Evaluation of a mobile voiding diary for pediatric patients with voiding dysfunction: a prospective comparative...

Area of Science:

• Urology
• Pediatrics
• Digital Health

Background:

• Improving voiding diary completion and data quality is crucial for managing lower urinary tract dysfunction.
• Mobile electronic formats offer a potential strategy to enhance patient engagement and data accuracy.

Purpose of the Study:

• To evaluate the acceptability and feasibility of mobile voiding diaries for children with nonneurogenic lower urinary tract dysfunction.
• To compare the data quality and completion rates of mobile versus traditional paper voiding diaries.

Main Methods:

• Prospective enrollment of children with daytime lower urinary tract dysfunction symptoms.
• Comparison of two cohorts: one using paper voiding diaries, the other using mobile voiding diaries.
• Assessment of completion rates, data completeness, legibility, and prospective data entry via in-person interviews.

Main Results:

• Completion rates were 78% for paper diaries and 61% for mobile diaries (p=0.10).
• Paper diaries had higher rates of full 5-day data (63% vs 52%) and fewer data gaps (20% vs 65%).
• Mobile diaries showed better legibility (100% vs 80%) and prospective data entry (65% vs 40%).

Conclusions:

• Mobile voiding diaries are acceptable and feasible for pediatric patients with lower urinary tract dysfunction.
• Neither format demonstrated clear superiority in overall data quality.
• Mobile voiding diaries may offer advantages for specific patient populations but not universally.