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Self-Efficacy as a Predictor to PFMT Adherence in a Prevention of Urinary Incontinence Clinical Trial

Kidney Epidemiology and Cost Center, School of Public Health, University of Michigan, Ann Arbor, kasey{at}umich.edu

Sandra H. Hines, MS, RNC

School of Nursing, University of Michigan, Ann Arbor

T.E. Raghunathan, PhD

Department of Biostatistics, School of Public Health and Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor

Julia S. Seng, PhD, CNM

Institute for Research on Women and Gender, Department of Obstetrics and Gynecology and School of Nursing, University of Michigan, Ann Arbor

Ananias C. Diokno, MD

Department of Urology, William Beaumont Hospital, Royal Oak, Michigan

Carolyn M. Sampselle, PhD, RNC

School of Nursing, University of Michigan, Ann Arbor

Past research suggests a positive correlation between self-efficacy (SE) and adherence to behavioral interventions. Less is known about SE and adherence in behavioral programs that are preventive in nature and specific to urinary incontinence (UI). Using treatment-group data from a previously reported randomized controlled trial, the authors assess the role of SE in predicting adherence to pelvic-floor muscle training (PFMT) for UI prevention in a sample of postmenopausal women. Results indicate that at 12 months follow-up, nearly 70% of participants reported medium or high adherence, performing the recommended PFMT regimen 2 to 3 times per week or more. Summary scores of both Task SE, β = .25, SE (β) = .08, p < .01, and Regulatory SE, β = .43, SE (β) = .06, p < .0001, predict adherence. Also, the authors found a modest decline in self-efficacy scores over time. These findings highlight the importance of SE in sustained behavioral change.

Key Words: self-efficacy • adherence • prevention

This version was published on December 1, 2007

Health Education & Behavior, Vol. 34, No. 6, 942-952 (2007)
DOI: 10.1177/1090198106295399


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