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Area of Science:

  • Digital Health
  • Urology
  • Patient-Centered Care

Background:

  • Recurrent urinary tract infections (UTIs) significantly impact patient quality of life.
  • Current management strategies often lack a cohesive, patient-centered approach.
  • There is a need for evidence-based digital tools to support recurrent UTI management.

Purpose of the Study:

  • To develop a conceptual model for a digital platform.
  • To implement evidence-based guidelines for recurrent UTI management.
  • To create a patient-centered care model for recurrent UTIs.

Main Methods:

  • A 3-stage mixed-methods study was conducted.
  • Developed a prototype texting platform based on evidence-based guidelines.
  • Collected qualitative patient feedback and quantitative data on acceptability, accuracy, and usability.

Main Results:

  • Iterative testing refined the platform to achieve high engagement (≥85%), accuracy (≥90%), and usability (≥80).
  • Patients valued rapid access to treatment, prevention education, and self-management support.
  • A 3-component conceptual model was developed: symptom triage algorithm, prevention videos, and supportive messages.

Conclusions:

  • The developed conceptual model provides a framework for a patient-centered digital platform.
  • This model can be used to implement and test digital solutions for recurrent UTI management.
  • The platform aims to improve self-efficacy and reduce healthcare utilization and unnecessary antibiotic use.