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Development of an Integrated Mobile Application for Evaluating Voiding Dysfunction: A Proof of Concept Study.

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A new mobile application improves bladder voiding diary completion and data quality for lower urinary tract symptom management. This mHealth tool enhances patient self-assessment and provider communication, overcoming traditional diary limitations.

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Area of Science:

  • Urology
  • Digital Health
  • Medical Informatics

Background:

  • Traditional bladder voiding diaries suffer from poor data quality and completion rates.
  • Mobile health (mHealth) technology offers a solution to enhance data collection for lower urinary tract symptoms.
  • Existing electronic diaries often require separate devices, posing usability challenges.

Purpose of the Study:

  • To develop and evaluate a mobile application for improved self-assessment and symptom management in patients with voiding dysfunction.
  • To leverage mobile technology to overcome limitations of traditional paper and standalone electronic voiding diaries.
  • To assess the application's distribution and usage patterns over a 12-month period.

Main Methods:

  • Literature review and needs assessment to establish proof-of-concept design principles.
  • Development of an integrated electronic application for voiding diaries, incontinence tracking, and symptom questionnaires.
  • Analysis of application distribution and user engagement data over 12 months.

Main Results:

  • An integrated mobile application was developed for iOS and Android, featuring a voiding diary, incontinence tracker, and AUA Symptom Score.
  • Users could record voiding event details (volume, frequency, leakage, pad use) and share data electronically with providers.
  • The application was downloaded by 1,868 unique users from 18 countries, with 13,145 total visits over 12 months.

Conclusions:

  • The developed mobile application effectively utilizes mHealth to address the limitations of traditional voiding diaries.
  • Consistent user engagement from domestic and international sources demonstrates the application's utility.
  • Integrating mHealth solutions in urology can improve patient and provider management of lower urinary tract symptoms.