This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (52)  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Evan C. Hadley, MD

JAMA. 1986;256(3):372-379.

Abstract
In recent years, several studies have reported that bladder training, a behavioral intervention in which the interval between voluntary voidings is gradually extended, is an effective therapy for "urge" urinary incontinence (incontinence often associated with inability to inhibit detrusor contractions). Related behavioral therapies may also be effective for incontinence associated with impaired mobility and cognitive status. Because all of these types of incontinence are particularly common among older persons, the effectiveness of these therapies in this age group deserves attention. However, few well-controlled trials have been conducted with older subjects. There are many pathophysiologic types of incontinence among the older population, which is also heterogeneous in important clinical and functional characteristics that affect response to treatment. Hence, clinical trials that characterize subjects' urodynamic, neurologic, cognitive, and functional status, as well as the presence of other diseases and medication use, are needed to determine which elderly persons are likely to respond to particular behavioral regimens for urinary incontinence.

(JAMA 1986;256:372-379)

Author Affiliations
From the National Institute on Aging, Bethesda, Md.

Footnotes
Reprint requests to National Institute on Aging, Bldg 31, Room 5C-21, Bethesda, MD 20892 (Dr Hadley).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Barriers to Implementing a Continence Program in Nursing Homes
Harke and Richgels
Clin Nurs Res 1992;1:158-168.
ABSTRACT  

Environmental effects on incontinence problems in Alzheimer's disease patients
Namazi and Johnson
AM J ALZHEIMERS DIS OTHER DEMEN 1991;6:16-21.
ABSTRACT  

Efficacy of Bladder Training in Older Women With Urinary Incontinence
Fantl et al.
JAMA 1991;265:609-613.
ABSTRACT  

A Clinical Trial of a Behavioral Therapy to Reduce Urinary Incontinence in Nursing Homes: Outcome and Implications
Hu et al.
JAMA 1989;261:2656-2662.
ABSTRACT  

New Issues in Geriatric Care
SOLOMON et al.
ANN INTERN MED 1988;108:718-732.
ABSTRACT