scholarly journals Self-management of incontinence using a free mobile app: factors associated with improvement

2021 ◽  
Author(s):  
Emma Nyström ◽  
Lars Söderström ◽  
Eva Samuelsson
Keyword(s):  
Urinary Incontinence ◽  
Great Improvement ◽  
Pelvic Floor Muscle ◽  
Community Setting ◽  
Cost Effective ◽  
Mobile App ◽  
Self Management ◽  
Adult Women ◽  
Factors Associated ◽  
Cost Effective Method

Abstract Background Pelvic floor muscle training (PFMT) is first-line treatment for urinary incontinence (UI) in women. Self-management via a mobile app is a new cost-effective method for PFMT delivery. This study analyzes factors associated with improvement among app users. Methods A pragmatic observational study in a community setting. Upon downloading the app Tät®, users answered questions regarding their age, education, residence, and UI symptoms. After 3 months, users answered follow-up questions regarding symptoms and frequency of training and app usage, and the validated Patient Global Impression of Improvement (PGI-I) questionnaire. Only non-pregnant, non-postpartum adult women with UI who answered the PGI-I questionnaire were included. Multivariate logistic regression was used to analyze possible associations between these factors with any improvement and with great improvement according to the PGI-I. The models were adjusted for age. Results The study included 2,153 participants who had completed self-management, that is, 11.5% of eligible women who completed the baseline questionnaire. Of these participants, 65.6% reported improvement of UI. Any improvement was associated with age, frequency of PFMT, and app use, accounting for 27.9% of variability (Nagelkerke R2). Lower incontinence severity, frequency of PFMT, and app use were associated with great improvement. Conclusion Self-management of urinary incontinence is easily accessible to many women and improvement rates are comparable with other forms of PFMT. Demographic factors and incontinence severity showed no or incongruent association, whereas regular PFMT and app use predicted any and great improvement. App use showed an additional effect beyond frequency of training.

scholarly journals Antenatal pelvic floor muscle training and urinary incontinence: a randomized controlled 7-year follow-up study

2021 ◽  
Author(s):  
Signe Nilssen Stafne ◽  
Rebecka Dalbye ◽  
Oda M. Kristiansen ◽  
Yvonne E. Hjelle ◽  
Kjell Åsmund Salvesen ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Urinary Incontinence ◽  
Pelvic Floor Muscle Training ◽  
Pelvic Floor Muscle ◽  
Regular Exercise ◽  
Muscle Training ◽  
Factors Associated ◽  
Randomized Controlled

Abstract Introduction and hypothesis Urinary incontinence is common postpartum. Our aims were to assess whether antenatal exercise including pelvic floor muscle training (PFMT) has long-term effects on urinary incontinence (UI) and to explore factors associated with UI 7 years postpartum. Methods A follow-up of a two-centre randomized controlled trial performed at St. Olavs Hospital and Stavanger University Hospital, Norway. In the original trial women were randomized to a 12-week structured exercise protocol including PFMT or standard antenatal care during pregnancy. Link to an electronic questionnaire was sent by postal mail 7 years postpartum. Prevalence of UI was assessed with Sandvik severity index and compared between groups. Factors associated with UI were studied using multivariable logistic regression analysis. Results The response rate was 35% (298/855). UI was reported by 78 (51%) in the intervention group and 63 (57%) in the control group (p = 0.539). In the multivariable logistic regression analyses, women with UI at inclusion had a five-fold increase in odds of UI at 7 years (OR 5.4, 95% CI 2.6, 11.5). Engaging in regular exercise was not significantly associated with UI at 7 years; however, UI was associated with lower exercise intensity (OR 2.4, 95% CI 1.2, 4.6). Conclusions We found no group differences of antenatal exercise including PFMT on UI after 7 years among the responders. UI in pregnancy increased the risk of long-term UI. Regular exercise was not associated with UI at 7 years; however, women with UI were more than twice as likely to exercise at lower intensity than continent women.

scholarly journals New Internet of Medical Things for Home-Based Treatment of Anorectal Disorders

Sensors ◽  
2022 ◽  
Vol 22 (2) ◽  
pp. 625
Author(s):  
Jerry Zhou ◽  
Vincent Ho ◽  
Bahman Javadi
Keyword(s):  
Web Application ◽  
Cost Effective ◽  
Mobile App ◽  
Biofeedback Training ◽  
Biofeedback Therapy ◽  
High Definition ◽  
Pressure Profiles ◽  
Home Based ◽  
Cost Effective Method ◽  
Internet Of Medical Things

Home-based healthcare provides a viable and cost-effective method of delivery for resource- and labour-intensive therapies, such as rehabilitation therapies, including anorectal biofeedback. However, existing systems for home anorectal biofeedback are not able to monitor patient compliance or assess the quality of exercises performed, and as a result have yet to see wide spread clinical adoption. In this paper, we propose a new Internet of Medical Things (IoMT) system to provide home-based biofeedback therapy, facilitating remote monitoring by the physician. We discuss our user-centric design process and the proposed architecture, including a new sensing probe, mobile app, and cloud-based web application. A case study involving biofeedback training exercises was performed. Data from the IoMT was compared against the clinical standard, high-definition anorectal manometry. We demonstrated the feasibility of our proposed IoMT in providing anorectal pressure profiles equivalent to clinical manometry and its application for home-based anorectal biofeedback therapy.

scholarly journals User Experiences and Preferences Regarding an App for the Treatment of Urinary Incontinence in Adult Women: Qualitative Study

10.2196/17114 ◽  
2020 ◽  
Vol 8 (6) ◽  
pp. e17114 ◽  
Author(s):  
Nienke J Wessels ◽  
Lisa Hulshof ◽  
Anne M M Loohuis ◽  
Lisette van Gemert-Pijnen ◽  
Petra Jellema ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Qualitative Study ◽  
Mobile App ◽  
Adult Women ◽  
Adherence To Treatment ◽  
User Experiences ◽  
Face To Face ◽  
Semistructured Interviews ◽  
Data Saturation ◽  
The One

Background Although several apps are available to support the treatment of urinary incontinence (UI), little has been reported about the experiences and preferences of their users. Objective The objective of this study was to explore the experiences and preferences of women using a mobile app for the treatment of UI and to identify potential improvements to the app. We developed this app for three types of UI: stress UI, urgency UI, and mixed UI. Methods The participants in this qualitative study were women with self-reported stress UI, urgency UI, or mixed UI who used an app-based treatment to manage their condition for at least six weeks. Following the intervention, semistructured interviews were conducted to explore the participants’ experiences and preferences regarding the app. All interviews were audio-recorded, transcribed verbatim, and analyzed separately by two researchers. Results Data saturation was reached after interviewing 9 women (aged 32-68 years) with stress UI (n=1, 11%), urgency UI (n=3, 33%), or mixed UI (n=5, 56%). Accessibility, awareness, usability, and adherence emerged as the main themes. On the one hand, participants appreciated that the app increased their accessibility to care, preserved their privacy, increased their awareness of therapeutic options, was easy to use and useful, and supported treatment adherence. On the other hand, some participants reported that they wanted more contact with a care provider, and others reported that using the app increased their awareness of symptoms. Conclusions This qualitative study indicates that women appreciate app-based treatment for UI because it can lower barriers to treatment and increase both awareness and adherence to treatment. However, the app does not offer the ability of face-to-face contact and can lead to a greater focus on symptoms.

scholarly journals Re: Treatment of stress urinary incontinence with a mobile app: factors associated with success

2018 ◽  
Vol 29 (6) ◽  
pp. 925-925 ◽  
Author(s):  
Emma Nyström ◽  
Ina Asklund ◽  
Malin Sjöström ◽  
Hans Stenlund ◽  
Eva Samuelsson
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Mobile App ◽  
Factors Associated

scholarly journals User Experiences and Preferences Regarding an App for the Treatment of Urinary Incontinence in Adult Women: Qualitative Study (Preprint)

2019 ◽  
Author(s):  
Nienke J Wessels ◽  
Lisa Hulshof ◽  
Anne M M Loohuis ◽  
Lisette van Gemert-Pijnen ◽  
Petra Jellema ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Qualitative Study ◽  
Mobile App ◽  
Adult Women ◽  
Adherence To Treatment ◽  
User Experiences ◽  
Face To Face ◽  
Semistructured Interviews ◽  
Data Saturation ◽  
The One

BACKGROUND Although several apps are available to support the treatment of urinary incontinence (UI), little has been reported about the experiences and preferences of their users. OBJECTIVE The objective of this study was to explore the experiences and preferences of women using a mobile app for the treatment of UI and to identify potential improvements to the app. We developed this app for three types of UI: stress UI, urgency UI, and mixed UI. METHODS The participants in this qualitative study were women with self-reported stress UI, urgency UI, or mixed UI who used an app-based treatment to manage their condition for at least six weeks. Following the intervention, semistructured interviews were conducted to explore the participants’ experiences and preferences regarding the app. All interviews were audio-recorded, transcribed verbatim, and analyzed separately by two researchers. RESULTS Data saturation was reached after interviewing 9 women (aged 32-68 years) with stress UI (n=1, 11%), urgency UI (n=3, 33%), or mixed UI (n=5, 56%). Accessibility, awareness, usability, and adherence emerged as the main themes. On the one hand, participants appreciated that the app increased their accessibility to care, preserved their privacy, increased their awareness of therapeutic options, was easy to use and useful, and supported treatment adherence. On the other hand, some participants reported that they wanted more contact with a care provider, and others reported that using the app increased their awareness of symptoms. CONCLUSIONS This qualitative study indicates that women appreciate app-based treatment for UI because it can lower barriers to treatment and increase both awareness and adherence to treatment. However, the app does not offer the ability of face-to-face contact and can lead to a greater focus on symptoms.

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