PROMOTING SELF-CARE TO PREVENT URINARY INCONTINENCE

自我效能感，对一个人执行能力的个人判断 一种特定的行动过程，是护理的核心现象。 尽管人们普遍认为自我效能感在 采用健康行为，其预测持续行为的能力 变化没有得到很好的研究；即使是一年的长期跟踪研究 是很罕见的。这里提出的项目的具体目标是：1)确定 自我效能感对儿童行为变化维持的预测能力 干预后四年；2)探索个人态度和策略 使用混合方法促进或阻止行为改变；3) 确定以下女性的四年尿失禁(UI)发生率 已经在行为矫正计划(BMP)中接受了指导，与 他们没有得到指示的对应者。该项目将扩展和延伸数据 来自目前资助的随机对照试验，题为“The Mesa” 项目：预防尿失禁“正在测试其有效性 骨形态发生蛋白在降低55-80岁绝经后妇女尿崩症发生率中的作用 几年前。我们将从母项目中跟踪200个治疗病例，为期四年 干预后多年评估自我效能感和其他因素的贡献 影响长期行为改变的因素。我们将再招聘200名学员。 包括一组未经治疗的对照组，以评估 治疗尿崩症的四年发病率。因为父项目是第一个 为了测试预防干预，这里提出的项目提供了一个 获得有关长期行为的知识的独特机会 改变和节制的结果。

Self-efficacy, the personal judgment of one's ability to carry out a particular course of action, is a phenomenon that is central to nursing. Despite widespread recognition of the pivotal role played by self-efficacy in adoption of health behavior, its ability to predict a sustained behavioral change has not been well studied; long-term follow-up studies of even one year are rare. The specific aims of the project proposed here are to: 1) Determine the capacity of self-efficacy to predict maintenance of behavioral change at four years post-intervention; 2) Explore individual attitudes and strategies that facilitate or deter behavioral change using a mixed method approach; 3) Determine the four-year incidence of urinary incontinence (UI) in women who have been instructed in a behavioral modification program (BMP) as compared to their non-instructed counterparts. This project will expand and extend data from the currently funded randomized controlled trial entitled "The MESA Project: Prevention of Urinary Incontinence" that is testing the effectiveness of the BMP in reducing the incidence of UI among postmenopausal women 55 to 80 years of age. We will follow 200 treated cases from the parent project for four years post-intervention to assess the contribution of self-efficacy and other factors to long-term behavioral change. We will recruit an additional 200 cases to comprise an untreated control group in order to assess the impact of treatment on four-year incidence of UI. Because the parent project is the first to test a prevention intervention, the project proposed here provides a singularly unique opportunity to gain knowledge about long-term behavioral change and continence outcomes.