Development and Pilot Testing of a Self-management Internet-based Program for Older Adults with Overactive Bladder

Abstract

To implement and pilot test our Self-Management Internet-Based Program for Older Adults with Overactive Bladder (OAB-SMIP) in a group of older adults with overactive bladder (OAB) to determine its usability and outcomes, including knowledge, self-efficacy, perception of bladder condition, and health-related quality of life. In a single-group study design with pre- and post-tests, we recruited 25 men and women age 55 or older with symptoms of OAB. The OAB-SMIP intervention consisted of 3 multimedia e-learning tutorials, social networking features, and other online resources delivered over 6 weeks. Participants enjoyed the OAB-SMIP and found it easy to use. Participants demonstrated increased knowledge (SMD=4.17, large effect size), and their symptoms improved after the intervention (SMD=1.20-1.30, large effect sizes). Participants improved their overall self-efficacy (SMD=1.84, large effect size) as well as their self-efficacy in performing pelvic muscle exercises (SMD=1.41, large effect size) and controlling urge symptoms (SMD=1.32, large effect size), and there were significant increases in health-related quality of life (SMD=1.13, large effect size) after exposure to the OAB-SMIP. We did not find any significant gender differences. Participants using the OAB-SMIP improved their knowledge, symptoms, self-efficacy in performing pelvic muscle exercises and overall management of OAB, as well as health-related quality-of-life scores.