Howard Zara, Ross Lynda, Smith Leanne, Baker Nadine, Nucifora Jennifer, Townsend Heidi, Weir Kelly, Roberts Shelley
Gold Coast Hospital and Health Service, Southport QLD 4215, Australia.
School of Exercise and Nutrition Services, Kelvin Grove Campus, Queensland University of Technology, Kelvin Grove QLD 4059, Australia.
Healthcare (Basel). 2020 Dec 18;8(4):575. doi: 10.3390/healthcare8040575.
Despite strong evidence for supervised pelvic floor muscle training (PFMT) for women with urinary incontinence (UI), and weight loss and exercise for overweight and obese women with UI, implementation literature on these combined interventions is limited. This paper aimed to describe the rigorous and systematic processes involved in the collaborative development, implementation, refinement and evaluation of a novel, holistic 12 week exercise training and healthy eating group program (ATHENA) for overweight and obese women with UI.
METHODS/DESIGN: This intervention description paper is part of a larger mixed-methods feasibility study of implementing the ATHENA intervention within a physiotherapy service at a public hospital in Australia. The collaborative intervention design had input from clinicians, researchers and a consumer representative.
The intervention involved four evidence-based components-(1) supervised PFMT; (2) general exercise training; (3) pelvic health education; and (4) healthy eating education-delivered face to face over a 12 week period. Supporting resources developed included a Facilitator's Guide and Participant Workbook.
ATHENA is an evidence-based, multifaceted, group-based intervention targeting exercise training and healthy eating for management of UI for overweight and obese women. The structured development process and transparency of intervention content and resources aims to enhance practical application and success in future studies.
尽管有充分证据表明，对于尿失禁（UI）女性，监督下的盆底肌肉训练（PFMT），以及对于超重和肥胖的UI女性，减重和运动是有效的，但关于这些联合干预措施的实施文献有限。本文旨在描述一个针对超重和肥胖UI女性的新颖、全面的12周运动训练和健康饮食团体项目（ATHENA）的协作开发、实施、完善和评估所涉及的严格且系统的过程。
方法/设计：本干预描述性论文是一项更大规模的混合方法可行性研究的一部分，该研究在澳大利亚一家公立医院的理疗服务中实施ATHENA干预。协作性干预设计有临床医生、研究人员和一名消费者代表的参与。
该干预包括四个基于证据的组成部分——（1）监督下的PFMT；（2）一般运动训练；（3）盆腔健康教育；以及（4）健康饮食教育——在12周内面对面进行。开发的支持资源包括一份《促进者指南》和一本《参与者工作手册》。
ATHENA是一项基于证据的、多方面的、团体干预措施，针对超重和肥胖UI女性的运动训练和健康饮食进行管理。结构化的开发过程以及干预内容和资源的透明度旨在提高未来研究中的实际应用和成功率。
