Development and feasibility assessment of a 3 day electronic bladder diary as an app for smart‐phone

Arrom, Laura Mateu; Cusi, L. Peri; Castro, Agustín; Lavalle, Luís López-Fando; Cidre, Miguel Ángel Jiménez; Alcaraz, Antonio

doi:10.1002/nau.23494

Cited by 16 publications

(21 citation statements)

References 15 publications

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“…The variables registered by the eDM3d were instantly transferred to an internet server (http://www.webfactional.com) where an electronic report could be obtained. This report included the automatically calculated mean values . After completion of the two BDs, patients answered a direct question about satisfaction: “If you had to complete a BD again, would you choose the paper or the app version?”…”

Section: Methodsmentioning

confidence: 99%

“…This report included the automatically calculated mean values. 11 After completion of the two BDs, patients answered a direct question about satisfaction: "If you had to complete a BD again, would you choose the paper or the app version? "…”

Section: Methodsmentioning

confidence: 99%

“…Thus, the implementation of a BD as an app seems to be the next step . We recently reported the development process of an Spanish 3‐day BD as an easy‐to‐use app for smart‐phone (eDM3d), based on the already Spanish validated 3‐day BD (DM3d) . Interface obtained consisted in only four buttons (micturition, intake, wake‐up, sleep) that had to be clicked to create an event, and preliminary results showed a good feasibility and high patients' satisfaction (see screenshot of the app in supplementary material).…”

Section: Introductionmentioning

confidence: 99%

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Validation of a 3 day electronic bladder diary as an app for smart‐phone

Arrom

Cusi

López-Fando³

et al. 2019

Neurourology and Urodynamics

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Aim To validate an electronic 3‐day bladder diary (BD) as an easy‐to‐use app for smart‐phone (eDM3d). Methods Descriptive and cross‐sectional prospective study. One hundred and thirty‐six patients with overactive bladder syndrome (OABs) or nocturia who had a smart‐phone and attended the urology clinics of a tertiary hospital from June to November 2017 were included. Patients filled the eDM3d (test) and the Spanish validated paper BD (DM3d) and questionnaires ICIQ‐UISF and BASQ during the first week. Two weeks later, they repeated the eDM3d (retest). We assessed feasibility of the eDM3d (percentage of variables completed), test‐retest reliability (qualitative variables: McNemar test; quantitative variables: ICC), paper‐app correlation (qualitative variables: Kappa index; quantitative variables: ICC) and convergent validity (correlation between eDM3d and questionnaires, Spearman's rank test). Patients answered a question about satisfaction: “If you had to repeat a BD again, would you choose paper or the app version?” Results One hundred and twenty‐three (90.4%) participants completed all the variables of the first eDM3d. There were no significant differences in the proportion of patients classified as positive for each symptom between test and retest. ICC ranged from 0.73 to 0.94 for all variables (P < 0.001) in the test‐retest assessment. Paper‐app correlation was good to excellent for all variables (ICC 0.76‐0.95, P < 0.001; Kappa index 0.56‐0.84, P < 0.001). Correlation between the eDM3d and the questionnaires ranged from 0.23 to 0.6 (P < 0.01). 120 (88.2%) patients would choose the eDM3d if they had to repeat a BD. Conclusion The eDM3d presents suitable feasibility, reliability, and validity to assess patients with OABs or nocturia who have a smart‐phone.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Validation of a 3 day electronic bladder diary as an app for smart‐phone

Arrom

Cusi

López-Fando³

et al. 2019

Neurourology and Urodynamics

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“…Another study in patients with overactive bladder showed that those using the CBT checklist had higher adherence to and persistence with treatment and better outcomes compared with a group of patients who were provided only with written guidelines. 3 Recently, Mateu et al 4,5 attempted to use smartphone apps to improve patient adherence to and persistence with behavioral therapy for urinary tract symptoms. The disadvantage of such apps, however, is that some patients may face financial barriers to the use of electronic media.…”

Section: Editorial Commentmentioning

confidence: 99%

“…Recently, Mateu et al 4,5 . attempted to use smartphone apps to improve patient adherence to and persistence with behavioral therapy for urinary tract symptoms.…”

mentioning

confidence: 99%

Editorial Comment to Does cognitive behavioral therapy using a self‐check sheet improve night‐time frequency in patients with nocturia? Results of a multicenter randomized controlled trial

2021

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Can we increase the value of data from bladder diaries? International Consultation on Incontinence—Research Society 2023

Liapis,

Gammie,

Mohamed‐Ahmed

et al. 2023

Neurourology and Urodynamics

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BackgroundBladder diaries represent a fundamental component in the assessment of patients presenting with lower urinary tract symptoms. Nevertheless, their importance often remains underappreciated and undervalued within clinical practice. This paper aims to conduct a comprehensive review of the existing literature concerning the utility of bladder diaries, underscore the criticality of their precision, elucidate the factors contributing to noncompliance with bladder diary completion, and investigate potential strategies for enhancing patient compliance.Materials and MethodsA review of the English‐language scientific literature available in the domains of Medline, Embase, Emcare, Midirs, and Cinahl was conducted. This was supplemented by discussion at the International Consultation on Incontinence Research Society Proposal session to define knowledge and identify gaps in knowledge surrounding the utility of bladder diaries. The existing evidence and outcome of the relevant discussion held in the meeting are presented.ResultsBladder diaries (BD) serve to characterize the nature and severity of storage lower urinary tract symptoms (LUTS) and provide an objective record of an individual's urination patterns. They aid in the refinement and customization of treatment strategies based on the clinical responses documented in the diary, optimizing treatment outcomes. Notably, both BD and urodynamic studies (UDS) play complementary yet distinct roles in LUTS evaluation. BD offers a more comprehensive and accessible approach to assessing specific storage LUTS, particularly due to their affordability and widespread availability, especially in resource‐limited settings. Nevertheless, the absence of a standardized BD format across global healthcare systems presents a significant challenge. Despite being recognized as reliable, noninvasive, validated, and cost‐effective tools for evaluating patients with LUTS, the implementation and completion of BD have proven to be complex. The introduction of automated bladder diaries heralds an era of precise, real‐time data collection, potentially enhancing the patient–clinician relationship. Completion of bladder diaries depends on an array of individual, social, and healthcare‐specific factors. Compliance with bladder diary completion could be enhanced with clear instructions, patient education, regular follow‐ups and positive re‐enforcement. This study has identified four critical areas for future research: Addressing healthcare disparities between affluent and developing nations, enhancing the current functionality and effectiveness of bladder diaries, exploring the feasibility of incorporating bladder diaries into the treatment and education process and improving the quality and functionality of existing bladder diaries.ConclusionBladder diaries play a pivotal role in the evaluation and management of patients with LUTS, providing a holistic perspective. When their complete potential is harnessed, they have the capacity to revolutionize the paradigm of LUTS management, ushering in a patient‐centered era of care.

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Development and feasibility assessment of a 3 day electronic bladder diary as an app for smart‐phone

Abstract: The eDM3d is a useful tool easily filled in by patients with a high satisfaction rate. Adequate validation of the eDM3d is required.

Cited by 16 publications

References 15 publications

Validation of a 3 day electronic bladder diary as an app for smart‐phone

Validation of a 3 day electronic bladder diary as an app for smart‐phone

Editorial Comment to Does cognitive behavioral therapy using a self‐check sheet improve night‐time frequency in patients with nocturia? Results of a multicenter randomized controlled trial

Can we increase the value of data from bladder diaries? International Consultation on Incontinence—Research Society 2023

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