Effects of a Supportive–Educative Nursing Program Delivered via the LINE Application Combined with an Electronic Pelvic Floor Muscle Training Demonstration Model on Knowledge and Preventive Behaviors Regarding Urinary Incontinence among Older Adults

Abstract

     This quasi-experimental study employed a one-group pretest–posttest design to examine the effects of a supportive–educative nursing program delivered via the LINE application combined with an electronic pelvic floor muscle exercise demonstration model on knowledge and urinary incontinence prevention behaviors among older adults. The participants were 30 older women who were members of the Ban Buawat Elderly Club, That Subdistrict, Warin Chamrap District, Ubon Ratchathani Province, Thailand. The participants were selected using purposive sampling based on predetermined inclusion criteria.The screening instruments included the Thai Geriatric Depression Scale and the Thai Mental State Examination. Data collection instruments consisted of a demographic questionnaire, a knowledge questionnaire on urinary incontinence prevention among older adults, and a urinary incontinence prevention behavior questionnaire.The intervention instrument was a supportive–educative nursing program delivered over a period of four weeks through the LINE application in conjunction with an electronic pelvic floor muscle exercise demonstration model. Data were analyzed using descriptive statistics, and differences between pretest and posttest scores were examined using the paired-samples t-test.

     The findings revealed that, after receiving the supportive–educative nursing program, the participants demonstrated significantly higher mean knowledge scores compared with those before the intervention (t = 24.32, p < .001). In addition, the mean scores for urinary incontinence prevention behaviors were significantly higher after participation in the program than before participation (t = 32.37, p < .001).