{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T03:19:36Z","timestamp":1792293576155,"version":"4.4.0"},"reference-count":79,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,2,12]],"date-time":"2022-02-12T00:00:00Z","timestamp":1644624000000},"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":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To synthesize research evidence on perceptions and help\u2010seeking behaviours in community\u2010dwelling older people with urinary incontinence based on the Capability\u2010Opportunity\u2010Motivation\u2010Behaviours model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Urinary incontinence is highly prevalent in community\u2010dwelling older people, yet only a small proportion seek help from health professionals. Untreated urinary incontinence has a detrimental impact on older people's quality of life and distresses their caregivers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Systematic integrative review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data sources<\/jats:title>\n                    <jats:p>Ten databases were searched systematically between 9 November 2020 and 17 December 2020 including Medline (PubMed), CINAHL, Ageline, Web of Science, Scopus, ProQuest, Psyclnfo, CNKI, Wanfang and Vip.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review methods<\/jats:title>\n                    <jats:p>Quality appraisal was applied to assess the quality of selected articles. Data relevant to the review aim were extracted from included articles for analysis. Convergent qualitative synthesis was used to synthesize findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty articles were included and two main themes with six sub\u2010themes were identified. Theme one described three common perceptions including urinary incontinence as a part of normal ageing, a stigma and a health problem. Each perception had a profound impact on older people's motivation to self\u2010report the problem to health professionals. Theme two revealed three main help\u2010seeking approaches comprising self\u2010help, help from friends and help from health professionals. Of these, self\u2010help was the dominant approach used to conceal urinary incontinence and contributed to social isolation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Improving urinary incontinence management in community\u2010dwelling older people requires the development of their capability and motivation, and increased opportunities to access and gain help from skilled health professionals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>Findings can facilitate resource development to improve health literacy for the general public pertinent to urinary incontinence and associated stigma. Moreover, findings can inform a user\u2010friendly reporting and referral system for the problem. In addition, findings can inform education and skill training for health professionals, older people and their caregivers to effectively manage the problem.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.15183","type":"journal-article","created":{"date-parts":[[2022,2,12]],"date-time":"2022-02-12T07:54:34Z","timestamp":1644652474000},"page":"1574-1587","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":48,"title":["Perceptions and help\u2010seeking behaviours among community\u2010dwelling older people with urinary incontinence: A systematic integrative review"],"prefix":"10.1111","volume":"78","author":[{"given":"Fang","family":"Yan","sequence":"first","affiliation":[{"name":"Xiangya School of Nursing Central South University  Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4631-2443","authenticated-orcid":false,"given":"Lily D.","family":"Xiao","sequence":"additional","affiliation":[{"name":"College of Nursing and Health Science  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keyi","family":"Zhou","sequence":"additional","affiliation":[{"name":"Xiangya School of Nursing Central South University  Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeen","family":"Li","sequence":"additional","affiliation":[{"name":"Xiangya School of Nursing Central South University  Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9940-5072","authenticated-orcid":false,"given":"Siyuan","family":"Tang","sequence":"additional","affiliation":[{"name":"Xiangya School of Nursing Central South University  Changsha Hunan China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,2,12]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnw162.2449"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877\u2010021\u201002135\u20108"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23022"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0b013e3182a3ff24"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192\u2010016\u20103123\u20104"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2009.11.078"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532\u20105415.1994.tb04954.x"},{"key":"e_1_2_10_9_1","volume-title":"Epidemiology","author":"B\u00fcttner P.","year":"2015"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14446"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afz141"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.3928\/00989134\u201020170515\u201002"},{"key":"e_1_2_10_13_1","unstructured":"Critical Appraisal Skills Programme. 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