Mobile App for Treatment of Stress Urinary Incontinence: A Cost-Effectiveness Analysis

Sjöström, Malin; Lindholm, Lars; Samuelsson, Eva

doi:10.2196/jmir.7383

Cited by 66 publications

(93 citation statements)

References 35 publications

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“…Therefore, app use may be considered a noninvasive therapeutic tool for women who want to manage their routine more independently 32 . Corroborating such findings, one study 33 suggested that the use of an app to treat stress UI has a good cost‐benefit ratio.…”

Section: Discussionmentioning

confidence: 99%

Use of mobile apps for controlling of the urinary incontinence: A systematic review

Nagib

Riccetto

Martinho

et al. 2020

Neurourology and Urodynamics

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Objective: The primary objective was to evaluate the impact of app use on urinary incontinence control through pelvic floor muscle training when compared to the postal treatment plan. The secondary objectives were to evaluate how app use may affect the quality of life (QoL) of users and treatment adherence. Material and Methods: Eight databases (PubMed, SciELO, Embase, Web of Science, LILACS, Open Gray, Open Thesis, and OATD) were used as research sources. The protocol was registered in PROSPERO (CRD 42020145709).Randomized controlled trials assessing urinary incontinence (UI) control with app use, with no restriction of year, language, and status of publication were included. The JBI Systematic Reviews Checklist for Randomized Controlled Trials assessed the risk of bias of the studies selected. The mean scores of QoL between the pre-and postintervention periods were compared through standardized mean differences, which were weighted according to the number of months between the two periods. Results: Only three studies met the eligibility criteria and were included. The methodological quality of the studies was from "low" to "moderate" risk of bias.The full sample included 203 patients with app-based treatment e 203 controls of postal treatment. All studies showed the reduction of urinary symptoms. In addition, two studies showed a reduction of QoL scores specific for the condition, while one study presented increased scores.Conclusion: Reminder therapy seems to be a promising strategy for controlling UI. K E Y W O R D Smobile app, pelvic floor, pelvic floor muscle training, urinary incontinence 1038 | LEME NAGIB ET AL.

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Section: Discussionmentioning

confidence: 99%

Use of mobile apps for controlling of the urinary incontinence: A systematic review

Nagib

Riccetto

Martinho

et al. 2020

Neurourology and Urodynamics

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“…Other countries already use mobile phones to assess and treat certain diseases [28-31]. With the widespread availability of the internet and decreasing cost of distant medical services over time, the internet health care mode has had an impact on many developing countries, where medical services and resources are concentrated in large cities.…”

Section: Discussionmentioning

confidence: 99%

Using Mobile Apps for Health Management: A New Health Care Mode in China

Lv¹,

Jiang²,

Qi³

et al. 2019

JMIR Mhealth Uhealth

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Background China has a large population; however, medical resources are unevenly distributed and extremely limited, and more medical services are needed. With the development and ever-increasing popularity of mobile internet communication, China has created a mode of mobile health (mHealth) care to resolve this problem. Objective The aim of this study was (1) to describe the problems associated with China’s medical care practice, (2) explore the need for and the feasibility of internet-based medical care in China, and (3) analyze the functionality of and services offered by internet-based health care platforms for the management of chronic diseases. Methods Data search was performed by searching national websites, the popular search engine Baidu, the App Store, and websites of internet medical care institutions, using search terms like “mobile health,” “Internet health,” “mobile medical,” “Internet medical,” “digital medical,” “digital health,” and “online doctor.” A total of 6 mobile apps and websites with the biggest enrollment targeting doctors and end users with chronic diseases in China were selected. Results We recognized the limitations of medical and health care providers and unequal distribution of medical resources in China. An mHealth care platform is a novel and efficient way for doctors and patients to follow up and manage chronic diseases. Services offered by these platforms include reservation and payment, medical consultation, medical education assessment, pharmaceutical and medical instruments sales, electronic medical records, and chronic disease management. China’s health policies are now strongly promoting the implementation of mHealth solutions, particularly in response to the increasing burden of chronic diseases and aging in the population. Conclusions China's internet-based medical and health care mode can benefit the populace by providing people with high-quality medical resources. This can help other countries and regions with high population density and unevenly distributed medical resources manage their health care concerns.

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“…The app, which provides a treatment program for SUI with a focus on PFMT, is referred to here as the “app-based treatment.” We demonstrated efficacy regarding symptoms, quality of life, and urinary leakage in a previous randomized controlled trial (RCT) [16]. The treatment was cost effective [17] and had persistent long-term effects [18].…”

Section: Introductionmentioning

confidence: 99%

User Experience of an App-Based Treatment for Stress Urinary Incontinence: Qualitative Interview Study

Asklund¹,

Samuelsson²,

Hamberg³

et al. 2019

J Med Internet Res

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Background Stress urinary incontinence (SUI) affects 10%-39% of women. Its first-line treatment consists of lifestyle interventions and pelvic floor muscle training (PFMT), which can be performed supervised or unsupervised. Health apps are increasing in number and can be used to improve adherence to treatments. We developed the Tät app, which provides a 3-month treatment program with a focus on PFMT for women with SUI. The app treatment was evaluated in a randomized controlled trial, which demonstrated efficacy for improving incontinence symptoms and quality of life. In this qualitative interview study, we investigated participant experiences of the app-based treatment. Objective This study aimed to explore women’s experiences of using an app-based treatment program for SUI. Methods This qualitative study is based on telephone interviews with 15 selected women, with a mean age of 47 years, who had used the app in the previous randomized controlled trial. A semistructured interview guide with open-ended questions was used, and the interviews were transcribed verbatim. Data were analyzed according to the grounded theory. Results The results were grouped into three categories: “Something new!” “Keeping motivation up!” and “Good enough?” A core category, “Enabling my independence,” was identified. The participants appreciated having a new and modern way to access a treatment program for SUI. The use of new technology seemed to make incontinence treatment feel more prioritized and less embarrassing for the subjects. The closeness to their mobile phone and app features like reminders and visual graphs helped support and motivate the women to carry through the PFMT. The participants felt confident that they could perform the treatment program on their own, even though they expressed some uncertainty about whether they were doing the pelvic floor muscle contractions correctly. They felt that the app-based treatment increased their self-confidence and enabled them to take responsibility for their treatment. Conclusions Use of the app-based treatment program for SUI empowered the women in this study and helped them self-manage their incontinence treatment. They appreciated the app as a new tool for supporting their motivation to carry through a slightly challenging PFMT program. Trial Registration ClinicalTrials.gov NCT01848938; https://clinicaltrials.gov/ct2/show/NCT01848938 (Archived by WebCite at https://clinicaltrials.gov/ct2/show/NCT01848938)

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Mobile App for Treatment of Stress Urinary Incontinence: A Cost-Effectiveness Analysis

Cited by 66 publications

References 35 publications

Use of mobile apps for controlling of the urinary incontinence: A systematic review

Use of mobile apps for controlling of the urinary incontinence: A systematic review

Using Mobile Apps for Health Management: A New Health Care Mode in China

User Experience of an App-Based Treatment for Stress Urinary Incontinence: Qualitative Interview Study

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