PROMOTING SELF-CARE TO PREVENT URINARY INCONTINENCE

自我效能感，即个人对自己执行能力的判断 一个特定的行动过程，是一个现象，是中央护理。 尽管人们普遍认识到自我效能感在儿童心理健康中所起的关键作用， 采用健康行为，其预测持续行为的能力 变化尚未得到很好的研究;即使是一年的长期随访研究 是罕见的本项目的具体目标是：（1）确定 自我效能的能力，以预测维持行为变化， 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） 确定尿失禁（UI）女性的四年发病率， 已经在行为矫正计划（BMP）中得到指导， 他们的非受教育的同行。该项目将扩展和扩展数据 从目前资助的随机对照试验，题为“梅萨 项目：预防尿路感染”，这是测试的有效性 BMP在降低绝经后妇女UI发生率方面的作用 岁的我们将跟踪母项目中的200例治疗病例， 干预后10年，评估自我效能和其他 影响长期行为改变的因素。我们会再招募200个病例 包括一个未治疗的对照组，以评估 治疗对4年UI发生率的影响。因为父项目是第一个 为了测试预防干预措施，这里提出的项目提供了一个 一个独特的机会来了解长期行为 改变和改变结果。

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.