{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T19:08:33Z","timestamp":1754161713294,"version":"3.41.2"},"reference-count":37,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,7,22]],"date-time":"2025-07-22T00:00:00Z","timestamp":1753142400000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["LUTS"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Context<\/jats:title><jats:p>Studies on nurses' and nursing assistants' perceptions of urinary incontinence (UI) in the elderly are well\u2010documented; however, little to no research focuses specifically on physiotherapists. This study aims to explore physiotherapists' perspectives on UI among elderly patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To assess the knowledge, attitudes, and practices of physiotherapists in France regarding managing UI in elderly patients, and to explore how training influences their confidence and clinical behaviors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional online survey was conducted among physiotherapists practicing in France. The questionnaire addressed sociodemographic characteristics, experience with elderly patients with UI, and training in pelvic\u2010perineal rehabilitation. Descriptive statistics and <jats:italic>\u03c7<\/jats:italic><jats:sup>2<\/jats:sup> analyses were used to identify associations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 106 responses were collected. Among respondents, 80 (75.5%) reported knowing UI in elderly patients, but 62 (58.5%) expressed feeling powerless when managing such cases. Only 62 (58.5%) reported having the skills to help patients with UI, and just 10 (9.4%) used validated assessment tools. Physiotherapists who had received prior training\u2014whether through initial education, continuing education, or self\u2010directed study\u2014were significantly more likely to report confidence, satisfaction, and proper use of tools (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). A majority, 75 (70.8%), indicated a need for further training, and 60 (56.6%) expressed the need for clinical guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>This study reveals a gap between physiotherapists' knowledge of UI and their ability to manage it confidently in elderly patients. Training was significantly associated with greater competence and use of recommended practices. The underuse of assessment tools and expressed need for clearer guidelines suggest structural gaps in support and education.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Improving UI training and access to standardized tools could enhance physiotherapists' confidence and quality of care. Although conducted in France, these findings may inform international strategies to address similar gaps in geriatric continence care.<\/jats:p><\/jats:sec><jats:sec><jats:title>MESH<\/jats:title><jats:p>Urinary Incontinence; Aged; Geriatric Assessment; Pelvic Floor; Physical Therapy Modalities; Health Knowledge, Attitudes, Practice; Surveys and Questionnaires; Education, Professional; Education, Continuing; Clinical Competence; France.<\/jats:p><\/jats:sec>","DOI":"10.1111\/luts.70022","type":"journal-article","created":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T02:08:07Z","timestamp":1753236487000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Knowledge, Attitudes, and Practices of Physiotherapists Regarding the Management of Urinary Incontinence in Elderly Patients in France: A Cross\u2010Sectional Study"],"prefix":"10.1111","volume":"17","author":[{"given":"Julie","family":"Swiderski","sequence":"first","affiliation":[{"name":"Physiotherapy School Centre Hospitalier Universitaire Amiens\u2014Picardie  Amiens France"},{"name":"Institut d'Ing\u00e9nierie de la Sant\u00e9\u2014Facult\u00e9 de M\u00e9decine Universit\u00e9 de Picardie Jules Verne  Amiens France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00eblle Lansonneur","family":"Leterme","sequence":"additional","affiliation":[{"name":"Physiotherapy School Centre Hospitalier Universitaire Amiens\u2014Picardie  Amiens France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fr\u00e9deric","family":"Bloch","sequence":"additional","affiliation":[{"name":"Geriatric Department Centre Hospitalier Universitaire Amiens\u2014Picardie  Amiens France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5079-9872","authenticated-orcid":false,"given":"Fran\u00e7ois\u2010R\u00e9gis","family":"Sarhan","sequence":"additional","affiliation":[{"name":"Physiotherapy School Centre Hospitalier Universitaire Amiens\u2014Picardie  Amiens France"},{"name":"Institut d'Ing\u00e9nierie de la Sant\u00e9\u2014Facult\u00e9 de M\u00e9decine Universit\u00e9 de Picardie Jules Verne  Amiens France"},{"name":"UR 7516 CHIMERE Universit\u00e9 de Picardie Jules Verne  Amiens France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,22]]},"reference":[{"volume-title":"France, Portrait Social: \u00c9dition 2023","year":"2023","author":"Institut National de la Statistique et des \u00c9tudes \u00c9conomiques (France)","key":"e_1_2_7_2_1"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23551"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001405.pub3"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/cge.14331"},{"key":"e_1_2_7_6_1","first-page":"145","article-title":"Male Urinary Incontinence: Prevalence, Risk Factors, and Preventive Interventions","volume":"11","author":"Shamliyan T. 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