Related Experiment Video
Updated: Aug 20, 2025
06:28
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.4K
Usage of a Web-Based eHealth Intervention for Women With Stress Urinary Incontinence: Mixed Methods Study
Lotte Firet1, Theodora Alberta Maria Teunissen1, Rudolf Bertijn Kool2
1Department of Primary and Community Care, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, Netherlands.
Journal of Medical Internet Research
|November 17, 2022
Summary
eHealth interventions for stress urinary incontinence (SUI) are effective, but usage varies. Older women with prior pelvic floor muscle training (PFMT) and high self-efficacy showed higher engagement, though integrating training into daily life was a common barrier.
Area of Science:
- Women's Health
- Digital Health Interventions
- Pelvic Floor Disorders
Background:
- Stress urinary incontinence (SUI) significantly impacts women's well-being.
- eHealth interventions incorporating pelvic floor muscle training (PFMT) show promise for SUI management.
- Understanding eHealth usage patterns and attrition is vital for successful implementation.
Purpose of the Study:
- To assess the usage and user demographics of an eHealth intervention for SUI.
- To identify reasons for nonusage attrition.
- To determine factors associated with higher eHealth usage.
Main Methods:
- Observational, mixed-methods study involving 561 women with SUI.
- Utilized log-in data and baseline surveys for a web-based eHealth intervention.
- Employed regression analysis and qualitative content analysis to examine usage and attrition.
Main Results:
- Most users were low-usage (57.3%); user groups differed in age and expected PFMT ability.
- Difficulty integrating PFMT into daily life was the primary reason for attrition.
- Higher usage correlated with age >50, prior PFMT experience, and high self-efficacy for PFMT.
Conclusions:
- eHealth addresses a need for untreated SUI patients, particularly those seeking self-management.
- Addressing barriers like integrating training into daily routines and providing personal contact is crucial.
- Targeting interventions towards older women with prior PFMT and high self-efficacy can optimize eHealth outcomes.
Keywords:
adherenceeHealthimplementation sciencemixed methods designnonattritionpelvic floor muscle trainingurinary incontinenceusagewomenMore Related Videos
Related Concept Videos
01:23Urinary Bladder
1.2K
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
1.2K
01:21Nursing Assessment of the Genitourinary System I: Health History
64
The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
64
01:17Urinary Tract Infection IV: Nursing Management
69
In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
69
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
23
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
23
01:30Irritable Bowel Syndrome III: Medical and Nursing Management
272
Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.
272
01:28Urinary Tract Calculi V: Nursing Management
21
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
21