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Glob. Womens Health"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>A conservative physiotherapy service development addressed to treat urinary incontinence for older women was studied using the RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) framework.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>We conducted a pragmatic case study design based on RE-AIM.<\/jats:p><\/jats:sec><jats:sec><jats:title>Settings\/participants<\/jats:title><jats:p>Included women \u2265 60 years of age, with self-reported UI symptoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 34 older women were enrolled in the service with a mean age of 61.53 years. There was a significant improvement in the strength of the pelvic floor muscles, power, endurance, and fast contraction capacity after the intervention, however, it was observed a high dropout rate. Program implementation was supported by Physical Therapy teams who engaged in care coordination. The program has been maintained for over 4 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our findings demonstrate that UI patients would benefit from physiotherapy treatment and that this intervention is feasible. This RE-AIM evaluation provides lessons learned and strategies for future adoption, implementation, and maintenance of a Physical Therapy pelvic service.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fgwh.2022.1004140","type":"journal-article","created":{"date-parts":[[2022,10,25]],"date-time":"2022-10-25T06:55:42Z","timestamp":1666680942000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["The development of a physical therapy service to treat urinary incontinence: Results of a RE-AIM evaluation"],"prefix":"10.3389","volume":"3","author":[{"given":"Elisa","family":"Brosina de Leon","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Nat\u00e1lia","family":"Cardoso","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elorides","family":"de Brito","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maira Mendes","family":"dos Santos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio Araujo","family":"Almeida","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2022,10,25]]},"reference":[{"key":"B1","article-title":"International Continence Society Standardisations, Consensus statements, Educational modules, Terminology and Fundamentals documents, with the International Consultation on Incontinence algorithms","year":"2019"},{"key":"B2","doi-asserted-by":"publisher","first-page":"e024153","DOI":"10.1136\/bmjopen-2018-024153","article-title":"Effectiveness and cost-effectiveness randomised controlled trial of basic versus biofeedback-mediated intensive pelvic floor muscle training for female stress or mixed urinary incontinence: Protocol for the OPAL (optimising pelvic floor exercises to achie","volume":"9","author":"Grant","year":"2019","journal-title":"BMJ Open."},{"key":"B3","first-page":"2479","article-title":"Economics of urinary and faecal incontinence, and prolapse","volume":"2","author":"Moore","year":"2009","journal-title":"Incontinence."},{"key":"B4","doi-asserted-by":"publisher","first-page":"449","DOI":"10.7326\/0003-4819-148-6-200803180-00210","article-title":"National Institutes of Health State-of-the-Science conference statement: Prevention of fecal and urinary incontinence in adults","volume":"148","author":"Landefeld","year":"2008","journal-title":"Ann Intern Med."},{"key":"B5","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1080\/13697137.2018.1543263","article-title":"The prevalence of urinary incontinence","volume":"22","author":"Milsom","year":"2019","journal-title":"Climacteric."},{"key":"B6","doi-asserted-by":"publisher","first-page":"9054","DOI":"10.1038\/s41598-021-88740-4","article-title":"Urinary incontinence and the association with depression, stress, and self-esteem in older Korean Women","volume":"11","author":"Lee","year":"2021","journal-title":"Sci Reports."},{"key":"B7","doi-asserted-by":"publisher","first-page":"174","DOI":"10.5001\/omj.2017.33","article-title":"Sexual life in women with stress urinary incontinence","volume":"32","author":"Vitale","year":"2017","journal-title":"Oman Med J."},{"key":"B8","doi-asserted-by":"publisher","first-page":"263e1","DOI":"10.1016\/j.ajog.2015.08.069","article-title":"Reoperation for urinary incontinence: a nationwide cohort study, 1998-2007","volume":"214","author":"Hansen","year":"2016","journal-title":"Am J Obstetr Gynecol."},{"key":"B9","doi-asserted-by":"publisher","first-page":"1211","DOI":"10.3390\/jcm9041211","article-title":"Urinary incontinence in women: Modern methods of physiotherapy as a support for surgical treatment or independent therapy","volume":"9","author":"Mazur-Bialy","year":"2020","journal-title":"J Clin Med."},{"key":"B10","first-page":"12","article-title":"Level Satisfaction with Physiotherapy service measured by Medrisk","author":"Cardoso","year":"2021","journal-title":"Rev Eletr\u00f4n Gest\u00e3o e Servi\u00e7os."},{"key":"B11","doi-asserted-by":"publisher","first-page":"4555","DOI":"10.2147\/IJGM.S289314","article-title":"Diagnosis and non-surgical management of urinary incontinence \u2013 a literature review with recommendations for practice","volume":"14","author":"O'Connor","year":"2021","journal-title":"Int J General Med."},{"key":"B12","doi-asserted-by":"publisher","first-page":"4358","DOI":"10.3390\/ijerph16224358","article-title":"What pelvic floor muscle training load is optimal in minimizing urine loss in women with stress urinary incontinence? 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