There is a paucity of research on African-American women and incontinence. Previous research has demonstrated that pelvic muscle exercises can reduce or eliminate incontinence in women. This methodological study reports findings about incontinence, self-efficacy, depression, and quality of life in African-American women with incontinence. This study further reports the psychometric analysis of the Broome Pelvic Muscle Self-Efficacy Scale in this population.