Effectiveness of educational interventions to raise men's awareness of bladder and bowel health

Tuckett, Anthony G., Hodgkinson, Brent, Hegney, Desley G., Paterson, Jan and Kralik, Debbie (2011) Effectiveness of educational interventions to raise men's awareness of bladder and bowel health. International Journal of Evidence-Based Healthcare, 9 2: 81-96.


Author Tuckett, Anthony G.
Hodgkinson, Brent
Hegney, Desley G.
Paterson, Jan
Kralik, Debbie
Title Effectiveness of educational interventions to raise men's awareness of bladder and bowel health
Journal name International Journal of Evidence-Based Healthcare  (ERA 2012 Listed)    (ERA 2010 Rank B)   Check publisher's open access policy
Publication date 2011-06
Sub-type Article
DOI 10.1111/j.1744-1609.2011.00208.x
Volume number 9
Issue number 2
ISSN 1744-1595
Start page 81
End page 96
Total pages 16
Place of publication Australia
Publisher Wiley-Blackwell Publishing Asia
Collection year 2012
Language eng
Formatted abstract Background
Urinary incontinence is a common health problem with significant medical, psychological  and economic burdens. Health education is capable of improving perceptions about and attitudes towards incontinence in turn encouraging them to seek help.

Aim
The aim of the present study was to determine the effectiveness of educational interventions at raising men’s awareness of bladder and bowel health.

Inclusion criteria
Types of participants. Adult and adolescent men (age 12 years and over) and it was anticipated that some interventions/promotions may be directed at family members or carers of, and health professionals caring for, adult men and therefore these would also be considered for inclusion. Types of intervention. Any intervention, program or action that provided information, or attempted to raise awareness of men’s bladder and bowel health. Type of outcome. Any measure defined by included studies such as: bladder and bowel management and treatment, increased knowledge of bladder and bowel health and number of attendees at promotion. Type of studies. Concurrent controls, such as: systematic reviews of concurrently controlled trials, meta-analysis, randomised controlled trials, controlled clinical trials, interrupted time series and controlled before after designs and observational design (cohort, case–control). Search strategy. A search for published and unpublished studies in the English language was undertaken restricted by a publication date of 10 years prior, with the exception of a review of seminal papers before this time.

Methodological quality
Each study was appraised independently by two reviewers using the standard Joanna Briggs Institute instruments.

Data collection and analysis
Information was extracted from studies meeting quality criteria using the standard Joanna Briggs Institute tools. For two studies with similar population types, interventions and outcomes quantitative results were combined into a meta-analysis using Revman 5.0 software. However, the majority of studies were heterogenous and results are presented in a narrative form.

Results
With the exception of instruction for pelvic floor muscle exercises for men after prostatectomy, little quantitative research has been performed that establishes the effectiveness of interventions on men’s awareness of bladder and bowel health. While numerous interventions have been trialled on mixed gender populations, and these trials suggest that the interventions would be effective, their effectiveness on the male component cannot be
definitively established.

Conclusion
There is little quantitative evidence for the effectiveness of interventions to improve men’s awareness of bladder and bowel health therefore few recommendations can be made. Well-designed controlled trials using male sample populations only are needed.
Keyword Bladder
Bowel
Education
Men
Systematic review
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article
Collections: Official 2012 Collection
School of Nursing and Midwifery Publications
 
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Created: Wed, 25 May 2011, 14:39:08 EST by Vicki Percival on behalf of School of Nursing and Midwifery