{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T09:02:32Z","timestamp":1784797352845,"version":"3.55.0"},"reference-count":50,"publisher":"University of Toronto Press Inc. (UTPress)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Physiotherapy Canada"],"published-print":{"date-parts":[[2024,3,6]]},"abstract":"<jats:sec><jats:title>Purpose:<\/jats:title><jats:p> This cross-sectional descriptive study describes available pelvic floor physiotherapy (PT) services for older women with urinary incontinence (UI) in Quebec, Canada, and identifies possible affordability barriers. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> From September to December 2019, Quebec physiotherapists practising pelvic floor PT were invited to complete a survey on their clinical practice and perceptions of the affordability of UI treatment for older women. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> Eighty-four of the 225 registered pelvic floor physiotherapists (37.3%) filled out the online survey. They worked a median of 32 hours\/week in PT, with 15 of those hours (46.9%) in pelvic floor PT and three hours (9.8%) treating UI in older women. Only 13.0% of them offered group treatment, while 84.3% were interested in it. Most of the physiotherapists (92.2%) had met older women in their practice who had reported financial barriers to completing their pelvic floor PT treatment. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:<\/jats:title><jats:p> The accessibility of UI care in Quebec appears hampered by the limited availability of pelvic floor PT treatments, mainly in public settings, and potential financial constraints. Providing pelvic floor PT to groups could constitute a promising avenue to tackle both issues. Future studies should look at ways of implementing this option. <\/jats:p><\/jats:sec>","DOI":"10.3138\/ptc-2021-0089","type":"journal-article","created":{"date-parts":[[2022,9,6]],"date-time":"2022-09-06T19:32:40Z","timestamp":1662492760000},"page":"86-94","source":"Crossref","is-referenced-by-count":9,"title":["Accessibility of Pelvic Floor Physiotherapy for Treating Urinary Incontinence in Older Women in Quebec: An Online Survey"],"prefix":"10.3138","volume":"76","author":[{"given":"M\u00e9lanie Le","family":"Berre","sequence":"first","affiliation":[{"name":"From the: Centre de recherche de l\u2019Institut universitaire de g\u00e9riatrie de Montr\u00e9al (CRIUGM), Montreal, Canada"},{"name":"School of Rehabilitation, Faculty of Medicine, Universit\u00e9 de Montr\u00e9al, Montreal, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chantale","family":"Dumoulin","sequence":"additional","affiliation":[{"name":"From the: Centre de recherche de l\u2019Institut universitaire de g\u00e9riatrie de Montr\u00e9al (CRIUGM), Montreal, Canada"},{"name":"School of Rehabilitation, Faculty of Medicine, Universit\u00e9 de Montr\u00e9al, Montreal, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1696","reference":[{"issue":"3","key":"r1","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1080\/13697137.2018.1543263","volume":"22","author":"Milsom I","year":"2019","journal-title":"Climacteric"},{"issue":"11","key":"r2","doi-asserted-by":"crossref","first-page":"1150","DOI":"10.1016\/S0895-4356(00)00232-8","volume":"53","author":"Hannestad YS","year":"2000","journal-title":"J Clin Epidemiol"},{"key":"r3","first-page":"35","volume":"4","author":"Milsom I","year":"2009","journal-title":"Incontinence"},{"issue":"3","key":"r4","doi-asserted-by":"crossref","first-page":"133","DOI":"10.5213\/inj.2010.14.3.133","volume":"14","author":"Kwon BE","year":"2010","journal-title":"Int Neurourol J"},{"issue":"5","key":"r5","volume":"25","author":"G\u00fcm\u00fcssoy S","year":"2019","journal-title":"Int JNursPract"},{"key":"r6","first-page":"205566831773894","volume":"4","author":"Southall K","year":"2017","journal-title":"J Rehabil Assist Technol Eng"},{"key":"r7","first-page":"1443","volume-title":"Incontinence: 6th international consultation on incontinence","volume":"2","author":"Dumoulin C","year":"2017"},{"issue":"10","key":"r8","volume":"10","author":"Dumoulin C","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"issue":"1","key":"r9","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1111\/bju.13187","volume":"117","author":"Syan R","year":"2016","journal-title":"BJU Int"},{"key":"r10","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1017\/S1744133109004836","volume":"4","author":"McIntyre D","year":"2009","journal-title":"Health Econ Policy Law"},{"issue":"4","key":"r11","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1046\/j.1532-5415.2001.49094.x","volume":"49","author":"Dugan E","year":"2001","journal-title":"J Am Geriatr Soc"},{"issue":"8","key":"r12","doi-asserted-by":"crossref","first-page":"894","DOI":"10.1111\/j.1532-5415.2000.tb06885.x","volume":"48","author":"Johnson II T","year":"2000","journal-title":"J Am Geriatr Soc"},{"key":"r13","unstructured":"The Canadian Continence Foundation. The impact of incontinence in Canada: a briefing document for policy-makers. 2014. https:\/\/www.canadiancontinence.ca\/pdfs\/en-impact-of-incontinence-in-canada-2014.pdf"},{"key":"r14","doi-asserted-by":"publisher","DOI":"10.3138\/ptc.2011-62"},{"issue":"26","key":"r15","doi-asserted-by":"crossref","first-page":"2648","DOI":"10.1080\/09638288.2016.1238967","volume":"39","author":"Deslauriers S","year":"2017","journal-title":"Disabil Rehabil"},{"key":"r16","first-page":"33","volume-title":"Unmet need for community based physiotherapy in Canada [doctoral thesis]","author":"Wojkowski S","year":"2018"},{"key":"r17","unstructured":"Boucher P, Langlois E. Les march\u00e9s \u00e9mergents pour les cliniques priv\u00e9es de physioth\u00e9rapie: F\u00e9d\u00e9ration de la physioth\u00e9rapie en pratique priv\u00e9e du Qu\u00e9bec. 2014. Available from: https:\/\/physioquebec.com\/wp-content\/uploads\/2018\/03\/2014_Marches-emergents.pdf."},{"issue":"5","key":"r18","doi-asserted-by":"crossref","first-page":"941","DOI":"10.1007\/s00268-011-1010-1","volume":"35","author":"Grimes CE","year":"2011","journal-title":"World J Surg"},{"issue":"9","key":"r19","first-page":"1","volume":"16","author":"Health Quality Ontario","year":"2016","journal-title":"Ont Health TechnolAssess Ser"},{"issue":"5","key":"r20","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1016\/j.semarthrit.2016.10.011","volume":"46","author":"Loyola-Sanchez A","year":"2017","journal-title":"Semin Arthritis Rheum"},{"issue":"2","key":"r21","doi-asserted-by":"crossref","first-page":"e434","DOI":"10.1002\/hpm.2484","volume":"33","author":"Kruse FM","year":"2018","journal-title":"Int J Health PlannManage"},{"issue":"1","key":"r22","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/j.healthpol.2007.09.018","volume":"86","author":"Van Doorslaer E","year":"2008","journal-title":"Health Policy"},{"issue":"3","key":"r23","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1108\/09513551011032455","volume":"23","author":"Owusu-Frimpong N","year":"2010","journal-title":"Int J Public Sect Manag"},{"issue":"1","key":"r24","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1186\/1472-6963-11-20","volume":"11","author":"Sibley LM","year":"2011","journal-title":"BMC Health Serv Res"},{"key":"r25","doi-asserted-by":"crossref","first-page":"s48","DOI":"10.1111\/jrh.12235","volume":"34","author":"Loftus J","year":"2018","journal-title":"J Rural Health"},{"issue":"3","key":"r26","first-page":"245","volume":"3","author":"Quine S","year":"2003","journal-title":"Rural Remote Health"},{"key":"r27","unstructured":"Ordre professionnel de la physioth\u00e9rapie du Qu\u00e9bec (OPPQ). Accueil > Trouvez un professionnel > R\u00e9sultats: Ordre professionnel de la physioth\u00e9rapie du Qu\u00e9bec (OPPQ). 2019. Available from: https:\/\/oppq.qc.ca\/trouvez-un-professionnel\/resultats\/"},{"key":"r28","doi-asserted-by":"publisher","DOI":"10.3138\/ptc.2011-15"},{"key":"r29","unstructured":"Roy J. Explosion des services de sant\u00e9 priv\u00e9s au Qu\u00e9bec: Journal de Qu\u00e9bec. 2016. Available from: https:\/\/www.journaldequebec.com\/2016\/07\/20\/explosion-des-services-de-sante-prives-au-quebec"},{"issue":"2","key":"r30","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1111\/hsc.12195","volume":"24","author":"Raymond MH","year":"2016","journal-title":"Health Soc Care Community"},{"key":"r31","doi-asserted-by":"publisher","DOI":"10.3138\/physio.61.1.5"},{"issue":"3","key":"r32","first-page":"200","volume":"28","author":"Herbruck LF","year":"2008","journal-title":"Urol Nurs"},{"key":"r33","unstructured":"Cacciari L, Kouakou C, Poder T, et al. Group-based pelvic floor muscle training is a more cost-effective approach to treat urinary incontinence in older women: economic evaluation alongside a randomised controlled trial. J Physiother. In press."},{"key":"r34","unstructured":"Statistics Canada. Table 11-10-0239-01 income of individuals by age group, sex and income source, Canada, provinces and selected census metropolitan areas. 2020. Available from: https:\/\/www150.statcan.gc.ca\/t1\/tbl1\/en\/tv.action?pid=1110023901"},{"key":"r35","unstructured":"Hurley JE, Guindon GE. The Current Market for Private Health Insurance in Canada. In Private health insurance in Canada. (pp. 15\u201322). Centre for Health Economics and Policy Analysis (CHEPA), McMaster University. 2008. Available from: https:\/\/macsphere.mcmaster.ca\/bitstream\/11375\/16729\/1\/252967.pdf"},{"issue":"4","key":"r36","first-page":"e139","volume":"5","author":"Passalent LA","year":"2010","journal-title":"Healthc Policy"},{"key":"r37","unstructured":"Cacciari L, Vale L, Morin M, et al. Economic evaluation of group-based vs. individual pelvic floor physiotherapy for urinary incontinence in older women. Gothenburg; Sweden: International Continence Society (ICS) 49th Annual Meeting; 2019. Available from: https:\/\/www.ics.org\/2019\/abstract\/270"},{"issue":"10","key":"r38","doi-asserted-by":"crossref","first-page":"1284","DOI":"10.1001\/jamainternmed.2020.2993","volume":"180","author":"Dumoulin C","year":"2020","journal-title":"JAMA Intern Med"},{"key":"r39","unstructured":"F\u00e9d\u00e9ration des cliniques de physioth\u00e9rapie du Qu\u00e9bec (FCPQ). T\u00e9l\u00e9r\u00e9adaptation: plus de 350 000 traitements de physioth\u00e9rapie. 2020. Available from: https:\/\/physioquebec.com\/telereadaptation-plus-de-350000-traitements-de-physiotherapie\/"},{"key":"r40","unstructured":"Pineau G, Caron L. T\u00e9l\u00e9sant\u00e9: lignes directrices cliniques et normes technologiques en t\u00e9l\u00e9r\u00e9adaptation: Agence d\u2019\u00e9valuation des technologies et des modes d\u2019intervention en sant\u00e9. 2006. https:\/\/www.inesss.qc.ca\/fileadmin\/doc\/AETMIS\/Rapports\/Telesante\/ETMIS2006_Vol2_No3.pdf"},{"key":"r41","first-page":"497","volume-title":"Incontinence","author":"Castro D","year":"2017","edition":"6"},{"key":"r42","doi-asserted-by":"publisher","DOI":"10.3138\/ptc.2011-32"},{"issue":"4","key":"r43","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1007\/s00192-015-2864-9","volume":"27","author":"Hagen S","year":"2016","journal-title":"Int Urogynecol J"},{"issue":"19","key":"r44","doi-asserted-by":"crossref","first-page":"1932","DOI":"10.1080\/09638288.2016.1212281","volume":"39","author":"Peek K","year":"2017","journal-title":"Disabil Rehabil"},{"issue":"2","key":"r45","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1007\/s10433-010-0153-5","volume":"7","author":"Gr\u00e4\u00dfel E","year":"2010","journal-title":"Eur J Ageing"},{"issue":"5","key":"r46","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1002\/gps.1984","volume":"23","author":"Georges J","year":"2008","journal-title":"International journal of geriatric psychiatry"},{"key":"r47","unstructured":"Ordre professionnel de la physioth\u00e9rapie du Qu\u00e9bec (OPPQ). R\u00e9pertoire des professionnels de la physioth\u00e9rapie. 2018. Available from: https:\/\/oppq.qc.ca\/trouvez-un-professionnel\/"},{"key":"r48","unstructured":"Audet E. Incontinence urinaire: fuir le probl\u00e8me: La Presse. 2018. Available from: https:\/\/www.lapresse.ca\/vivre\/sante\/femmes\/201804\/18\/01-5161505-incontinence-urinaire-fuir-le-probleme.php"},{"issue":"5","key":"r49","first-page":"97","volume":"3","author":"Taylor DW","year":"2013","journal-title":"Am J Med Sci"},{"issue":"1","key":"r50","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1186\/1475-9276-12-18","volume":"12","author":"Levesque J-F","year":"2013","journal-title":"Int J Equity Health"}],"container-title":["Physiotherapy Canada"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/utpjournals.press\/doi\/pdf\/10.3138\/ptc-2021-0089","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T16:43:24Z","timestamp":1709916204000},"score":1,"resource":{"primary":{"URL":"https:\/\/utpjournals.press\/doi\/10.3138\/ptc-2021-0089"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,6]]},"references-count":50,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,3,6]]}},"alternative-id":["10.3138\/ptc-2021-0089"],"URL":"https:\/\/doi.org\/10.3138\/ptc-2021-0089","relation":{},"ISSN":["0300-0508","1708-8313"],"issn-type":[{"value":"0300-0508","type":"print"},{"value":"1708-8313","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,6]]}}}