Implementing pelvic floor muscle training for women with pelvic organ prolapse: a realist evaluation of different delivery models.

ABSTRACT:

Background

Pelvic Floor Muscle Training (PFMT) has been shown to be effective for pelvic organ prolapse in women, but its implementation in routine practice is challenging due to lack of adequate specialist staff. It is important to know if PFMT can be delivered by different staff skill mixes, what barriers and facilitators operate in different contexts, what strategies enable successful implementation and what are the underlying mechanisms of their action. PROPEL intervention was designed to maximise the delivery of effective PFMT in the UK NHS using different staff skill mixes. We conducted a realist evaluation (RE) of this implementation to understand what works, for whom, in what circumstances and why.

Methods

Informed by the Realist and RE-AIM frameworks, the study used

SUBMITTER: Abhyankar P 

PROVIDER: S-EPMC7528592 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature