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Objective    To assess the effect of a multicomponent theory‐based intervention, incorporating patient information guides, an evidence summary, audit and feedback processes and a provider directory, in the provision/receipt of preoperative pelvic floor muscle training ( PFMT ) among patients undergoing radical prostatectomy.Subjects and Methods    Over an 18‐month period (9 months before and 9 months after the intervention), we measured the provision/receipt of preoperative  PFMT  using surveys of patients undergoing radical prostatectomy at one public hospital ( n  = 32) and two private hospitals ( n  = 107) in  W estern  S ydney,  A ustralia, as well as practice audits of associated public sector ( n  = 4) and private sector ( n  = 2) providers of  PFMT .  Self‐report urinary incontinence was assessed 3 months after radical prostatectomy using the International Consultation on Incontinence Questionnaire – Urinary Incontinence Form ( ICIQ‐UI S hort  F orm).Results    There was a significant increase in the proportion of survey respondents receiving preoperative  PFMT  post‐intervention (post‐intervention: 42/58 respondents, 72% vs pre‐intervention: 37/81 respondents, 46%,  P  = 0.002).  There was a corresponding significant increase in provision of preoperative  PFMT  by private sector providers (mean [ sd ] post‐intervention: 16.7 [3.7] patients/month vs pre‐intervention: 12.1 [3.6] patients/month,  P  = 0.018).  Respondents receiving preoperative  PFMT  had significantly better self‐report urinary incontinence at 3 months after radical prostatectomy than those who did not receive preoperative  PFMT  (mean [ sd ]  ICIQ‐UI S hort  F orm sum‐scores: 6.2 [5.0] vs 9.2 [5.8],  P  = 0.002).Conclusions    The intervention increased the provision/receipt of preoperative  PFMT  among patients undergoing radical prostatectomy.  Additional component strategies aimed at increasing the use of public sector providers may be necessary to further improve  PFMT  receipt among patients undergoing radical prostatectomy in the public hospital system.

bju international

A multicomponent theory‐based intervention improves uptake of pelvic floor muscle training before radical prostatectomy: a ‘before and after’ cohort study