.
Yinyan GaoDepartment of Epidemiology and Biostatistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, People's Republic of China.
Jinlu SongDepartment of Epidemiology and Biostatistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, People's Republic of China.
Dingkui SunDepartment of Epidemiology and Biostatistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, People's Republic of China.
Baoxiang WangHealth Management Center, Xiangya Hospital, Central South University, Changsha, Hunan, People's Republic of China.
Irene X Y WuDepartment of Epidemiology and Biostatistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Urinary incontinence is a common health issue among older women, negatively affecting quality of life. Although pelvic floor muscle training (PFMT) is recommended as the first-line treatment, its uptake remains low. We previously developed a PFMT-based complex intervention to improved adherence and implementation fidelity among community-dwelling older women. This study aimed to test its acceptability and feasibility. Patients and Methods: This study consisted of two parts. First, a cluster randomized controlled pilot trial was conducted in Changsha, China. Four community daycare centers were randomly assigned to the intervention arm (receiving the PFMT-based complex intervention) or the control arm (receiving health education). Primary outcomes were the acceptability, appropriateness and feasibility of the complex intervention. Additionally, a mixed-method process evaluation was conducted to assess the implementation fidelity and the contextual factors influencing the implementation outcomes, with quantitative data collected from research logs and qualitative data from interviews, respectively. Results: From October 2023 to January 2024, the pilot trial enrolled 36 eligible older women, with 22 in the intervention arm and 14 in the control arm. Compared with health education, the complex intervention demonstrated greater acceptability, appropriateness, and feasibility, with mean differences and corresponding 95% confidence intervals being 1.25 (0.19, 2.31), 1.25 (-0.02, 2.53) and 2.29 (0.78, 3.81), respectively. The process evaluation revealed that the complex intervention was implemented successfully, with 48% of the approached older women enrolled and intervention content delivered as planned. However, low motivation, monotonous content, limited promotion and inadequate attention were identified as barriers requiring further improvement. Conclusion: Our preliminary findings indicate that the PFMT-based complex intervention, developed with consideration of participants' preferences and implementation influence factors, is acceptable and feasible. These findings support a larger confirmatory trial and indicate that future research should further improve data collection strategies, adopt objective outcome measures, and optimize intervention components.

Indexed as

Exercise TherapyPelvic FloorUrinary IncontinenceAgedAged, 80 and overChinaFeasibility StudiesFemaleHumansIndependent LivingPilot ProjectsQuality of Lifecommunitycomplex interventionolder womenpilot trialprocess evaluationurinary incontinence

Identifiers

PMID41425757
PMCPMC12716079

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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.