Telemedicine Program for Management and Treatment of Stress Urinary Incontinence in Women

Pla, Anna Abelló; Povar, Anna Andreu; Caussa, Jordi Esquirol; Tallón, Vanessa Bayo; Rexachs, Dolores; Luque, Emilio

doi:10.4018/978-1-4666-7373-1.ch004

Cited by 2 publications

(20 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Just over 40% (12/28, 43%) of these were solely mobile apps, 4% (1/28) trialed a smartphone-based messaging system, 11% (3/28) were internet-based programs, and 7% (2/28) were dedicated to videoconferencing. A total of 32% (9/28) of the technologies involved the use of a portable vaginal biofeedback or accelerometer-based device [ 36 - 38 , 43 , 44 , 48 , 49 , 53 , 54 , 62 , 67 , 71 , 76 ] that provided real-time feedback transmitted via Bluetooth to a mobile app or, in one instance, to a computer application [ 43 ]. In addition to the vaginal device, electromyographic data were integrated from surface electrodes attached to the abdominal muscles [ 37 , 38 ] or PFMs [ 36 ].…”

Section: Resultsmentioning

confidence: 99%

“…In 10% (4/41) of the studies, women also attended supervised group sessions once a week to undertake PFMT via teleconferencing [ 59 ], in person [ 52 , 57 ] with a maximum of 4 women per group [ 52 ], or specific to one of the study arms (app plus physiotherapy group) [ 57 ]. In the study by Pla et al [ 49 ], Skype was the medium for supervision of group-based hypopressive abdominal exercises 3 times per week (5-9 women per group), with women also receiving monthly individual videoconferencing sessions to check progress.…”

Section: Resultsmentioning

confidence: 99%

“…In addition to the 10% (4/41) of studies that provided supervision for women in a group setting [ 49 , 52 , 57 , 59 ], 34% (14/41) supported women on an individual basis. Examples included confirming a PFM contraction or PFMT practice [ 39 , 51 ] and checking women’s adherence to the program [ 39 ]; providing a set number of supervised sessions over the duration of the program (which ranged between 1 and 12) either in person [ 42 , 76 ] or remotely via email [ 6 , 41 ], phone call [ 54 ], or videoconferencing [ 45 ]; and more intense supervision, such as five 30-minute sessions over 2 weeks [ 43 ] and daily sessions 5 days per week [ 62 ].…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

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

View full text Add to dashboard Cite

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.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

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

View full text Add to dashboard Cite

show abstract

“…Just over 40% (12/28, 43%) of these were solely mobile apps, 4% (1/28) trialed a smartphone-based messaging system, 11% (3/28) were internet-based programs, and 7% (2/28) were dedicated to videoconferencing. A total of 32% (9/28) of the technologies involved the use of a portable vaginal biofeedback or accelerometer-based device [36][37][38]43,44,48,49,53,54,62,67,71,76] that provided real-time feedback transmitted via Bluetooth to a mobile app or, in one instance, to a computer application [43]. In addition to the vaginal device, electromyographic data were integrated from surface electrodes attached to the abdominal muscles [37,38] or PFMs [36].…”

Section: Types Of Dts (Consensus On Exercise Reporting Template For P...mentioning

confidence: 99%

“…Confirmation of a voluntary PFM contraction was undertaken in just under half (19/41, 46%) of the studies and was either not included in the study design in 41% (17/41) of the studies or not indicated or appropriate (5/41, 12%). Confirmation was obtained through digital assessment [39,57,61,69], which was also used to teach a correct contraction or relaxation of the PFM [52,67]; biofeedback or the digital device [36][37][38]43,44,49,62]; or a combination of both [42,47,51,59,71,76]. Digital assessment was undertaken by a specialized HCP, although it was not indicated who performed this procedure in 7% (3/41) of the studies [51,57,71].…”

Section: Content Of Pfmt (Consensus On Exercise Reporting Template Fo...mentioning

confidence: 99%

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

Woodley¹,

Moller²,

Clark³

et al. 2022

Preprint

View full text Add to dashboard Cite

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. CLINICALTRIAL

show abstract

Telemedicine Program for Management and Treatment of Stress Urinary Incontinence in Women

Cited by 2 publications

References 26 publications

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

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

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

Contact Info

Product

Resources

About