Pelvic‐Floor‐Muscle Training Adherence: Tools, Measurements and Strategies—2011 ICS State‐of‐the‐Science Seminar Research Paper II of IV
Abstract
Aims: This paper on pelvic‐floor‐muscle training (PFMT) adherence, the second of four from the International Continence Society's 2011 State‐of‐the‐Science Conference, aims to (1) identify and collate current adherence outcome measures, (2) report the determinants of adherence, (3) report on PFMT adherence strategies, and (4) make actionable clinical and research recommendations. Method: Data were amassed from a literature review and an expert panel (2011 conference), following consensus statement methodology. Experts in pelvic floor dysfunction collated and synthesized the evidence and expert opinions on PFMT adherence for urinary incontinence (UI) and lower bowel dysfunction in men and women and pelvic organ prolapse in women. Results: The literature was scarce for most of the studied populations except for limited research on women with UI. Outcome measures: Exercise diaries were the most widely‐used adherence outcome measure, PFMT adherence was inconsistently monitored and inadequately reported. Determinants: Research, mostly secondary analyses of RCTs, suggested that intention to adhere, self‐efficacy expectations, attitudes towards the exercises, perceived benefits and a high social pressure to engage in PFMT impacted adherence. Strategies: Few trials studied and compared adherence strategies. A structured PFMT programme, an enthusiastic physiotherapist, audio prompts, use of established theories of behavior change, and user‐consultations seem to increase adherence. Conclusion: The literature on adherence outcome measures, determinants and strategies remains scarce for the studied populations with PFM dysfunction, except in women with UI. Although some current adherence findings can be applied to clinical practice, more effective and standardized research is urgently needed across all the sub‐populations. Neurourol. Urodynam. 34:???–???, 2015. © 2015 Wiley Periodicals, Inc.
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According to the International Continence Society State-of-the-Science report, key modifiable determinants of adherence include self-efficacy, positive intention to adhere, perceived benefits of the exercises, attitudes toward treatment, and integration of PFMT into daily activities.
“According to the International Continence Society State-of-the-Science report [62], key modifiable determinants of adherence include self-efficacy, positive intention to adhere, perceived benefits of the exercises, attitudes toward treatment, and integration of PFMT into daily activities.”
From Pelvic Floor Muscle Training Following Surgery for Pelvic Organ Prolapse: Recommendation from Scientific Literature (2026) · cites this paper as [62]
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- Authors
- Dumoulin, C., Alewijnse, D., Bo, K., Hagen, S., Stark, D., Van Kampen, M., Herbert, J., Hay‐Smith, J., Frawley, H., McClurg, D., & Dean, S.
- Affiliations
- School of Rehabilitation Faculty of Medicine University of Montreal Montreal Canada
- Gelre Hospitals (NL)
- Departement of Sports Medicine Norwegian School of Sport Sciences Oslo Norway
- Glasgow Caledonian University (GB)
- Leicester Royal Infirmary (GB)
- Faculty of Kinesiology and Rehabilitation Sciences K.U. Leuven Leuven Belgium
- University of Bradford (GB)
- Rehabilitation Teaching and Research Unit University of Otago Wellington New Zealand
- La Trobe University (AU)
- University of Exeter (GB)
- Venue
- Neurourology and Urodynamics
- Publisher
- Wiley
- Published
- 2015-05-21
- Volume
- 34
- Issue
- 7
- Pages
- 615-621
- ISSN
- 0733-2467 (ISSN-L)
- 1520-6777
- OpenAlex
- W1928991918
- Cited by
- 57
- References
- 52
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 6 · 2023: 6 · 2022: 10 · 2021: 3 · 2020: 3 · 2019: 6 · 2018: 6 · 2017: 5 · 2015: 4
- FWCI
- 0.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurourology and Urodynamics (publishedVersion)
- PubMed (publishedVersion)
- ResearchOnline (Glasgow Caledonian University) (acceptedVersion)
- Lirias (submittedVersion)
- Funders
- International Continence Society
- Topics
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- pelvic floor muscle training, exercise adherence, urinary incontinence, pelvic organ prolapse, self-efficacy, social pressure, behaviour change theory, physiotherapy, audio prompts, exercise diary
- MeSH terms
- Exercise Therapy, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Patient Compliance, Urinary Incontinence, Treatment Outcome, Pelvic Floor, Evidence-Based Medicine
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