The effectiveness of eHealth interventions on female pelvic floor dysfunction: a systematic review and meta-analysis

Xu, Ping; Wang, Xiaojuan; Guo, Pingping; Zhang, Wei; Mao, Minna; Feng, Suwen

doi:10.1007/s00192-022-05222-5

Cited by 5 publications

(5 citation statements)

References 62 publications

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“…Lately, eHealth (digital health) intervention programs have been mounted to provide information about pelvic floor ailments and management. A thorough meta-analysis conducted by Xu et al [ 25 ] shows that eHealth intervention is useful in recovering PFD symptoms, especially as regards to outcomes such as stress and urinary incontinence, quality of life, pelvic floor muscle strength, and sexual function. Due to their anonymity, flexibility, and accessibility, eHealth interventions can reduce women’s sense of embarrassment, reduce cost and time, and simplify access to healthcare services.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Severity of Pelvic Floor Disorders during Pregnancy: Does the Trimester Make a Difference?

et al. 2023

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(1) Background: Women experience pelvic floor dysfunction symptoms during pregnancy. This study is the first to investigate and compare variances in the prevalence and severity of pelvic floor symptoms between trimesters using a valid pregnancy-targeted questionnaire. (2) Methods: A retrospective cohort study was conducted between August 2020 to January 2021 at two university-affiliated tertiary medical centers. Pregnant women (n = 306) anonymously completed the Pelvic Floor Questionnaire for Pregnancy and Postpartum with its four domains (bladder, bowel, prolapse, and sexual). (3) Results: Thirty-six women (11.7%) were in the 1st trimester, eighty-three (27.1%) were in the 2nd trimester, and one hundred and eighty-seven (61.1%) were in the 3rd trimester. The groups were similar in age, pregestational weight, and smoking habits. A total of 104 (34%) had bladder dysfunction, 112 (36.3%) had bowel dysfunction, and 132 (40.4%) reported sexual inactivity and/or sexual dysfunction. Least prevalent (33/306; 10.8%) were prolapse symptoms. Increased awareness of prolapse and significantly higher rates of nocturia and the need to use pads due to incontinence were recorded in the 3rd trimester. Sexual dysfunction or abstinence were equally distributed in all three trimesters. (4) Conclusions: Bladder and prolapse symptoms, equally frequent throughout pregnancy, significantly intensified in the 3rd trimester. Bowel and sexual symptoms, equally frequent throughout pregnancy, did not intensify in the third trimester.

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Section: Discussionmentioning

confidence: 99%

Prevalence and Severity of Pelvic Floor Disorders during Pregnancy: Does the Trimester Make a Difference?

et al. 2023

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“…Step 2: Based on the results of the initial search modification and additional keywords, we will collaborate with an academic librarian to develop customised search strategies for each electronic database. Moreover, the search strategies of two systematic reviews33 34 published by our research team were also referred to when developing the current search strategy. A combination of MeSH terms and free-text keywords will be applied where appropriate to represent the definitions of WBIs, UI and RCT if possible.…”

Section: Methods and Analysismentioning

confidence: 99%

Effectiveness of web-based interventions for women with urinary incontinence: protocol for a systematic review and meta-analysis of randomised controlled trials

Xu,

Guo,

et al. 2024

BMJ Open

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IntroductionUrinary incontinence (UI) is one of the most common chronic diseases among women, which can endanger their physical and mental health and incur a heavy financial burden on both individuals and society. Web-based interventions (WBIs) have been applied to manage women’s UI, but their effectiveness has remained inconclusive. This systematic review and meta-analysis aims to explore the effectiveness of WBIs on self-reported symptom severity, condition-specific quality of life, adherence to pelvic floor muscle training (primary outcomes) and other extensive secondary outcomes among women with UI. We also aimed to investigate whether intervention characteristics (format, interactivity and main technology) have impacts on the effectiveness of primary outcomes.Methods and analysisThis systematic review protocol was developed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols guidelines. 10 electronic databases will be comprehensively searched from their inception to 1 May 2024, along with grey literature searches and manual reviews of relevant reference lists to identify eligible randomised controlled trials. The methodological quality of the included studies will be assessed by two reviewers based on the Cochrane Risk of Bias Tool. Meta-analyses will be conducted via Stata V.12.0. Leave-one-out sensitivity analyses will be performed, and publication bias will be evaluated using funnel plots and Egger’s test. Subgroup analyses regarding intervention format, interactivity and main technology will be carried out.Ethics and disseminationNo ethics approval is needed for this review since no primary data are to be collected. The results of this review will help develop an optimal WBI for women with UI, thereby providing them with maximum benefits. The findings will be disseminated via a peer-reviewed journal or conference presentation.PROSPERO registration numberCRD42023435047.

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“…Experts in PFMT adherence have recommended using the COM-B to map the behavioral theories underpinning interventions to improve PFMT adherence in women [7]. Some systematic review findings suggest that PFMT mobile apps increase PFMT adherence in women [8,21,25,26] and their effectiveness in the treatment of PFD [27]. However, it is unclear how they work.…”

Section: Introductionmentioning

confidence: 99%

Exploring Adherence to Pelvic Floor Muscle Training in Women Using Mobile Apps: Scoping Review

Harper,

Sheppard,

Stewart

et al. 2023

JMIR Mhealth Uhealth

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Background Pelvic floor dysfunction is a public health issue, with 1 in 3 women experiencing symptoms at some point in their lifetime. The gold standard of treatment for pelvic floor dysfunction is supervised pelvic floor muscle training (PFMT); however, adherence to PFMT in women is poor. Mobile apps are increasingly being used in the National Health Service to enable equity in the distribution of health care and increase accessibility to services. However, it is unclear how PFMT mobile apps influence PFMT adherence in women. Objective We aimed to identify which behavior change techniques (BCTs) have been used in PFMT mobile apps, to distinguish the core “capability, opportunity, and motivation” (COM) behaviors targeted by the BCTs used in PFMT mobile apps, and to compare the levels of PFMT adherence in women between those using PFMT mobile apps and those receiving usual care. Methods We conducted a scoping review of the literature. Published quantitative literature that compared the use of a PFMT mobile app to a control group was included to address the objectives of the study. The electronic bibliographic databases searched included MEDLINE, CINAHL, Scopus, Web of Science, and PEDro, along with CENTRAL. Studies were also identified from reference searching of systematic reviews. Original articles written in English from 2006 onward were included. Nonexperimental quantitative studies, qualitative studies, studies that use male participants, case studies, web-based interventions, and interventions that use vaginal probes were excluded. Narrative synthesis was conducted on eligible articles based on the aims of the study. Results Of the 114 records retrieved from the search, a total of 6 articles met the eligibility and inclusion criteria. The total number of participants in the studies was 471. All PFMT mobile apps used the BCT “prompts and cues.” Opportunity was the core COM behavior targeted by the PFMT mobile apps. Higher levels of adherence to PFMT were observed among women using PFMT mobile apps. Conclusions Digital “prompts and cues” are a BCT commonly used in PFMT mobile apps, and further research is required to practically assess whether a future randomized controlled trial that investigates the effectiveness of digital “prompts and cues” on PFMT adherence in women can be conducted.

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The effectiveness of eHealth interventions on female pelvic floor dysfunction: a systematic review and meta-analysis

Cited by 5 publications

References 62 publications

Prevalence and Severity of Pelvic Floor Disorders during Pregnancy: Does the Trimester Make a Difference?

Prevalence and Severity of Pelvic Floor Disorders during Pregnancy: Does the Trimester Make a Difference?

Effectiveness of web-based interventions for women with urinary incontinence: protocol for a systematic review and meta-analysis of randomised controlled trials

Exploring Adherence to Pelvic Floor Muscle Training in Women Using Mobile Apps: Scoping Review

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