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Understanding help-seeking in older people with urinary incontinence: An interview study
Barnsley Hospital, Barnsley, United Kingdom.
Bangor University, School of Social Sciences, Bangor, United Kingdom.
Dalarna University, School of Education, Health and Social Studies, Social Work.ORCID iD: 0000-0002-7685-3216
Dalarna University, School of Education, Health and Social Studies, Social Work.ORCID iD: 0000-0002-8795-7555
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2016 (English)In: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524Article in journal (Refereed) Epub ahead of print
Abstract [en]

The prevalence of urinary incontinence (UI) increases with age and can negatively affect quality of life.  However, relatively few older people with UI seek treatment.  The aim of this study was to explore the views of older people with UI on the process of seeking help.

Older people with UI were recruited to the study from three continence services in the north of England: a geriatrician-led hospital outpatient clinic (n=18), a community based nurse-led service (n=22) and a consultant gynaecologist-led service specialising in surgical treatment (n=10). Participants took part in semi-structured interviews, which were transcribed and underwent thematic content analysis.

Three main themes emerged: Being brushed aside, in which participants expressed the feeling that general practitioners did not prioritise or recognise their concerns; Putting up with it, in which participants delayed seeking help for their UI due to various reasons including embarrassment, the development of coping mechanisms, perceiving UI as a normal part of the ageing process, or being unaware that help was available; and Something has to be done, in which help-seeking was prompted by the recognition that their UI was a serious problem, whether as a result of experiencing UI in public, the remark of a relative, the belief that they had a serious illness, or the detection of UI during comprehensive geriatric assessment.

Greater awareness that UI is a treatable condition and not a normal part of ageing is needed in the population and amongst health professionals. Comprehensive geriatric assessment appeared an important trigger for referral and treatment in our participants.  Screening questions by health care professionals could be a means to identify, assess and treat older people with UI.

Place, publisher, year, edition, pages
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Social Work
Research subject
Health and Welfare, Att underlätta för äldre med inkontinens - genom teori, hjälpmedel och teknik
URN: urn:nbn:se:du-23415DOI: 10.1111/hsc.12406PubMedID: 27860034OAI: oai:DiVA.org:du-23415DiVA: diva2:1048000

Finansiär: New Dynamics of Ageing Programme, led by the Economic & Social Research Council, United Kingdom (grant number RES-353-25-0010).

Available from: 2016-11-19 Created: 2016-11-19 Last updated: 2016-11-21Bibliographically approved

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