Viewing Study NCT05892575



Ignite Creation Date: 2024-05-06 @ 7:05 PM
Last Modification Date: 2024-10-26 @ 3:00 PM
Study NCT ID: NCT05892575
Status: NOT_YET_RECRUITING
Last Update Posted: 2023-06-07
First Post: 2023-03-06

Brief Title: The Effect of Incontinence Program Applied to Obese Elderly on Quality of Life Coping and Loneliness
Sponsor: Ondokuz Mayıs University
Organization: Ondokuz Mayıs University

Study Overview

Official Title: The Effect of Urinary Incontinence Management Program in Obese Elderly on Quality of Life Coping With Incontinence and Loneliness
Status: NOT_YET_RECRUITING
Status Verified Date: 2023-06
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: The goal of this It was planned in a single-blind randomized controlled pre-test-post-test experimental research design The aim of this study is to determine the effect of urinary incontinence management program on quality of life coping with incontinence and loneliness in obese elderly

The main questions it aims to answer are

Does the Urinary Incontinence Management Program prepared for the obese elderly affect the quality of life coping with incontinence and loneliness levels of the elderly in the experimental and control groups After the Urinary Incontinence Management Program prepared for the obese elderly is there an increase in the incontinence quality of life of the obese elderly in the experimental group compared to the obese elderly in the control group After the Urinary Incontinence Management Program prepared for the obese elderly is there an increase in the level of coping with incontinence of the obese elderly in the experimental group compared to the obese elderly in the control group After the Urinary Incontinence Management Program prepared for the obese elderly is there a decrease in the loneliness levels of the obese elderly in the experimental group compared to the obese elderly in the control group After the Urinary Incontinence Management Program prepared for the obese elderly is there an increase in the incontinence quality of life coping with incontinence and loneliness levels of the elderly in the experimental group after the intervention compared to the pre-intervention
Detailed Description: Worldwide there is a transition from a young population structure to an aging population structure and life expectancy at birth is increasing As the global growth of the elderly population will continue we are moving towards an aging world

According to the World Health Organization it is estimated that the population aged 60 and over will reach 2 billion by 2050 With increasing age changes occur in every system in the body One of these systems is the urinary system

UI suggests that it may be an early marker of the onset of frailty In the elderly UI is expressed as the 4th most disturbing disease after angina difficulty in ambulation and psychiatric disorders Among the UI subtypes stress urinary incontinence and urge urinary incontinence are the most common and urge urinary incontinence is seen especially in the elderly

UI occurs as a result of deterioration in pelvic floor structure functionsObesity is the best known and potentially the most modifiable risk factor for the development of UI leading to pelvic floor deficiencies There is a strong and positive relationship between obesity and urinary incontinence

Compared with patients of normal weight obese patients are approximately twice as likely to present with urinary incontinence

Individuals may experience physical and psychosocial limitations due to UI and their quality of life may be adversely affected As a result of this situation anxiety depression deterioration in sexual life decrease in physical activity loss of self-confidence and social isolation problems can be seen All these conditions are in themselves associated with poor quality of life

Urinary incontinence is rarely reported especially in older adults as it is believed to be a natural consequence of aging and that there is no clear management approach or cure Therefore individuals with UI do not seek help from family members or healthcare providers for urinary incontinence symptoms for various reasons However despite experiencing urinary incontinence people may not seek treatment for reasons such as ignorance ignorance not being able to find time to go to the doctor thinking about urinary incontinence as normal or rejecting or hiding incontinence Individuals with urinary incontinence do not seek help and try to cope with this problem on their own

UI that negatively affects psychological and social well-being and quality of life Decreased self-confidence of the individual brings along problems such as living alone and escaping from society Individuals sometimes reduce or avoid social contacts and activities to control UI This leads to increased social isolation and feelings of loneliness

It is stated that conservative treatment methods can be used in the first-line treatment of urinary incontinence In the guidelines of the European Association of Urology it is emphasized that conservative treatment methods of urinary incontinence should be used as the first choice in the treatment of patients Conservative treatment methods include lifestyle changes weight loss smoking cessation diet regulation regulation of fluid consumption behavioral treatments and pelvic floor muscle training Among these methods pelvic floor muscle exercises come to the fore In the treatment of urinary incontinence of the frail elderly pelvic floor exercises are included in the first-line treatment

Incontinence is also related to nutrition Nutrition can affect lower urinary system functions In order to prevent or reduce UI the European Urology Association 2020 guideline states that different lifestyle practices such as reducing caffeinated beverages regulating fluid intake and quitting smoking together with weight loss have an effect on UI symptoms

Some exercises can reduce urinary incontinence symptoms Characterized by a gentlegentle slow and coordinated sequence of movements Tai-Chi exercise is a suitable form of exercise for older adults as it involves minimal strain on the joints and cardiovascular system Tai chi exercise is an easy-to-learn and ubiquitous exercise recommended for both men and women in conditions related to the pelvic area and for improving health in the elderly In one study Tai Chi improved the quality of life of elderly women with overactive bladder syndrome emergency urinary incontinence In another study it was found that men with lower urinary tract symptoms performed tai chi and a significant result was obtained compared to men without lower urinary tract symptoms

Health-promoting measures for older adults with UI are necessary to maintain their well-being and prolong healthy life expectancy It will be important to create a training componentplan for this Considering learning principles in planned adult education activities can contribute to the formation of an effective learning environment for adults Knowles brought a different and systematic perspective to the subject of adult learning In this context training components can be prepared according to Knowles adult learning principles

It is recommended to use some models and theories especially behavior modification theories for those with incontinence problems to acquire healthy lifestyle behaviors Health Belief Model SIM is one of the best models that can be used to develop knowledge attitudes beliefs about urinary incontinence and to create behavior towards kegel exercise which is one of the effective methods in preventing urinary incontinence

Studies for the prevention of urinary incontinence are limited in the literature and interventional studies based on a theoretical background have not been found In this study the Incontinence Management Program based on Knowles Adult Learning Principles and Health Belief Model will be used

According to Knowles Adult Learning Principles which gives a different and systematic perspective to adult learning no national or international study on obese elderly people has been found in the literature At the same time although SIM is used for more than one disease and various studies have been conducted no study has been found to strengthen the motivation to change behavior in order to ensure continuity for obese elderly people In addition no study has been found in the literature in which the effectiveness of an education in which lifestyle behaviors based on Knowles Adult Learning Principles and Health Belief Model Kegel exercises and Tai Chi exercises are applied in the management of UI

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: False
Is a FDA Regulated Device?: False
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None