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** Improving pelvic floor muscle training adherence strategies: from theory to practice Survey**

The Physiotherapy Committee (Dr Helena Frawley, Assoc Prof Chantale Dumoulin, Dr Doreen McClurg), together with an expert panel, is investigating adherence strategies for pelvic floor muscle exercise training as part of this Consensus Meeting in Glasgow in August. Adherence to pelvic floor muscle training is a crucial component of an effective intervention.


Comments are sought from interested health professionals (clinicians, academics or researchers) who have an interest in incontinence, pelvic organ prolapse or pelvic-perineal pain, and from members of the public (patients / carers / consumers) who have experience with any of these conditions in a personal or support capacity. We seek responses and comments to the following questions:

     (1) what do you think are the barriers to adherence to pelvic floor muscle exercises?

     (2) what do you think are the facilitators or strategies to improve exercise adherence?

     (3) what ideas for future research into this area do you have?


You may submit your responses via one of these links: 


 Click here to go to the public survey Click here to go to the professional survey

** **

State-of-the-Science Seminar__

Improving pelvic floor muscle training adherence strategies:

from theory to practice.

Organised by the International Continence Society’s Physiotherapy Committee


Friday, August 26th and Saturday August 27th

Glasgow, Scotland, United Kingdom


**1. General objective: **

To bring clinicians and researchers together to share knowledge and facilitate discussion regarding the challenges of pelvic floor muscle (PFM) training adherence and strategies which may improve this problem.


2. Specific objectives:

                    I.      To uncover available evidence-based research on PFM training adherence, and strategies which improve adherence.

                  II.      To establish priority areas in which future research on adherence strategies is required. 

                III.      To present various adherence approaches and strategies that should be incorporated into research protocols and daily clinical practice.

               IV.      To reach consensus on optimal methods to achieve long-term adherence with PFM training.


3. Our invited panel:







Chantale Dumoulin, PhD


Assoc Professor, Institut Universitaire de Gériatrie de Montréal


Helena Frawley, PhD


Research Fellow, Senior Lecturer, The University of Melbourne


Doreen McClurg, PhD


Reader, Glasgow Caledonian University


Invited Panel

Dianne Alewijnse, PhD

Patient Education

Patient communication advisor at Gelre ziekenhuizen

The Netherlands

Ted Arnold, MD


Professor, University of Otago


New Zealand

Kari Bø, PhD

Physiotherapy, Exercise Science

Professor, Norwegian University of Sport and Physical Education


Kathy Burgio, PhD


University of Alabama at Birmingham


Shu-Yueh Chen, PhD


Assoc Professor, Chung Jen College of Nursing, Taiwan


Pauline Chiarelli, PhD


Assoc Professor, University of Newcastle


Sarah Dean, PhD

Physiotherapy, Psychology

Senior Lecturer, Peninsula College of Medicine & Dentistry


Suzanne Hagen, PhD

Health Sciences Statistics

Professor, Glasgow Caledonian University


Jean Hay-Smith, PhD


Senior Lecturer, University of Otago

New Zealand

Julia H Herbert, MSc


Specialist Physiotherapist Continence & Women's Health

NHS Bolton


Jill Francis, PhD


Reader, University of Aberdeen



Aishath Mahfooza, DClin


Principal Physiotherapist, Indira Gandhi Memorial Hospital, Male’

The Maldives

Frances Mair, MD

General Practice

Professor of Primary Care Research, Glasgow University


Diane Stark, BSc


ICS Organising Committee



Marijke van Kampen, PhD


Faculty of Kinesiology and Rehabilitation Sciences


Patient representative

To be confirmed




4. The Seminar Program:





Friday 26th August

**_12:30 – 13:00_**

**_Participant registration _**

13:00 – 13:10

Welcome and introductory remarks by the Chair and Committee; brief presentation of the conference programme and objectives

Chantale Dumoulin

**_13:10 – 16:10_**

**_Plenary Session 1: Invited experts will present on the following topics_**

13:10 – 13:30

Barriers to treatment; minimising the ‘burden’ of exercise

Frances Mair

13:30– 13:50

Pelvic floor muscle training: Impediments and facilitators

Kathy Burgio

13:50 – 14:10

Adherence to physical exercise programmes: Definition and theories of adherence and strategies to improve adherence

Sarah Dean

14:10 – 14:30

Adherence strategies and the self-efficacy concept

Shu-Yueh Chen

14:30 – 14:50

PFM training adherence: What does the literature tell us; how different is it from other exercise programs?

Dianne Alewijnse

14:50 – 15:10

Motivational Interviewing

Pauline Chiarelli

15:10 – 15:30


15:30 – 15:50

Experiences of women with SUI or POP: how this impacts on their exercise adherence

Jean Hay-Smith

15:50 – 16:10

PFM training adherence to research protocols: how can this be improved?

Aishath Mahfooza

16:10 – 17:15

Panel discussion forum 1

Chair: Chantale

17:15 – 19:00

Free time

19:00 – 21:00

Seminar Dinner

Saturday 27th August

**_08:00 – 10:10_**

**_Plenary Session 2: Population-specific considerations and strategies to improve both short and long-term adherence to PFM training_**

08:00 – 08:25

Adherence strategies during pregnancy and postpartum

Kari Bø

08:25 – 08:45

Compliance to exercise therapy in the ‘POPPY’ Trial

Suzanne Hagen

Diane Stark

08:45 – 09:05

Short-term adherence strategies in the treatment of urinary incontinence for the elderly

Chantale Dumoulin

09:05 – 09:25

Adherence strategies in treatment of urinary incontinence in men

Marijke van Kampen

09:25 – 09:50

Adherence strategies for the treatment of lower bowel dysfunction

Julia Herbert

09:50 – 10:30

**Panel discussion forum 2 **

Chair: Chantale

10:30 – 10:50


**_10:50 – 12:00_**

**_Plenary Session 3: Extending the strategies_**

10:50 – 11:10

How to improve and integrate PFM training adherence in clinical practice

Jean Hay-Smith

11:10 – 11:30

Technology supporting adherence

Frances Mair

11:30 – 11:50

Behaviour change techniques used in pelvic floor physiotherapy interventions: Results of a survey of practice

Jill Francis

11:50 – 12:00

Ethics Perspectives

Ted Arnold

**12:00 – 12:45 **

**Panel discussion forum 3 **

Chair: Chantale

12:45 – 13:00

Summary of key points derived from the panel discussions, and the way forward

Chair: Chantale


Close of Seminar


Participants are invited to visit the ICS website to review and comment on the initial draft of the conference statement via the web before end of November, 2011. All of the comments will be considered by the panel during the next executive session and the draft revised accordingly; the final statement will be posted to the ICS website by March 2012.

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