Perceptions of a ‘pelvic-floor friendly’ group exercise class in women with urinary incontinence

This mixed methods intervention study investigated perceptions of a tailored group exercise intervention designed to increase physical activity (PA) participation among women with urinary incontinence (UI). Recognising UI as a barrier to PA, the study aimed to minimise UI risk during exercise, enhance enjoyment, and foster social inclusion. The study included 15 participants, across intervention and control groups. Modifications included low-impact exercises, the presence of a pelvic health physiotherapist, and age-matched female instructors. Data from focus groups, surveys, and pre/post-intervention measures revealed that the intervention improved participants’ confidence, action planning, and perceptions of PA. Participants valued social opportunities and tailored modifications but noted the need for better advertising and instructor education. The findings suggest that such interventions can positively influence PA participation and reduce UI-related stigma.