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. 2022 Mar 19;12(3):498.
doi: 10.3390/jpm12030498.

Women's Experiences with Compliance with Pelvic Floor Home Exercise Therapy and Lifestyle Changes for Pelvic Organ Prolapse Symptoms: A Qualitative Study

María Torres-Lacomba  1 , Beatriz Navarro-Brazález  1 , María José Yuste-Sánchez  1 , Beatriz Sánchez-Sánchez  1 , Virginia Prieto-Gómez  1 , Fernando Vergara-Pérez  1
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Women's Experiences with Compliance with Pelvic Floor Home Exercise Therapy and Lifestyle Changes for Pelvic Organ Prolapse Symptoms: A Qualitative Study

María Torres-Lacomba et al. J Pers Med. .

Abstract

In this study, we aimed to investigate women's experiences with compliance with prescribed pelvic floor muscle exercises (PFMEs) and lifestyle changes 6-12 months after completing an individual pelvic floor physiotherapy program. This study was targeted to understanding factors affecting adherence to PFMEs and lifestyle changes to deal with pelvic organ prolapse (POP) symptoms. We designed this research as a descriptive qualitative study. We conducted this study from December 2016 to September 2017 in Madrid, Spain. Twenty-six women with symptomatic POP selected using a purposive sampling method participated in six focus groups and three one-to-one semi-structured interviews. Three authors coded and inductively analyzed transcript contents with iterative theme development. A thematic analysis revealed three main themes: (1) symptoms change; (2) PFMEs and lifestyle changes performance; and (3) a health practitioner-patient relationship. Women identified as adherent reported improvement in physical symptoms and emotional and general state as a result of the new knowledge achieved. Fear also promoted compliance with performing PFMEs and adopting lifestyle changes. Likewise, PFMEs preference and routine, integration of PFMEs and lifestyle changes into activities of daily living, support guides, therapeutic alliance, individual supervision, follow-up, and feedback were also identified as adherence facilitators. One of the biggest barriers that we identified was responsibility. Compliance with prescribed PFMEs and lifestyle changes can be improved with effective individual, women-centered, and supervised physiotherapy programs reducing symptoms, including exercises aligned with women's preferences that are easy to integrate in daily living, promoting knowledge and awareness of their condition, providing written or electronic guidelines, with routine follow-up visits offering both positive feedback and clear and consistent messages, and enhancing therapeutic alliance.

Keywords: lifestyle changes; pelvic floor muscle exercises; pelvic organ prolapse; therapeutic adherence; women’s experience.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Summary of themes and codes. PFMEs: pelvic floor muscle exercises.
See this image and copyright information in PMC

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References

    1. Bugge C., Adams E.J., Gopinath D., Stewart F., Dembinsky M., Sobiesuo P., Kearney R. Pessaries (mechanical devices) for managing pelvic organ prolapse in women. Cochrane Database Syst. Rev. 2020;11:Cd004010. - PMC - PubMed
    1. de Albuquerque Coelho S.C., de Castro E.B., Juliato C.R. Female pelvic organ prolapse using pessaries: Systematic review. Int. Urogynecology J. 2016;27:1797–1803. doi: 10.1007/s00192-016-2991-y. - DOI - PubMed
    1. Pakbaz M., Persson M., Löfgren M., Mogren I. ‘A hidden disorder until the pieces fall into place’—A qualitative study of vaginal prolapse. BMC Women’s Health. 2010;10:18. doi: 10.1186/1472-6874-10-18. - DOI - PMC - PubMed
    1. Bo K., Frawley H.C., Haylen B.T., Abramov Y., Almeida F.G., Berghmans B., Bortolini M., Dumoulin C., Gomes M., McClurg D., et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for the conservative and nonpharmacological management of female pelvic floor dysfunction. Neurourol. Urodyn. 2017;36:221–244. doi: 10.1002/nau.23107. - DOI - PubMed
    1. Hunskaar S., Burgio K.L., Clark A., Lapitan M.C., Nelson R., Sillen U. Epidemiology of Urinary (UI) and Faecal (FI) Incontinence and Pelvic Organ Prolapse (POP) In: Abrams P., Cardozo L., Khoury S., Wein A., editors. Incontinence. 3rd ed. International Continence Society; Bristol, UK: 2005. pp. 255–312.

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