Mixed feelings: general practitioners’ attitudes towards eHealth for stress urinary incontinence - a qualitative study

Firet, Lotte; Bree, Chrissy de; Verhoeks, Carmen; Teunissen, Doreth; Lagro-Janssen, Antoine L. M.

doi:10.1186/s12875-019-0907-x

Cited by 22 publications

(28 citation statements)

References 34 publications

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“… To provide continuity of care using digital physiotherapy modalities whenever possible. Remote monitoring should be considered, especially for women who were already undergoing physiotherapy treatment of urogynecology and proctological symptoms [ 10 , 11 ]. To discuss with patients the feasibility of performing physiotherapeutic care using digital physiotherapy.…”

Section: Resultsmentioning

confidence: 99%

“… To inform the patient in advance when recording remote physiotherapy sessions and when recording videos of the body and the posture in general for movement analysis. To align patient expectations with services and be clear in establishing the specific goals, outcomes and indicators for each virtual meeting, so that the patient also feels in control of their health and involved with the treatment [ 10 ]. Recommendations on physiotherapeutic assessment of PFD symptoms and PFM function using telehealth.…”

Section: Resultsmentioning

confidence: 99%

“…To align patient expectations with services and be clear in establishing the specific goals, outcomes and indicators for each virtual meeting, so that the patient also feels in control of their health and involved with the treatment [ 10 ].…”

Section: Resultsmentioning

confidence: 99%

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A guide to physiotherapy in urogynecology for patient care during the COVID-19 pandemic

et al. 2020

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Introduction and aim Physiotherapy in urogynecology faces challenges to safely continuing its work, considering the adoption of social distancing measures during the COVID-19 pandemic. Some guidelines have already been published for urogynecology; however, no specific documents have been produced on physiotherapy in urogynecology. This article aimed to offer guidance regarding physiotherapy in urogynecology during the COVID-19 pandemic. Methods A group of experts in physiotherapy in women's health performed a literature search in the Pubmed, PEDro, Web of Science and Embase databases and proposed a clinical guideline for physiotherapy management of urogynecological disorders during the COVID-19 pandemic. This document was reviewed by other physiotherapists and a multidisciplinary panel, which analyzed the suggested topics and reached consensus. The recommendations were grouped according to their similarities and allocated into categories. Results Four categories of recommendations (ethics and regulation issues, assessment of pelvic floor muscle function and dysfunction, health education and return to in-person care) were proposed. Telephysiotherapy and situations that need inperson care were also discussed. Regionalization is another topic that was considered. Conclusion This study provides some guidance for continuity of the physiotherapist's work in urogynecology during the COVID-19 pandemic, considering the World Health Organization recommendations and the epidemiological public health situation of each region. Telephysiotherapy can also be used to provide continuity of the care in this area during the COVID-19 pandemic, opening new perspectives for physiotherapy in urogynecology.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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A guide to physiotherapy in urogynecology for patient care during the COVID-19 pandemic

et al. 2020

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“…With regard to this latter option, the question remains if the professionals in primary care should be responsible for the uptake of e-Health in their practice. Previous work showed that while GPs support new digital interventions, they also have mixed feelings about their integration into their daily practice, mostly for practical reasons [ 14 , 39 ]. To further support the implementation of e-Health for women with SUI, therefore, its feasibility needs to be systematically evaluated, and technical improvements should be made to the intervention when required and available.…”

Section: Discussionmentioning

confidence: 99%

“…E-Health could be a solution to improve care for women with SUI. Interviews with Dutch GPs by our group showed that GPs consider the use of e-Health with PFMT as a welcome new tool for treating women with SUI [ 14 ]. When interviewed, Dutch women with SUI reported that they expected that e-Health could serve as a tool to bridge obstacles they encountered in regular care, but they underlined they felt the need to also be able to meet with a person during therapy for SUI [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Women’s adoption of a web-based intervention for stress urinary incontinence: a qualitative study

Firet¹,

Teunissen²,

Kool³

et al. 2021

BMC Health Serv Res

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Background Stress urinary incontinence (SUI) is common among women and affects their quality of life. Pelvic floor muscle training is an effective conservative therapy, but only a minority of women seek help. E-health with pelvic floor muscle training is effective and increases access to care. To implement an e-Health intervention in a sustainable way, however, we need to understand what determines adoption. The aim is to investigate the barriers and facilitators to adopting an e-Health intervention among Dutch women with stress urinary incontinence. Methods Semi-structured telephonic interviews were carried out among participants of the Dutch e-Health intervention for women with stress urinary incontinence. Women were purposively sampled. The ‘Fit between Individuals, Task and Technology’ (FITT) framework was used for both the data collection and data analysis, to gain a more in-depth insight into the adoption of the intervention. Results Twenty women were interviewed, mean age 51 years and mostly highly educated. The adoption of e-Health for women with SUI mainly depends on the interaction between users and e-Health, and users and pelvic floor muscle training exercises. Facilitators for the adoption were the preference for an accessible self-management intervention, having a strong sense of self-discipline and having the ability to schedule the exercises routinely. Women needed to possess self-efficacy to do this intervention independently. Barriers to the adoption of e-Health were personal circumstances restricting time for scheduling pelvic floor muscle training and lacking skills to perform the exercises correctly. Despite guidance by technical features several women remained uncertain about their performance of the exercises and, therefore, wanted additional contact with a professional. Conclusions For stress urinary incontinence e-Health is an appropriate option for a target audience. Use of the FITT framework clearly demonstrates the conditions for optimal adoption. For a subgroup it was a suitable alternative for medical care in person. For others it identified the need for further support by a health care professional. This support could be provided by improvements of technical features and incorporating modes for digital communication. The additional value of integration of the e-Health intervention in primary care might be a logical next step. Trial registration The study was prospectively registered in the Netherlands Trial Registry (NTR) NTR6956.

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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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Mixed feelings: general practitioners’ attitudes towards eHealth for stress urinary incontinence - a qualitative study

Cited by 22 publications

References 34 publications

A guide to physiotherapy in urogynecology for patient care during the COVID-19 pandemic

A guide to physiotherapy in urogynecology for patient care during the COVID-19 pandemic

Women’s adoption of a web-based intervention for stress urinary incontinence: a qualitative study

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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