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Behaviour therapies reduced urinary incontinence in older adults who were homebound and cognitively intact

https://doi.org/10.1136/ebn.3.1.24

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    McDowell BJ, Engberg S, Sereika S, et al. Effectiveness of behavioral therapy to treat incontinence in homebound older adults. J Am Geriatr Soc1999 Mar;47:309–18.OpenUrlPubMedWeb of Science

    QUESTION: Do behaviour therapies reduce urinary incontinence in homebound older adults who are cognitively intact?

    Design

    Randomised (unclear allocation concealment), unblinded, controlled crossover trial.

    Setting

    Southwestern Pennsylvania, USA.

    Participants

    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 …

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    Footnotes

    • Source of funding: Molnlycke/Scott Health Care.

    • For correspondence: Dr B Joan McDowell, University of Pittsburgh School of Nursing, 462 Victoria Building, University of Pittsburgh, Pittsburgh, PA 15261, USA. Fax +1 412 341 3292.