Evaluation of Awareness, Adherence, and Barriers of Pelvic Floor Muscle Training in Pregnant Women: A Cross-sectional Study

Bayat, Masoumeh; Eshraghi, Narjes; Naeiji, Zahra; Fathi, Marzieh

doi:10.1097/spv.0000000000000852

Cited by 20 publications

(12 citation statements)

References 18 publications

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“…Regarding individual factors causing training barriers, only one-tenth of pregnant women seek help due to the misperception that UI will resolve by itself [ 15 ], assuming that it is “normal” to have UI, and having a misconception that pelvic training will lead to miscarriage [ 16 ]. Hence, women face difficulties in achieving the necessary knowledge and skills, resulting in poor attitude and adherence towards pelvic training [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Improving Pelvic Floor Muscle Training Adherence Among Pregnant Women: Validation Study

et al. 2022

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Background Mobile health apps, for example, the Tät, have been shown to be potentially effective in improving pelvic floor muscle training (PFMT) among women, but they have not yet been studied among pregnant women. Adherence to daily PFMT will improve pelvic floor muscle strength leading to urinary incontinence (UI) improvement during the pregnancy. Objective This study aims to document the validation process in developing the Kegel Exercise Pregnancy Training app, which was designed to improve the PFMT adherence among pregnant women. Methods We utilized an intervention mapping approach incorporated within the mobile health development and evaluation framework. The framework involved the following steps: (1) conceptualization, (2) formative research, (3) pretesting, (4) pilot testing, (5) randomized controlled trial, and (6) qualitative research. The user-centered design-11 checklist was used to evaluate the user-centeredness properties of the app. Results A cross-sectional study was conducted to better understand PFMT and UI among 440 pregnant women. The study reported a UI prevalence of 40.9% (180/440), with less than half having good PFMT practice despite their good knowledge. Five focus group discussions were conducted to understand the app design preferred by pregnant women. They agreed a more straightforward design should be used for better app usability. From these findings, a prototype was designed and developed accordingly, and the process conformed to the user-centered design–11 (UCD-11) checklist. A PFMT app was developed based on the mHealth development and evaluation framework model, emphasizing higher user involvement in the application design and development. The application was expected to improve its usability, acceptability, and ease of use. Conclusions The Kegel Exercise Pregnancy Training app was validated using a thorough design and development process to ensure its effectiveness in evaluating the usability of the final prototype in our future randomized control trial study.

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Section: Introductionmentioning

confidence: 99%

Improving Pelvic Floor Muscle Training Adherence Among Pregnant Women: Validation Study

et al. 2022

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“…They believe that experiencing urinary incontinence is "normal" and that the symptoms will resolve spontaneously after delivery. Additionally, they think that pelvic oor muscle exercises can lead to abortion, which prevents women from seeking healthcare services [20,21]. These studies have contributed to an increased understanding of the complexity of pelvic oor rehabilitation behaviours.…”

Section: Introductionmentioning

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. 2022

Preprint

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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 compliance of pregnant women in partaking in pelvic floor rehabilitation. In this study, we 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. The study followed the COREQ guidelines. 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) personality traits. After deductive mapping of topics to the Theoretical Domains Framework, it was found that 13 of the Theoretical Domains Framework domains affected the pelvic floor management behaviours of pregnant patients. Conclusions The pelvic floor rehabilitation behaviours of pregnant women with stress urinary incontinence are complex and are affected by many factors. Understanding how pregnant patients feel about pelvic floor rehabilitation behaviours and what factors influence their decision to adopt them can guide healthcare professionals in providing targeted interventions to improve adherence to pelvic floor rehabilitation behaviours.

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“…The barriers in performing PFMT among pregnant women can be divided into several factors, for example, normalisation of having UI [ 10 ], limited resources [ 10 ] that lead to limited knowledge of PFMT [ 2 ], and misconception that PFMT will lead to miscarriage [ 10 ]. Correct and reliable information on PFMT must be easily accessible via the internet or the mHealth app for the target population.…”

Section: Introductionmentioning

confidence: 99%

Protocol of a Single-Blind Two-Arm (Waitlist Control) Parallel-Group Randomised Controlled Pilot Feasibility Study for mHealth App among Incontinent Pregnant Women

Jaffar

Sidik

Foo

et al. 2021

IJERPH

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Background: The delivery of pelvic floor muscle training (PFMT) through mHealth apps has been shown to produce promising results in improving pelvic floor muscle strength and urinary incontinence (UI). However, there is limited evidence on mHealth apps designed for pregnant women who are at high risk of developing UI. This pilot study aims to evaluate the feasibility of conducting an effectiveness trial for a newly developed PFMT app among pregnant women in Malaysia. Methods: This is a prospective, single-centre, single-blind, randomised controlled pilot feasibility study: The Kegel Exercise Pregnancy Training app (KEPT-app) Trial. Sixty-four incontinent pregnant women who attended one primary care clinic for the antenatal follow-up will be recruited and randomly assigned to either intervention or waitlist control group. The intervention group will receive the intervention, the KEPT-app developed from the Capability, Opportunity, Motivation-Behaviour (COM-B) theory with Persuasive Technology and Technology Acceptance Model. Discussion: This study will provide a fine-tuning for our future randomised control study on the recruitment feasibility methods, acceptability, feasibility, and usability of the KEPT-app, and the methods to reduce the retention rates among pregnant women with UI. Trial registration: This study was registered on ClinicalTrials.gov on 19 February 2021 (NCT04762433) and is not yet recruiting.

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Evaluation of Awareness, Adherence, and Barriers of Pelvic Floor Muscle Training in Pregnant Women: A Cross-sectional Study

Cited by 20 publications

References 18 publications

Improving Pelvic Floor Muscle Training Adherence Among Pregnant Women: Validation Study

Improving Pelvic Floor Muscle Training Adherence Among Pregnant Women: Validation Study

Barriers and enablers of pelvic floor rehabilitation behaviours in pregnant women with stress urinary incontinence: A qualitative analysis using the Theoretical Domains Framework

Protocol of a Single-Blind Two-Arm (Waitlist Control) Parallel-Group Randomised Controlled Pilot Feasibility Study for mHealth App among Incontinent Pregnant Women

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