{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T14:17:41Z","timestamp":1770819461631,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T00:00:00Z","timestamp":1764633600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T00:00:00Z","timestamp":1764633600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Urinary incontinence (UI) is a prevalent condition among women, yet many do not seek care due to limited knowledge and stigma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the effectiveness of a culturally tailored educational animation video in improving UI\u2010related knowledge, health\u2010seeking behavior, and quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A randomized controlled trial was conducted among 354 community\u2010dwelling women with UI in Sing Buri, Thailand. Participants were randomized to receive a 4.5\u2009min UI animation video or a control health education session. The primary outcome was UI knowledge proficiency (PIKQ\u2010UI), assessed immediately and at 2\u2010month follow\u2010up. Secondary outcomes included quality of life (IIQ\u20107) and health\u2010seeking behavior.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The intervention group demonstrated significantly higher UI knowledge proficiency post\u2010intervention (89% vs. 13%, RR 6.67,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and at 2 months (42% vs. 13%, RR 3.18,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). They also reported improved health\u2010seeking behavior (mean score 40.16 vs. 36.33,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and better quality of life (IIQ\u20107 score 25.67 vs. 31.20,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A brief, culturally adapted animation video significantly improved UI knowledge and health\u2010seeking behavior, and was associated with better quality of life compared with controls, although no significant within\u2010group improvement was observed from baseline. This low\u2010cost, scalable intervention may be valuable in resource\u2010limited settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>Thai Clinical Trials Registry TCTR20220601002 (retrospectively registered).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nau.70193","type":"journal-article","created":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T11:25:18Z","timestamp":1764674718000},"page":"359-366","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Educational Animation Video Improves Knowledge and Health\u2010Seeking Behavior in Women With Urinary Incontinence: A Randomized Controlled Trial"],"prefix":"10.1002","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-1323-2410","authenticated-orcid":false,"given":"Wanchat","family":"Komon","sequence":"first","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology, Faculty of Medicine Ramathibodi Hospital Mahidol University Bangkok Thailand"},{"name":"Phyathai 2 Hospital Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Komkrit","family":"Aimjirakul","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology, Faculty of Medicine Ramathibodi Hospital Mahidol University Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2187-9179","authenticated-orcid":false,"given":"Orawee","family":"Chinthakanan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology, Faculty of Medicine Ramathibodi Hospital Mahidol University Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1434-4627","authenticated-orcid":false,"given":"Rujira","family":"Wattanayingcharoenchai","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology, Faculty of Medicine Ramathibodi Hospital Mahidol University Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5302-4370","authenticated-orcid":false,"given":"Jittima","family":"Manonai","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynaecology, Faculty of Medicine Ramathibodi Hospital Mahidol University Bangkok Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,2]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.10052"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/13697137.2018.1543263"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(03)00220-0"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23568"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.18553\/jmcp.2014.20.2.130"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-012-1743-x"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23551"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-013-2276-7"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2007.02.051"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20473"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-018-3759-3"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/014107680309600504"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41433-020-0798-z"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000127"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-021-05020-5"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-008-0631-x"},{"issue":"5","key":"e_1_2_13_18_1","first-page":"389","article-title":"Validation of the Thai Version of The Incontinence Impact Questionnaire (IIQ\u20107) and The Urogenital Distress Inventory (UDI\u20106)","volume":"60","author":"Weerasopone S.","year":"2016","journal-title":"Chula Med J"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.1930140206"},{"key":"e_1_2_13_20_1","volume-title":"Health Literacy and Disease Prevention Behaviors Among Thai Adults","author":"Intarakamhang U."},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2013.10.011"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-73671-7"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.2196\/41092"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.2196\/72883"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-019-0958-z"},{"issue":"6","key":"e_1_2_13_26_1","first-page":"86","article-title":"Knowledge and Practice of Nurses and Practical Nurses in the Tertiary Health Care Center Regarding Pelvic Organ Prolapse and Urinary Incontinence","volume":"101","author":"Sarit\u2010apirak S.","year":"2018","journal-title":"Journal of the Medical Association of Thailand"},{"issue":"2","key":"e_1_2_13_27_1","first-page":"11","article-title":"Proficiency and Health\u2010Related Behaviors Regarding Pelvic Organ Prolapse and Urinary Incontinence Among Female Personnel in a Private Hospital","volume":"40","author":"Chaisri S.","year":"2017","journal-title":"Ramathibodi Medical Journal"},{"issue":"5","key":"e_1_2_13_28_1","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2019-029575","article-title":"Knowledge Acquisition and Retention Following Saving Children's Lives Course for Healthcare Providers in Botswana: A Longitudinal Cohort Study","volume":"9","author":"Meaney P. 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