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Effect of a bladder control self-management program delivered through a health kiosk

Zhang, Yuchen (2021) Effect of a bladder control self-management program delivered through a health kiosk. Undergraduate Thesis, University of Pittsburgh. (Unpublished)

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Urinary incontinence (UI) is a chronic yet underreported condition that is negatively impacting the overall health status and quality of life (QoL) of the older adults in our community. People with UI symptoms often delay or abstain from UI-related medical care due to social stigma and the misconception of UI as a part of natural aging. Behavioral interventions are first-line conservative management methods to help people minimize urinary incontinent episodes and related symptoms. Providing behavioral interventions through a self-management delivery program can increase access to care and ease the financial burden on the healthcare system. The purpose of this secondary analysis is to examine the feasibility of delivering a bladder control self-management program through a Health Kiosk and its effect on urinary incontinence and incontinence-specific quality of life. Changes in incontinent episodes were measured by 7-day bladder diaries, and changes in incontinence-specific quality of life were measured with the Incontinence Impact Questionnaire Short Form (IIQ-7). A total of 111 participants from the parent study met eligibility criteria for the current study; 61 of these individuals accessed the six-session Bladder Control Module (BCM). Multivariate analysis revealed that being retired and self-reporting current depression were positively associated with accessing the BCM whereas self-reporting current anxiety decreased participants’ likelihood of accessing the BCM. For participants recording incontinent episodes in their baseline bladder diary and completing between three and six sessions of the BCM, there were statistically significant decreases in the median number of total UI episodes (p=0.01), urge UI episodes (p<0.001), and stress UI episodes (p=0.02). Incontinence-related quality of life also improved significantly (p=0.03). Overall, these findings support the potential effectiveness of independently completed self-management programs such as the BCM in increasing access to conservative interventions and improving incontinence-related outcomes for older adults who suffer from UI. Additional research with a larger sample is needed to confirm these findings.


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Item Type: University of Pittsburgh ETD
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Zhang, Yuchenyuz152@pitt.eduyuz152
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee ChairEngberg, Sandra Jsje1@pitt.edusje1
Committee MemberMatthews, Judith Tjtmatt@pitt.edujtmatt
Committee MemberKariuki, Jacob Kkigok@pitt.edukigok
Committee MemberCourtney, Karen
Date: 8 December 2021
Date Type: Publication
Defense Date: 29 November 2021
Approval Date: 8 December 2021
Submission Date: 6 December 2021
Access Restriction: 2 year -- Restrict access to University of Pittsburgh for a period of 2 years.
Number of Pages: 45
Institution: University of Pittsburgh
Schools and Programs: University Honors College
School of Nursing > Nursing
Degree: BSN - Bachelor of Science in Nursing
Thesis Type: Undergraduate Thesis
Refereed: Yes
Uncontrolled Keywords: Urinary incontinence; UI-related self-management; e-health
Date Deposited: 08 Dec 2021 13:41
Last Modified: 08 Dec 2021 13:41


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