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The development of an Incontinence Treatment Motivation Questionnaire for patients undergoing pelvic floor physiotherapy in the treatment of stress incontinence
Authors:Susmita Sarma  Graeme Hawthorne  Kiran Thakkar  Wendy Hayes  Kate H. Moore
Affiliation:(1) The University of New South Wales, Sydney, Australia;(2) Department of Psychiatry, The University of Melbourne, Melbourne, Australia;(3) Obstetrics and Gynaecology, The University of New South Wales, Sydney, Australia;(4) First Floor, Pitney Clinical Sciences Building, St George Hospital, Gray St, Sydney, NSW, Australia, 2217
Abstract:Introduction and hypothesis  The aim of this paper is to develop a motivation questionnaire regarding perseverance in pelvic floor muscle training (PFMT) supervised by physiotherapists for stress urinary incontinence. Methods  Sixteen semi-structured interviews were conducted in women with stress urinary incontinence that revealed 15 common themes; 117 items were constructed and reviewed by continence advisors. Surviving items (n = 73) were administered to 210 women. Data were analysed for item properties, factor analysis was used to examine the questionnaire structure and tests of convergence/divergence used to check for sensitivity. Results  The Incontinence Treatment Motivation Questionnaire (ITMQ) comprises 18-items in five scales, assessing attitudes towards treatment (72.62% of explained variance; α = 0.87), reasons for not doing PFMT (55.73%; α = 0.74), living with incontinence (62.70% variance; α = 0.70), desire for treatment (65.37% variance; α = 0.74) and the effect of incontinence severity on PFMT (51.62% variance, α = 0.68). Scales were generally sensitive to known group differences. Conclusions  This study represents the first effort to develop a motivation scale for PFMT. This validated Motivation Questionnaire is an instrument to test the impact of motivation upon cure, in PFMT. The work was carried out at the Pelvic Floor Unit, St George Hospital, Kogarah, NSW, Australia 2217.
Keywords:Motivation questionnaire  Pelvic floor muscle training  Treatment adherence  Urinary incontinence
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