Purpose: This study aimed to evaluate a urinary incontinence self-management program for middle-aged women in Korean rural communities. Methods: A one-group pretest and posttest design was used to examine changes in severity, knowledge, and attitudes following the intervention. Fifty-six women completed weekly 90-min group sessions for seven weeks. Descriptive statistics and paired t-tests were used to analyze data. Results: The total of International Consultation on Incontinence Questionnaire scores was significantly decreased after the intervention (pre-test: $4.55{\pm}3.88$, post-test: $3.21{\pm}3.00$, p<.001). Significant improvement was also noted on the mean knowledge scores (pre-est: $16.66{\pm}6.24$, post-test: $21.43{\pm}5.15,$ p<.001). Conclusions: This study suggests that the UI self-management program is useful in improving the symptom of UI for middle-aged women living in communities.