METHODS: A two-round modified e-Delphi study was conducted with Jordanian physiotherapists experienced in women's health. In Round 1, experts rated 34 evidence-based items covering pelvic floor muscle training, bladder training, behavioral and lifestyle adjustments, pelvic health education, breathing and postural exercise, adherence support, delivery format, and dosage. Items were rated on a six-point Likert scale, and consensus was defined as ≥ 75% agreement. Items that did not reach consensus were revised and re-rated in Round 2, along with one new subcomponent suggested by the experts.
RESULTS: Nineteen experts completed both rounds. In Round 1, 32 of 34 items reached consensus. In Round 2, the newly proposed subcomponent, whole-body and core strengthening, achieved full consensus. Although weight management did not reach the predefined consensus threshold, it was retained in the final program owing to its clinical importance and evidence-based relevance. Printed educational materials did not achieve consensus and were excluded. The final program consisted of 33 expert-validated components.
CONCLUSIONS: This study established expert consensus on the components of a culturally tailored home-based pelvic health program for older Jordanian women with UI. These components provide a practical foundation for program development.
OBJECTIVE: To map the current trial evidence (including randomized controlled trials and quasi-experimental studies) on home-based MMPHPs for managing UI in women, and to identify their core components, including pelvic floor muscle training (PFMT), bladder training (BT), breathing exercise, behavioral and lifestyle adjustment, and pelvic health education.
METHODS: This scoping review followed the (JBI) methodology and PRISMA-ScR checklist. A comprehensive search was conducted across five databases (PubMed, Scopus, Web of Science, MEDLINE via Ovid, and Cochrane Library) and gray literature sources until 31 May 2025. Four independent reviewers screened studies using Rayyan software. Eligibility was limited to experimental studies evaluating home-based multimodal interventions that combined multiple pelvic health components.
RESULTS: Forty studies met the inclusion criteria involving women with UI across diverse settings and countries. They evaluated home-based formats, including paper booklets, printed instructions, digital resources, and mobile applications, over 4 to 12 weeks. Most combined PFMT with additional components, including education, behavioral and lifestyle adjustments, and BT. Outcomes included UI severity, quality of life, and adherence. However, heterogeneity limits comparability.
CONCLUSION: Home-based MMPHPs show promise for managing UI among women. However, variation in program design, delivery methods, outcome measures, and inconsistencies highlight the need for standardized protocols in future trials.