Digital Care Program for Urinary Incontinence in Females: A Large-Scale, Prospective, Cohort Study.
In: Healthcare (2227-9032), Jg. 12 (2024-01-15), Heft 2, S. 141-153
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Zugriff:
Female urinary incontinence (UI) is highly prevalent in the US (>60%). Pelvic floor muscle training (PFMT) represents first-line care for UI; however, access and adherence challenges urge new care delivery models. This prospective cohort study investigates the feasibility and safety of a remote digital care program (DCP) combining education and PFMT with real-time biofeedback with an average duration of 10 weeks. The primary outcome was the change in the Urinary Impact Questionnaire—short form (UIQ-7) from baseline to program-end, calculated through latent growth curve analysis (LGCA). Secondary outcomes included the impact of pelvic conditions (PFIQ-7), depression (PHQ-9), anxiety (GAD-7), productivity impairment (WPAI), intention to seek additional healthcare, engagement, and satisfaction. Of the 326 participants who started the program, 264 (81.0%) completed the intervention. Significant improvement on UIQ-7 (8.8, 95%CI 4.7; 12.9, p < 0.001) was observed, corresponding to a response rate of 57.3%, together with improvements in all other outcomes and high satisfaction (8.9/10, SD 1.8). This study shows the feasibility and safety of a completely remote DCP with biofeedback managed asynchronously by a physical therapist to reduce UI-related symptoms in a real-world setting. Together, these findings may advocate for the exploration of this care delivery option to escalate access to proper and timely UI care. [ABSTRACT FROM AUTHOR]
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Digital Care Program for Urinary Incontinence in Females: A Large-Scale, Prospective, Cohort Study.
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Autor/in / Beteiligte Person: | Janela, Dora ; Areias, Anabela C. ; Molinos, Maria ; Moulder, Robert G. ; Magalhães, Ivo ; Bento, Virgílio ; Cardeano, Marta ; Yanamadala, Vijay ; Correia, Fernando Dias ; Atherton, Jennesa ; Costa, Fabíola |
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Zeitschrift: | Healthcare (2227-9032), Jg. 12 (2024-01-15), Heft 2, S. 141-153 |
Veröffentlichung: | 2024 |
Medientyp: | academicJournal |
ISSN: | 2227-9032 (print) |
DOI: | 10.3390/healthcare12020141 |
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