Roberts Shelley, Howard Zara, Weir Kelly A, Nucifora Jennifer, Baker Nadine, Smith Leanne, Townsend Heidi, Ross Lynda
School of Allied Health Sciences, Griffith University, Gold Coast, QLD 4222, Australia.
Gold Coast Hospital and Health Service, Gold Coast, QLD 4215, Australia.
Healthcare (Basel). 2021 Mar 2;9(3):265. doi: 10.3390/healthcare9030265.
Urinary incontinence (UI) affects many women and impacts quality of life. Group-based interventions may be an effective and efficient method for providing UI care; however, interventions must be acceptable to patients to have an impact. This study aimed to explore patients' perceptions of an exercise training and healthy eating group program (ATHENA) for overweight and obese women with UI. This qualitative descriptive study involved semi-structured interviews with a subset of participants sampled from a feasibility study of ATHENA. The ATHENA intervention was co-developed with end-users and implemented in Women's Health Physiotherapy services at an Australian hospital. Interviews were recorded, transcribed and analysed thematically. Eleven female patients participated (mean ± SD age 54.2 ± 9.9 years; body mass index 30.5 ± 3.25 kg/m). Participants found ATHENA highly acceptable, with three themes emerging from interviews: (1) Participants' journey of change through ATHENA, describing the shifts in knowledge, attitudes, behaviours and symptoms participants experienced; (2) High satisfaction with ATHENA, including educational content, exercise components and delivery style; and (3) Group setting integral to ATHENA's success, with participants providing support, building friendships, and facilitating each other's learning. Overall, ATHENA was acceptable to participants, who provided each other with peer support; an unexpected moderator to ATHENA's success.
尿失禁（UI）影响着许多女性，对生活质量产生影响。基于群体的干预措施可能是提供尿失禁护理的一种有效且高效的方法；然而，干预措施必须为患者所接受才能产生效果。本研究旨在探讨超重和肥胖的尿失禁女性患者对一项运动训练与健康饮食群体项目（ATHENA）的看法。这项定性描述性研究涉及对从ATHENA可行性研究中抽取的一部分参与者进行半结构化访谈。ATHENA干预措施是与最终用户共同开发，并在澳大利亚一家医院的女性健康物理治疗服务中实施。访谈进行了录音、转录并进行主题分析。11名女性患者参与（平均年龄±标准差为54.2±9.9岁；体重指数为30.5±3.25kg/m²）。参与者认为ATHENA非常可接受，访谈中出现了三个主题：（1）参与者通过ATHENA的改变历程，描述了参与者在知识、态度、行为和症状方面所经历的转变；（2）对ATHENA高度满意，包括教育内容、运动部分和授课方式；（3）群体环境是ATHENA成功的不可或缺因素，参与者相互提供支持、建立友谊并促进彼此学习。总体而言，ATHENA为参与者所接受，他们相互提供同伴支持；这是ATHENA成功的一个意外促进因素。
