Using codesign to develop a mobile application for pelvic floor muscle training with an intravaginal device (femfit®)

Pedofsky, Laura; Nielsen, Poul M. F.; Budgett, David; Nemec, Kathryn; Dumoulin, Chantal; Kruger, Jennifer

doi:10.1002/nau.24775

Cited by 3 publications

(19 citation statements)

References 20 publications

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“…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%

“…A total of 21% (6/28) of the DTs incorporated gamification [ 36 - 38 , 48 , 57 , 67 ], which, with 1 exception [ 57 ], was used in conjunction with biofeedback. Descriptions of gamification included “serious games” [ 37 , 38 ], games or activities (eg, weight lifting room and flying arena) [ 67 ], and gaming and virtual reality mediated by a comic character [ 11 , 57 ] or a cyclist [ 36 ] with built-in scoring systems.…”

Section: Resultsmentioning

confidence: 99%

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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

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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%

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

Self Cite

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%

“…A total of 21% (6/28) of the DTs incorporated gamification [36][37][38]48,57,67], which, with 1 exception [57], was used in conjunction with biofeedback. Descriptions of gamification included "serious games" [37,38], games or activities (eg, weight lifting room and flying arena) [67], and gaming and virtual reality mediated by a comic character [11,57] or a cyclist [36] with built-in scoring systems.…”

Section: Social Media and Gamificationmentioning

confidence: 99%

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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

Self Cite

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

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A Systematic Literature Review for Interface design of pelvic floor muscle training mobile app base on mHealth 2017-2022 (Preprint)

Yi¹

2022

Preprint

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BACKGROUND With the rapid development of information technology, mobile electronic equipment has been popularized. The survey by the World Health Organization shows that mHealth is rising worldwide, and mHealth has been applied to many medical and health fields. Pelvic floor muscle training（PFMT）is the first-line treatment for women with urinary incontinence, and patients can self-manage and practice through the PFMT application. The design of the PFMT app will affect the user's experience and adherence. Through the collection and collation of literature, this paper classified and elaborated the current research results related to the application of PFMT and explored the direction and evidence to promote the improvement of the app interface. OBJECTIVE Review the existing research on the PFMT app, to identify what the current research on the PFMT app concentrations on. From which to find and summarize the research on PFMT existing obstacles and future improvement strategies for app interface design. METHODS Keywords were searched in three major citation databases: Web of Science, Scopus, and Dimensions to find the literature published. After screening the titles and abstracts of all retrieved citations with inclusion and exclusion criteria, the researchers need to review the full text and then final discussion and confirm the relevance of all included papers. First, identify the current research area on PFMT application from each paper. Second, the existing suggestion to improve interface design were extracted from certain topic research. Finally, the research topic classification and interface design problem summary are carried out. RESULTS A total of 26 papers and one supplement were included. 7 primary research directions were identified. 6 key issues and 3 crucial pages of interface design are sorted out, which provides direction and a root for the progress of interface design in the future. CONCLUSIONS Many studies have suggested the necessity and estimation of interface redesign, but there is no advanced study and implementation. The interface design of PFMT app is one of the important directions for future application iteration and upgrading. The interface design will help reduce stigma and enhance the user experience, which to a great extent contributes to strengthening user engagement and adherence.

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Using codesign to develop a mobile application for pelvic floor muscle training with an intravaginal device (femfit®)

Cited by 3 publications

References 20 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)

A Systematic Literature Review for Interface design of pelvic floor muscle training mobile app base on mHealth 2017-2022 (Preprint)

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