Behaviour therapies reduced urinary incontinence in older adults who were homebound and cognitively intact
QUESTION: Do behaviour therapies reduce urinary incontinence in homebound older adults who are cognitively intact?
Randomised (unclear allocation concealment), unblinded, controlled crossover trial.
Southwestern Pennsylvania, USA.
105 adults ≥60 years of age (mean age 77 y, 91% women, 93% white) who had nurse confirmed urinary incontinence (≥2 urinary accidents/wk and incontinence persisting for ≥3 mo), met the Health Care Financing Administration criteria for being homebound, and were cognitively intact (Folstein Mini Mental State Examination score ≥24). Participants had a mean of 8 medical problems and 53% had functional limitations. Participants were identified and referred by homecare nurses. Exclusion criteria were severe pelvic prolapse, terminal illness, post-void residual >100 ml, inability to toilet independently, or inability to provide satisfactory self report of bladder diary …