1. Introduction
pelvic floor muscle, urinary incontinence
URINARY INCONTINENCE, URINARY INCONTINENCE, COMPLICATIONS
Less than half of women with urinary incontinence (UI) receive treatment, despite the high prevalence and negative impact of UI and the evidence supporting the efficacy of pelvic floor muscle training (PFMT). A non-inferiority randomized controlled trial aiming to support healthcare systems in delivering continence care showed that group-based PFMT was non-inferior and more cost-effective than individual PFMT to treat UI in older women. Recently, the COVID-19 pandemic highlighted the importance of providing online treatment options. Therefore, this pilot study aimed to assess the feasibility of an online group-based PFMT program for UI in older women. Thirty-four older women took part in the program. Feasibility was assessed from both participant and clinician perspectives. One woman dropped out. Participants attended 95.2% of all scheduled sessions, and the majority (32/33, 97.0%) completed their home exercises 4 to 5 times per week. Most women (71.9%) were completely satisfied with the program’s effects on their UI symptoms after completion. Only 3 women (9.1%) reported that they would like to receive additional treatment. Physiotherapists reported high acceptability. The fidelity to the original program guidelines was also good. An online group-based PFMT program appears feasible for the treatment of UI in older women, from both participant and clinician perspectives.Urinary incontinence (UI) is one of the most prevalent health concerns in women age 65 and over [However, the COVID-19 pandemic prevented group gatherings, especially for older adults, who were at higher risk of complications. For the past two years, it therefore limited the implementation of in-person group-based interventions, such as the GROUP trial’s program. At the same time, the pandemic also drove an impressive surge in many remotely delivered healthcare services [One promising solution is telerehabilitation, which refers here to the remote delivery of synchronous rehabilitation services using information and communication technology. It has already shown good feasibility and favorable clinical outcomes for the treatment of various orthopedic and neurological conditions [This study thus aimed to assess the feasibility of an online adaptation of the GROUP program (the teleGROUP program) for UI in women age 65 and over, from both participant and clinician perspectives. Feasibility studies are a critical component of the evaluation of study processes. They establish the necessary groundwork to shape the subsequent phases of clinical development and provide insights for successful implementation [