Training and Counseling Program for Overactive Bladder Treatment
Condition: Overactive Bladder
MeSH terms: Urinary Bladder, Overactive
Study type: Interventional

Summary: 
      The study concluded that HLSB training reduced OAB symptoms among women, improved the quality
      of their lives, changed their HLSBs, and positively affected their mental states. Thus, a
      holistic approach to the treatment of women with OAB increased the success of the treatment.
    

Detailed description: 
      The population of this study included all women who received treatment in the Urogynecology
      Outpatient Clinic of the Gynecology and Obstetrics Department in İstanbul Faculty of Medicine
      at İstanbul University between January 2015 and October 2016. Permission was obtained for the
      study from the Ethics Committee of İstanbul University Cerrahpaşa Faculty of Medicine and
      İstanbul University İstanbul Faculty of Medicine. The study sample included 100 women
      diagnosed with OAB syndrome. Of them, 50 were selected for the intervention group and 50 were
      selected for the control group.

      Detailed information was given to the women beginning pharmacological treatment who met the
      inclusion criteria, and their consent was obtained using an Informed Voluntary Consent Form.
      During the pharmacological treatment, anticholinergic drugs, which contained active
      ingredients such as tolterodine 4 mg/day, trospium cl 60 mg/day, fesoterodine 4-8 mg/day, and
      solifenacin 5 or 10 mg/day were prescribed. The women in each group were instructed to take
      the prescribed anticholinergic drugs regularly, informed about the side effects of these
      drugs, and advised on the situations when they should seek immediate treatment before their
      next scheduled appointment. The women with OAB were divided into groups using random
      allocation (by drawing lots). To set an equal distribution of patients into the intervention
      and control groups, the group of the first patient was determined by lot, and the next
      patient was allocated to the other group.

      The control group was not provided with training. In addition to the pharmacological
      treatment, the intervention group was provided with a counseling and training program that
      consisted of a 45-minute presentation based on Pender's Health Promotion Model. Within the
      scope of the counseling and training program, the patients were given information about the
      female reproductive system, anatomy and physiology of the urinary system, OAB definition, OAB
      symptoms, and HLSBs (adequate fluid intake, diet, prevention methods for urinary tract
      infections, weight control, regular bowel movements, smoking cessation, treatment of chronic
      diseases, and regular medication). The patients were informed about the importance of
      concentration, learning about pelvic floor muscle contraction and exercises and performing
      them regularly, as well as designing bladder training programs and sticking to them to manage
      urgency and urinary incontinence. They were also given "A Manual for Training on Healthy
      Lifestyle Behaviors among Women with Overactive Bladder". Figure 1 shows the HLSB development
      based on Pender's Health Promotion Model in OAB treatment.

      The intervention group was requested to follow a weekly-scheduled bladder training program,
      keep records on the Urinary Diary form for six weeks, and bring this form at the end of each
      week. The researcher called each patient 8-10 times: every week during the first six weeks
      and once a month afterwards to encourage implementation of the practices for three months
      starting from the first interview. During the phone calls, the patients were asked about
      their drug use, average daily fluid intake, and any concerns as well as state of performing
      pelvic floor muscle contraction and exercises, sticking to the scheduled bladder training
      hours, and weight loss. The data obtained through these calls were recorded on the Practice
      Registration Form. The control group, on the other hand, was called once a month and
      instructed to continue taking their drugs, which was also recorded on the form.

      In the first interview and in the third month, the women in the intervention and control
      groups were administered the Introductory Information Form, Urinary Diary (4-day), 24-hour
      Standard Pad Test, Overactive Bladder Questionnaire (OAB V8), King's Health Questionnaire
      (KHQ), Healthy Lifestyle Behavior Scale II (HLSB II), and Brief Symptom Inventory (BSI). In
      addition, an Inspection Form was administered in the third month.
    

Intervention name(s): a counseling and training program that consisted of a 45-minute presentation based on Pender's Health Promotion Model. Within the scope of the counseling and training program
Intervention type(s): Behavioral
Intervention description(s): The intervention group was provided with a counseling and training program that consisted of a 45-minute presentation based on Pender's Health Promotion Model.
Other intervention name(s): The control group was not provided with training
Intervention model: Single Group Assignment
Intervention model description: The study sample included 100women (50 for the intervention and 50 for the control group) diagnosed with OAB syndrome. The control group was not provided with training. In addition to the pharmacological treatment, the intervention group was provided with a counseling and training program that consisted of a 45minute presentation based on Pender's Health Promotion Model. They were also given "A Manual for Training on HealthyLifestyleBehaviors among women with OAB". The intervention group was requested to follow a weekly-scheduled bladder training program, keep records on the Urinary Diary form for six weeks. In the first interview and in the third month, the women in the intervention and control groups were administered the Introductory Information Form, Urinary Diary (4day), 24hour Standard Pad Test, OAB-V8, King'sHealthQuestionnaire, Healthy LifestyleBehaviorScaleII, and BriefSymptomInventory. In addition, an Inspection Form was administered in the third month.
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: Overactive bladder; healthy lifestyle behaviors; quality of life