Intérêt des applications mobiles et internet dans la prise en charge de l’incontinence urinaire d’effort chez la femme

Bertuit, Jeanne; Barrau, Marine; Huet, Sébastien; Rejano-Campo, Montserrat

doi:10.1016/j.purol.2020.09.013

Cited by 5 publications

(5 citation statements)

References 42 publications

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“…To address this barrier, participants in our study suggested using strategies such as alarm clock reminders or punch-in, thus suggesting that patients may benefit from behaviour-changing strategies, such as punch-in or reminders. Furthermore, previous studies have reported that the adherence of patients participating in treatment can be improved using electronic reminders [ 50 ]. However, a randomised trial found that women who received additional video and reminder interventions showed no improvement in adherence compared with women who received traditional physical therapy alone [ 51 ].…”

Section: Discussionmentioning

confidence: 99%

Barriers and enablers of pelvic floor rehabilitation behaviours in pregnant women with stress urinary incontinence: a qualitative analysis using the theoretical domains framework

Jin

Guo

et al. 2023

BMC Pregnancy Childbirth

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Background Stress urinary incontinence during pregnancy is closely related to the occurrence of postpartum and long-term urinary incontinence. Early pelvic floor management is of great significance in promoting the recovery of pelvic floor tissues in pregnant women. However, effective management of urinary incontinence is far from achievable owing to the low adherence of pregnant women in partaking in pelvic floor rehabilitation. As a comprehensive framework for behavioural theory, the Theoretical Domain Framework allows for comprehensive identification of behavioural determinants. Using Theoretical Domain Framework, this study aimed to identify barriers and enablers of pelvic floor rehabilitation behaviours in pregnant women with stress urinary incontinence. Methods A descriptive, qualitative design was used in this study. Face-to-face semi-structured interviews were conducted with pregnant women with stress urinary incontinence based on the Theoretical Domain Framework. The data were analysed using a combination of inductive and deductive methods. Results Twenty pregnant women with stress urinary incontinence were interviewed. Seven themes were summarised and used to explain the pelvic floor rehabilitation behaviours of pregnant women with stress urinary incontinence. The seven themes were (1) individual knowledge and experience of pelvic floor management, (2) judgments about expected outcomes, (3) interactions of interpersonal situations, (4) environment, resources, and decision-making processes, (5) personal goal-setting and efforts towards behaviour change, (6) emotional influences on decision-making, and (7) personal characteristics. Besides the "Optimism" domain, 13 of the 14 Theoretical Domains Framework domains were found to influence pregnant patients' pelvic floor rehabilitation behaviours after deductive mapping of themes to the Theoretical Domains Framework. In addition, the inductive analysis generated a theme of personal characteristics that did not map to any of the Theoretical Domains Framework domains. Conclusions The pelvic floor rehabilitation behaviours of pregnant women with stress urinary incontinence are complex and are affected by many factors. The findings confirm the need for multiple interventions to support pelvic floor management in pregnant women with stress urinary incontinence, focusing on enhancing knowledge and skills in pelvic floor care and using appropriate behaviour change techniques (such as prompts) to provide a supportive environment.

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Section: Discussionmentioning

confidence: 99%

Barriers and enablers of pelvic floor rehabilitation behaviours in pregnant women with stress urinary incontinence: a qualitative analysis using the theoretical domains framework

Jin

Guo

et al. 2023

BMC Pregnancy Childbirth

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“…Several systematic reviews have recently been published in this field, mostly focusing on the effectiveness of PFMT DTs in terms of improving symptoms of UI and QoL along with adherence to the prescribed PFMT program [7,8,[18][19][20][21]. In this context, knowledge of the quality and content of PFMT DTs is also important, as is an understanding of whether such DTs are designed for women across their life course and take into account the cultural contexts and experiences of women and other relevant stakeholders.…”

Section: Objectivesmentioning

confidence: 99%

“…It is evident that the medium of DT for the conservative management of UI is prevalent and continually expanding, with rapid growth apparent particularly over the last 10 years. In total, 89 studies were included in this scoping review-51% (45/89) were primary studies and 49% (44/89) supplementary papers-which is larger than the number (between 3 and 10 papers) included in several recent narrative and systematic reviews in this field [7,8,[18][19][20][21]124,125]. This difference likely reflects variations in inclusion and exclusion criteria, which in this study were intentionally broad so as to encompass a range of sources, including qualitative research.…”

Section: Principal Findingsmentioning

confidence: 99%

“…Digital technologies (DTs; such as the World Wide Web; eHealth; and mobile health [mHealth], including SMS text messaging and apps) provide an avenue for women with UI to seek guidance with PFMT and potentially improve their symptoms and QoL [ 5 - 8 ]. To elicit health benefits, women require access to DTs based on the best scientific evidence.…”

Section: Introductionmentioning

confidence: 99%

“…In addition, many women avoid seeking treatment for UI based on the belief that UI is an inevitable consequence of aging or childbirth, or the perception that little can be done to improve symptoms or QoL, or because of limited access to health services [6]. Digital technologies (DTs; such as the World Wide Web; eHealth; and mobile health [mHealth], including SMS text messaging and apps) provide an avenue for women with UI to seek guidance with PFMT and potentially improve their symptoms and QoL [5][6][7][8]. To elicit health benefits, women require access to DTs based on the best scientific evidence.…”

Section: Introductionmentioning

confidence: 99%

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Digital Technologies for Women’s Pelvic Floor Muscle Training to Manage Urinary Incontinence Across Their Life Course: Scoping Review

Woodley¹,

Moller²,

Clark³

et al. 2023

JMIR Mhealth Uhealth

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Background Women with urinary incontinence (UI) may consider using digital technologies (DTs) to guide pelvic floor muscle training (PFMT) to help manage their symptoms. DTs that deliver PFMT programs are readily available, yet uncertainty exists regarding whether they are scientifically valid, appropriate, and culturally relevant and meet the needs of women at specific life stages. Objective This scoping review aims to provide a narrative synthesis of DTs used for PFMT to manage UI in women across their life course. Methods This scoping review was conducted in accordance with the Joanna Briggs Institute methodological framework. A systematic search of 7 electronic databases was conducted, and primary quantitative and qualitative research and gray literature publications were considered. Studies were eligible if they focused on women with or without UI who had engaged with DTs for PFMT, reported on outcomes related to the use of PFMT DTs for managing UI, or explored users’ experiences of DTs for PFMT. The identified studies were screened for eligibility. Data on the evidence base for and features of PFMT DTs using the Consensus on Exercise Reporting Template for PFMT, PFMT DT outcomes (eg, UI symptoms, quality of life, adherence, and satisfaction), life stage and culture, and the experiences of women and health care providers (facilitators and barriers) were extracted and synthesized by ≥2 independent reviewers. Results In total, 89 papers were included (n=45, 51% primary and n=44, 49% supplementary) involving studies from 14 countries. A total of 28 types of DTs were used in 41 primary studies, including mobile apps with or without a portable vaginal biofeedback or accelerometer-based device, a smartphone messaging system, internet-based programs, and videoconferencing. Approximately half (22/41, 54%) of the studies provided evidence for or testing of the DTs, and a similar proportion of PFMT programs were drawn from or adapted from a known evidence base. Although PFMT parameters and program compliance varied, most studies that reported on UI symptoms showed improved outcomes, and women were generally satisfied with this treatment approach. With respect to life stage, pregnancy and the postpartum period were the most common focus, with more evidence needed for women of various age ranges (eg, adolescent and older women), including their cultural context, which is a factor that is rarely considered. Women’s perceptions and experiences are often considered in the development of DTs, with qualitative data highlighting factors that are usually both facilitators and barriers. Conclusions DTs are a growing mechanism for delivering PFMT, as evidenced by the recent increase in publications. This review highlighted the heterogeneity in types of DTs, PFMT protocols, the lack of cultural adaptations of most of the DTs reviewed, and a paucity in the consideration of the changing needs of women across their life course.

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Effects of using a mobile application on pelvic floor training in women with stress urinary incontinence: A randomized controlled clinical study

Vilela,

Silva,

Pinto

et al. 2024

Neurourology and Urodynamics

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IntroductionUrinary incontinence (UI) is defined as any involuntary loss of urine that causes negative impacts on women's lives. Pelvic floor muscle training (PFMT) is considered to be “level A” of scientific evidence in the treatment of UI. Despite its efficacy, it is known that the effect of PFMT may depend on continuous adherence. Therefore, healthcare professionals are looking for alternatives to improve adherence in their patients. Healthcare has been innovating through mobile device apps.ObjectiveThus, the objective of this study was to verify the effects of PFMT with the use of a mobile device app in incontinent women.Trial DesignThis was a controlled, randomized clinical trial that occurred remotely.MethodsA total of 104 women with stress UI and/or mixed incontinence, over 18 years old, literate, with preserved cognitive capacity, with internet access and a mobile device with the Android system, participated in this study. They were randomly divided into two groups: The App group and the Booklet group, which underwent a PFMT protocol guided by a mobile app and a booklet, respectively. Both groups received daily reminders to perform the exercises. Before and after 12 weeks of intervention, it was evaluated using the International Consultation on Incontinence Questionnaire‐Short Form (ICIQ‐SF) and the King's Health Questionnaire (KHQ).ResultsBoth groups showed improvements in the final ICIQ‐SF score. However, superior results were shown for the Booklet group (App: pre: 11.5 [±3.8], post: 9.8 [±4.5]; Booklet: pre: 12.6 [±4.5], post: 7.4 [±4.3]; p = 0.03).ConclusionIt was concluded that PFMT, with the use of a mobile app, is capable of reducing UI and the impact of UI, but it is not superior to training with the use of booklet instructions.

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Intérêt des applications mobiles et internet dans la prise en charge de l’incontinence urinaire d’effort chez la femme

Cited by 5 publications

References 42 publications

Barriers and enablers of pelvic floor rehabilitation behaviours in pregnant women with stress urinary incontinence: a qualitative analysis using the theoretical domains framework

Barriers and enablers of pelvic floor rehabilitation behaviours in pregnant women with stress urinary incontinence: a qualitative analysis using the theoretical domains framework

Digital Technologies for Women’s Pelvic Floor Muscle Training to Manage Urinary Incontinence Across Their Life Course: Scoping Review

Effects of using a mobile application on pelvic floor training in women with stress urinary incontinence: A randomized controlled clinical study

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