Griffiths, Frances, Pepper, Jo, Jørstad-Stein , Ellen C., Fereday Smith, Jan, Hill, Lesley and Lamb, S. E. (Sallie E.). (2009) Group versus individual sessions delivered by a physiotherapist for female urinary incontinence: an interview study with women attending group sessions nested within a randomised controlled trial. BMC Women's Health, Vol.9 . ISSN 1472-6874

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Abstract

Background: The aim was to explore the concerns and expectations of women invited to attend group physiotherapy sessions for the management of female urinary incontinence and whether the experience changed their views; and to gather recommendations from women attending group sessions on the design and delivery of these sessions Methods: An interview study nested within a randomised controlled trial in five British NHS physiotherapy departments, including 22 women who had expressed a preference for an individual physiotherapy session but were randomised to, and attended, group sessions. Results: Embarrassment was woven throughout women's accounts of experiencing urinary incontinence and seeking health care. Uncertainty about the nature of group sessions was a source of concern. Attending the first session was seen as a big hurdle by many women. However, a sense of relief was common once the session started, with most women describing some benefit from attendance. Recommendations for design and delivery of the sessions from women focused on reducing embarrassment and uncertainty prior to attendance. Conclusion: Taking account of women's embarrassment and providing detailed information about the content of group sessions will enable women to benefit from group physiotherapy sessions for the management of female urinary incontinence.

Item Type:	Journal Article
Subjects:	R Medicine > RM Therapeutics. Pharmacology
Divisions:	Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Physical therapy -- Great Britain, Urinary incontinence -- Great Britain, Women -- Health and hygiene -- Great Britain, Physical therapy -- Study and teaching
Journal or Publication Title:	BMC Women's Health
Publisher:	BioMed Central Ltd.
ISSN:	1472-6874
Date:	10 September 2009
Volume:	Vol.9
Identification Number:	10.1186/1472-6874-9-25
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Open Access
References:	1. Lamb S, Pepper J, Lall R, Jorstad-Stein E, Clark M, Hill L, Fereday- Smith J: Group treatments for sensitive health care problems: An appraisal of physiotherapy for female urinary incontinence. BMC Women's Health 2008 in press. 2. O'Brien J: Evaluating primary care interventions for incontinence. Nurs Stand 1996, 10(23):40-43. 3. Demain S, Smith JF, Hiller L, Dziedzic K: Comparison of Group and Individual Physiotherapy for Female Urinary Incontinence in Primary Care: Pilot study. Physiotherapy 2001, 87(5):235-242. 4. Vesergaard A: Promoting continence in group sessions. Journal of the Association of Chartered Physiotherapists in Women's Health 1997, 80:27-29. 5. Janssen CC, Lagro-Janssen AL, Felling AJ: The effects of physiotherapy for female urinary incontinence: individual compared with group treatment. BJU Int 2001, 87(3):201-206. 6. Pepper J, Lamb S, Doughty G, Fereday-Smith J: Group treatment: An acceptable and effective method of physiotherapy for bladder problems? Journal of the Association of Chartered Physiotherapists in Women's Health 2003, 93:15-18. 7. Green J, Thorogood N: Qualitative Methods for Health Research London: SAGE Publications Ltd; 2004. 8. Horrocks S, Somerset M, Stoddart H, Peters TJ: What prevents older people from seeking treatment for urinary incontinence? A qualitative exploration of barriers to the use of community continence services. Fam Pract 2004, 21(6):689-696.
URI:	http://wrap.warwick.ac.uk/id/eprint/2174

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