# Perceptions of a 'Pelvic-Floor Friendly' Group Exercise Class in Women with Urinary Incontinence
## 3 Results and Discussion
### Target Audience  
All participants perceived the class advertised in Poster 1 as being for young women aged 20 to 30 and, although Poster 2 used the same imagery, participants' perceptions of the targeted age range increased to women 'between 20 and 45'. The survey did not request clarification of why this might be; however, Poster 2 replaced the \"45 min of non-stop dancing\" in Poster 1 with \"pelvic-floor friendly\" and added a note of being endorsed by a Pelvic Floor Association at the bottom. It may be that these expressions foster associations with common stereotypes, which often suggest UI is an older woman's issue [82], leading participants to assume a wider age group is included. Nevertheless, it is positive that study participants felt Poster 2 was more inclusive to a wider age range of women, suggesting it may also help encourage younger women who also leak during PA, to participate. While UI affects younger women less than midlife or older women, [PERSON] et al. [124] found 14.8% of their non-exercising healthy nulliparous young women (mean age = 24.45) and almost 40% of all their young female participants (exercising and non-exercising combined) reported some degree of unexpected UI. Given that developing a long-term PA habit at a young age has been reported to positively impact many conditions associated with ageing, as well as all-cause mortality [125; 126], it would seem important to avoid excluding \begin{table}
\begin{tabular}{c c c c c c c c c} \hline \hline \multirow{3}{*}{**Group**} & \multirow{3}{*}{**Poster**} & **Confidence in** & \multirow{3}{*}{**Would Participants Consider**} & \multicolumn{2}{c}{**Is Enough**} & \multicolumn{2}{c}{**Does the**} \\  & & **Attending the Advertised Class?** & & & **Information** & & **Advertised Class Metet** \\  & & **Advertised Class** & & & **Provided to Assess UI Risk?** & & **Participant’s PA Needs?** \\ \cline{2-10}  & & \multicolumn{2}{c}{**Mean Score**} & \multirow{2}{*}{**Yes**} & \multirow{2}{*}{**No**} & \multirow{2}{*}{**Yes**} & \multirow{2}{*}{**No**} & \multirow{2}{*}{**Yes**} & \multirow{2}{*}{**No**} \\  & & **1** = No Confidence** & & & & & **\%** \\  & & **7** = Very Confident** & & & & & \\ \hline Intervention & \multirow{2}{*}{1} & 1.67 & 0 & 100 & 17 & 83 & 0 & 100 \\ Control & & 1.44 & 0 & 100 & 33 & 67 & 0 & 100 \\ \hline Intervention & \multirow{2}{*}{2} & 4.67 & 50 & 50 & 50 & 50 & 17 & 83 \\ Control & & 4.67 & 67 & 33 & 44 & 56 & 22 & 78 \\ \hline Intervention & \multirow{2}{*}{3} & 6.67 & 83 & 17 & 100 & 0 & 100 & 0 \\ Control & & 6.67 & 78 & 22 & 100 & 0 & 100 & 0 \\ \hline \hline \end{tabular}
\end{table} 
Table 4: Group PA advertising survey closed question responses. younger women in pelvic floor-friendly group PA promotion. Encouraging young women to perform effective PFEs from a younger age may also help maintain a strong pelvic floor, which could help avoid UI later in life. Poster 3 was overwhelmingly perceived as reflecting the study participants' ages, with all suggesting that this advert was aimed at women over 40 years old. One control group participant commented, _\"These are my people. Larger, older, more realistic\"_, which suggests Poster 3 was more relatable to the midlife women in the study. Several of the participants also commented that it was \"clear\" that the advertisement was also aimed at those with pelvic floor issues, though none made a similar claim for Poster 2 despite the wording it contained, suggesting Poster 2 may not be clear enough. As discussed during the focus group, if incontinent women dismiss PA promotional literature because it does not provide the level of detail required to accurately judge their risk of leaking urine, changing urinary incontinent women's exercise behaviour is likely to remain unsuccessful, particularly regarding those women who have withdrawn completely from PA due to UI and are in the pre-contemplative stage.