{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T14:27:17Z","timestamp":1791296837056,"version":"4.1.0"},"reference-count":35,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,6,11]],"date-time":"2024-06-11T00:00:00Z","timestamp":1718064000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To develop a conceptual framework for proactive health behavior among middle\u2010aged and older adult females with urinary incontinence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Qualitative grounded theory study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>There is a growing body of research emphasizing the pivotal significance of proactive health behavior. Proactive health behavior can empower patients to actively manage their illnesses and facilitate disease recovery. Clearly defining patients' relevant beliefs and assumptions regarding proactive health behavior can effectively promote their adoption. However, there is currently a lack of relevant research in this area.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted in\u2010depth interviews with middle\u2010aged and older adult females with urinary incontinence (<jats:italic>n<\/jats:italic>\u2009=\u200917) and nursing caregivers (<jats:italic>n<\/jats:italic>\u2009=\u20099). We used theoretical sampling, whlie conducting continuous comparative analysisi and data collection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study has yielded a substantive theory to facilitate healthcare professionals' comprehension of proactive health behavior in middle\u2010aged and older adult females with urinary incontinence. The foundation for middle\u2010aged and older adult females to adopt proactive health behavior is having a certain level of health literacy regarding their conditions. Patients\u2019 internal motivation to engage in proactive health behavior includes a sense of health responsibility and health demands. Additionally, external support received by patients can also facilitate their adoption of proactive health behavior. The proactive health behavior practices of middle\u2010aged and older adult females mainly include proactive medical care behavior and establishing a healthy lifestyle.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The conceptual framework established in this study offers theoretical support for middle\u2010aged and older adult females with urinary incontinence to adopt proactive health behavior. It provides a basis for future exploration of proactive health behavior among this demographic and informs the development of more effective health interventions and support measures tailored to their needs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Impact<\/jats:title><jats:p>The study specifically elucidates the mechanisms and manifestations of proactive health behavior adopted by middle\u2010aged and older adult females with urinary incontinence, laying the foundation for clarifying the level of proactive health among patients and implementing corresponding intervention measures. Additionally, it can also serve as a reference for related research on other diseases.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.25526","type":"journal-article","created":{"date-parts":[[2024,6,11]],"date-time":"2024-06-11T05:57:00Z","timestamp":1718085420000},"page":"2005-2016","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Proactive health behavior in middle\u2010aged and older adult females with urinary incontinence: A grounded theory study"],"prefix":"10.1002","volume":"43","author":[{"given":"Yingying","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Nursing, Shenzhen Hospital Southern Medical University Guangdong China"},{"name":"School of Nursing Southern Medical University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Nursing, Shenzhen Hospital Southern Medical University Guangdong China"},{"name":"School of Nursing Southern Medical University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1480-2285","authenticated-orcid":false,"given":"Yingjie","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Nursing, Shenzhen Hospital Southern Medical University Guangdong China"},{"name":"School of Nursing Southern Medical University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Surui","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Nursing, Shenzhen Hospital Southern Medical University Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Nursing, Shenzhen Hospital Southern Medical University Guangdong China"},{"name":"School of Nursing Southern Medical University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Nursing, Shenzhen Hospital Southern Medical University Guangdong China"},{"name":"School of Nursing Southern Medical University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2354-5199","authenticated-orcid":false,"given":"Wenzhi","family":"Cai","sequence":"additional","affiliation":[{"name":"Department of Nursing, Shenzhen Hospital Southern Medical University Guangdong China"},{"name":"School of Nursing Southern Medical University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8668-4145","authenticated-orcid":false,"given":"Wei","family":"Ren","sequence":"additional","affiliation":[{"name":"Department of Nursing, Shenzhen Hospital Southern Medical University Guangdong China"},{"name":"School of Nursing Southern Medical University Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,11]]},"reference":[{"issue":"4","key":"e_1_2_11_2_1","first-page":"10","article-title":"Diagnosis and therapy of female urinary incontinence. 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