| Title |
Treatment of stress urinary incontinence with a mobile app: factors associated with success
|
|---|---|
| Published in |
International Urogynecology Journal & Pelvic Floor Dysfunction, December 2017
|
| DOI | 10.1007/s00192-017-3514-1 |
| Pubmed ID | |
| Authors |
Emma Nyström, Ina Asklund, Malin Sjöström, Hans Stenlund, Eva Samuelsson |
| Abstract |
Stress urinary incontinence is common among women. First-line treatment includes pelvic floor muscle training (PFMT) and lifestyle advice, which can be provided via a mobile app. The efficacy of app-based treatment has been demonstrated in a randomized controlled trial (RCT). In this study, we aimed to analyze factors associated with successful treatment. Secondary analysis of data from the RCT. At baseline and 3-month follow-up, participants (n = 61) answered questions about symptoms, quality of life, background, and PFMT. Success was defined as rating the condition as much or very much better according to the validated Patient Global Impression of Improvement questionnaire. Factors possibly associated with success were analyzed with univariate logistic regression; if p < 0.20, the factor was entered into a multivariate model that was adjusted for age. Variables were then removed stepwise. At follow-up, 34 out of 61 (56%) of participants stated that their condition was much or very much better. Three factors were significantly associated with success: higher expectations for treatment (odds ratio [OR] 11.38, 95% confidence interval [CI] 2.02-64.19), weight control (OR 0.44 per kg gained, 95% CI 0.25-0.79), and self-rated improvement of pelvic floor muscle strength (OR 35.54, 95% CI 4.96-254.61). Together, these factors accounted for 61.4% (Nagelkerke R2) of the variability in success. These results indicate that app-based treatment effects are better in women who are interested in and have high expectations of such treatment. Also, the findings underline the importance of strengthening the pelvic floor muscles and offering lifestyle advice. |
X Demographics
The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Practitioners (doctors, other healthcare professionals) | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 176 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 176 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 27 | 15% |
| Student > Bachelor | 25 | 14% |
| Student > Ph. D. Student | 17 | 10% |
| Other | 11 | 6% |
| Researcher | 10 | 6% |
| Other | 27 | 15% |
| Unknown | 59 | 34% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 37 | 21% |
| Medicine and Dentistry | 31 | 18% |
| Psychology | 9 | 5% |
| Sports and Recreations | 8 | 5% |
| Social Sciences | 7 | 4% |
| Other | 18 | 10% |
| Unknown | 66 | 38% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 18 December 2017.
All research outputs
#17,292,294
of 25,382,440 outputs
Outputs from International Urogynecology Journal & Pelvic Floor Dysfunction
#1,971
of 2,900 outputs
Outputs of similar age
#279,913
of 445,594 outputs
Outputs of similar age from International Urogynecology Journal & Pelvic Floor Dysfunction
#18
of 25 outputs
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