Web-Based Treatment for Women with Stress Urinary Incontinence

Barbato, Kristin A; Wiebe, Julie W; Cline, Thomas W.; Hellier, Susan

doi:10.7257/1053-816x.2014.34.5.252

Cited by 14 publications

(30 citation statements)

References 5 publications

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“…For SUI, there is also evidence that an eHealth intervention is effective. Two Swedish randomised controlled trials (one with an internet-based and one with a mobile phone intervention) and one observational feasibility study (internet-based intervention) have been conducted in this area [17–19]. The Swedish trials showed that symptom severity and incontinence-related quality of life improved significantly after women received an Internet-based intervention, or a mobile phone app intervention with PFMT [17, 18].…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2019

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BackgroundStress urinary incontinence (SUI) is the most prevalent subtype of urinary incontinence and is a bothering condition in women. Only a minority of those with SUI consult a general practitioner (GP). EHealth with pelvic floor muscle training (PFMT) is effective in reducing incontinence symptoms and might increase access to care. The role of the GP regarding such an eHealth intervention is unknown. The aim of the study is to gain insight into the attitudes towards a PFMT internet-based, eHealth, intervention for SUI.MethodsA qualitative study was conducted. Data were collected through semi-structured interviews among purposively sampled GPs. Audio records were fully transcribed, and analysed thematically.ResultsThirteen GPs were interviewed, nine females and four males. Three themes emerged: appraisal of eHealth as a welcome new tool, mixed feelings about a supportive role, and eHealth is no cure-all. GPs welcomed eHealth for SUI as matching their preferences for PFMT and having advantages for patients. With eHealth as stand-alone therapy GPs were concerned about the lack of feedback, and the loss of motivation to adhere to the intervention. Therefore, GPs considered personal support important. The GP’s decision to recommend eHealth was strongly influenced by a woman’s motivation and her age. GPs’ treatment preferences for elderly are different from those for young women with SUI; both PFMT and eHealth are perceived less suitable for older women.ConclusionEHealth with PFMT fits into the GPs’ routine practice of SUI and adds value to it. Although there is evidence that eHealth as a stand-alone intervention is effective, GPs consider personal support important to supplement the perceived shortcomings. Probably GPs are not aware of, or convinced of the existing evidence. Training should address this issue and should also focus on common misunderstandings about regular care for women with SUI, such as the idea that PFMT is not suitable for the elderly. Improving GPs’ knowledge that eHealth can be a stand-alone therapy for SUI facilitates the implementation in daily care.Electronic supplementary materialThe online version of this article (10.1186/s12875-019-0907-x) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

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

et al. 2019

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“…Internet-based therapy (eHealth) with PFMT might provide a solution to overcoming barriers that prevent women from seeking help. eHealth consisting of a 3-month Web-based intervention with unsupervised PFMT has shown to be effective in improving treatment of incontinence [13–15]. A main outcome from a qualitative study on women’s experiences with this eHealth intervention showed they felt that their complaints had been acknowledged.…”

Section: Introductionmentioning

confidence: 99%

Expectations regarding eHealth among women with stress urinary incontinence

Firet¹,

Teunissen²,

Verhoeks³

et al. 2018

Int Urogynecol J

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Introduction and hypothesisStress urinary incontinence (SUI) is a common condition with a major impact on quality of life (QoL). Various factors prevent women from seeking help. However, eHealth (Internet-based therapy) with pelvic floor muscle training (PFMT) is an effective and satisfying intervention for these women. We hypothesize that women with symptoms after regular therapy will profit from eHealth. This study explores the expectations regarding an eHealth intervention among women who still suffer from SUI despite treatment.MethodsA qualitative study with semistructured interviews was conducted using a grounded theory approach. The study included women with SUI who had ever sought help for their condition.ResultsThirteen women were interviewed, most whom had experience with PFMT and still suffered from moderate-to-severe incontinence. Two themes emerged from data analysis: the need to meet, and eHealth as a tool to bridge obstacles. Women greatly emphasized that a healthcare professional, preferably one they know, should be available with eHealth. Several women indicated that the absence of personal contact caused lack of trust in success. However, several women were willing to use eHealth because its anonymity and flexibility could overcome obstacles in regular care.ConclusionseHealth based on PFMT is currently not a preferable treatment modality for women who still suffer from SUI despite treatment. eHealth cannot act as a substitute for their positive experience with personal contact. Some women are willing to use eHealth because of its advantages over regular care. Future experiences with eHealth might enable women with SUI to trust digital care.

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“…40,58 Of the 5 studies with interventions comprised of one component (n = 5), 2 reported statistically significant improvements in UI symptoms, 31,50 and 3 reported no significant improvements in UI symptoms. 38,56,57 The combination of education, PFME regimen, and bladder training components was the most frequently associated with statistically significant improvements. A focus on the 12 studies using a 2-group randomized controlled trial design or wait list control trial design (see Table 3 symbols) shows that 8 reported a statistically significant difference between groups in UI symptoms.…”

Section: Resultsmentioning

confidence: 96%

Methodologies Used in Studies of Self-Management Interventions for Urinary Incontinence in Adult Women: An Integrative Review

Klein,

Eisenhauer,

Mollard

et al. 2023

West J Nurs Res

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Background: Urinary incontinence (UI) affects approximately 60% of women in the United States and negatively impacts self-esteem, sexual function, participation in social activities, and quality of life (QOL). Self-management interventions show promise for improving UI symptoms and QOL. Previous reviews of UI self-management studies have focused on outcomes for older women. However, the literature lacks a synthesis of methodologies of these studies. Purpose: The purpose of this integrative review was to synthesize and evaluate methodologies used in studies of self-management interventions for UI in adult women. Methods: Using an integrative review approach, a search of PubMed, CINAHL, and Embase was conducted yielding 1404 results, 23 of which met inclusion criteria. Data abstracted from each article included author(s), year of publication, study design and purpose, sample, country and setting, measures of UI symptoms, and intervention description. Results: Findings showed methodological differences, particularly in design, assessment of UI subtypes, measures of UI symptoms, and intervention components. Multicomponent self-management interventions were used in 18 studies and 1 component used in 5 studies. Education, pelvic floor muscle exercises, and bladder training were the intervention components most frequently used, either alone or in combination; however, intervention components were not consistently aligned with the UI subtypes. Analysis of ethical matters revealed areas for improvement, specifically in reporting privacy and confidentiality and in methods to obtain informed consent. Conclusions: Results highlight opportunities to improve the rigor of methodologies used in studies of self-management interventions for UI in adult women.

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Web-Based Treatment for Women with Stress Urinary Incontinence

Cited by 14 publications

References 5 publications

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

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

Expectations regarding eHealth among women with stress urinary incontinence

Methodologies Used in Studies of Self-Management Interventions for Urinary Incontinence in Adult Women: An Integrative Review

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