Randomized controlled trial improved urinary incontinence knowledge and health-seeking behavior in women, suggesting low-cost solutions may enhance quality of life.
Background Urinary incontinence (UI) is a prevalent condition among women, yet many do not seek care due to limited knowledge and stigma. Objective To evaluate the effectiveness of a culturally tailored educational animation video in improving UI‐related knowledge, health‐seeking behavior, and quality of life. Methods A randomized controlled trial was conducted among 354 community‐dwelling women with UI in Sing Buri, Thailand. Participants were randomized to receive a 4.5 min UI animation video or a control health education session. The primary outcome was UI knowledge proficiency (PIKQ‐UI), assessed immediately and at 2‐month follow‐up. Secondary outcomes included quality of life (IIQ‐7) and health‐seeking behavior. Results The intervention group demonstrated significantly higher UI knowledge proficiency post‐intervention (89% vs. 13%, RR 6.67, p < 0.001) and at 2 months (42% vs. 13%, RR 3.18, p < 0.001). They also reported improved health‐seeking behavior (mean score 40.16 vs. 36.33, p < 0.001) and better quality of life (IIQ‐7 score 25.67 vs. 31.20, p = 0.002). Conclusion A brief, culturally adapted animation video significantly improved UI knowledge and health‐seeking behavior, and was associated with better quality of life compared with controls, although no significant within‐group improvement was observed from baseline. This low‐cost, scalable intervention may be valuable in resource‐limited settings. Trial Registration Thai Clinical Trials Registry TCTR20220601002 (retrospectively registered).
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Komon et al. (2025) studied this question.
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