Effectiveness of continence promotion for older women via community organisations: a cluster randomised trial

Objectives: The primary objective of this cluster randomised controlled trial was to compare the effectiveness of the three experimental continence promotion interventions against a control intervention on urinary symptom improvement in older women with untreated incontinence recruited from community organisations. Setting: 71 community organisations across the United Kingdom Participants: 259 women aged 60 years and older with untreated incontinence entered the trial; 88% completed the 3-month follow-up. Interventions: The three active interventions consisted of a single 60-minute group workshop on 1) continence education (20 clusters, 64 women); 2) evidence-based self-management (17 clusters, 70 women); or 3) combined education and self-management (17 clusters, 61 women). The control intervention was a single 60-minute educational group workshop on memory loss, polypharmacy and osteoporosis (17 clusters, 64 women). Primary and secondary outcome measures: The primary outcome was self-r...

研究目标：本项整群随机对照试验（cluster randomised controlled trial）的核心目标为，对比三项试验性控尿促进干预措施与对照干预措施，针对从社区机构招募的未接受治疗的尿失禁老年女性的尿路症状改善效果。研究地点：英国境内共71家社区机构。研究对象：共计259名年龄60岁及以上的未接受治疗的尿失禁女性入组本试验，其中88%完成了3个月随访。干预措施：三项试验干预措施均为单次60分钟的小组研讨会：1）控尿教育（20个整群，64名女性）；2）基于证据的自我管理（17个整群，70名女性）；3）教育与自我管理联合方案（17个整群，61名女性）。对照干预措施为单次60分钟的小组研讨会，主题涵盖记忆减退、多重用药与骨质疏松症（17个整群，64名女性）。主要及次要结局指标：主要结局为自评……