Evidence map›Paper›PMID 40397124›Full record

ArticleInternational urogynecology journal2025

Development of a Complex Intervention for the Management of Urinary Incontinence Among Community-Dwelling Older Women.

Wenqi Liu, Xuemei Sun, Yinyan Gao, Jinlu Song, Wenjie Dai, Irene X Y Wu

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Article in International urogynecology journal, 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. Trial
  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.

Wenqi LiuXiangya School of Public Health, Central South University, No. 172, Tongzipo Road, Yuelu District, Changsha, Hunan, China.ORCID 0000-0003-2669-5085
Xuemei SunXiangya School of Public Health, Central South University, No. 172, Tongzipo Road, Yuelu District, Changsha, Hunan, China.
Yinyan GaoXiangya School of Public Health, Central South University, No. 172, Tongzipo Road, Yuelu District, Changsha, Hunan, China.
Jinlu SongXiangya School of Public Health, Central South University, No. 172, Tongzipo Road, Yuelu District, Changsha, Hunan, China.
Wenjie DaiXiangya School of Public Health, Central South University, No. 172, Tongzipo Road, Yuelu District, Changsha, Hunan, China.
Irene X Y WuXiangya School of Public Health, Central South University, No. 172, Tongzipo Road, Yuelu District, Changsha, Hunan, China. irenexywu@csu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThis study is aimed at developing a complex intervention that considers stakeholders' needs and preferences, as well as facilitators and barriers affecting adherence to interventions for the management of urinary incontinence among community-dwelling older women.

methodsFollowing the Medical Research Council framework for developing complex interventions, this study includes two steps. In step 1, guided by the Evidence to Decision framework, qualitative interviews were conducted with stakeholders (older women with urinary incontinence and community doctors) to find out their needs and preferences regarding the intervention, as well as to identify key factors influencing the intervention adherence. In step 2, an initial draft of the complex intervention was constructed based on the information generated from the qualitative interviews. Further refinements were made through expert consultations before a final version was reached.

resultsA total of 13 older women with urinary incontinence and 14 community doctors were interviewed in the first step. Stakeholders preferred a combination of group-based pelvic floor muscle training in community activity rooms and self-directed home pelvic floor muscle training, with a frequency of 2-3 times per week. Five facilitators and five barriers affecting adherence to the intervention among community-dwelling older women with urinary incontinence were identified, and coping measures were proposed accordingly.

conclusionsA tailored complex intervention was developed, including a core component (pelvic floor muscle training), along with six supplementary components (physical assessment, health education, reminders and supervision, group discussion, reward system, and flexible schedule).

Indexed as

Exercise TherapyUrinary IncontinenceAgedAged, 80 and overFemaleHumansIndependent LivingMiddle AgedPelvic FloorQualitative ResearchCommunityComplex interventionOlder womenUrinary incontinence

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 Socratic graph.