Group-based pelvic floor muscle education

What are women's perceptions of the education programme and the group format?

The first-line treatment for urinary incontinence, which is the most prevalent pelvic floor dysfunction, is pelvic floor muscle training.

To be effective, though, the training requires sufficient exercise adherence, which appears more likely if patients are knowledgeable about their pelvic floor and see an effect on their symptoms. However, women have been found to have limited knowledge about the pelvic floor and incontinence.

Traditionally, pelvic floor muscle training and education are provided one-to-one. However, arguments for group-based delivery include efficiency (e.g., saving therapist time), reducing feelings of stigma or isolation and the behavioural support participants offer each other.

Women considered the content and delivery appropriate and useful. New knowledge was assimilated and shared with others, and many tried to adopt pelvic floor muscle training in daily life.

The women felt that the education sessions might benefit other women, with and without pelvic floor dysfunction symptoms, and that such education would ideally be more widely available.

A perception of the value of the education persisted over time, even though maintenance of some health-promoting behaviours, such as pelvic floor muscle training, decreased.

> From: Fernandes et al., J Physiother 67 (2021) 210-216 . All rights reserved to Australian Physiotherapy Association. Click here for the online summary.

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