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Digital Care Program for Urinary Incontinence in Females: A Large-Scale, Prospective, Cohort Study.
Janela, Dora; Areias, Anabela C; Molinos, Maria; Moulder, Robert G; Magalhães, Ivo; Bento, Virgílio; Cardeano, Marta; Yanamadala, Vijay; Correia, Fernando Dias; Atherton, Jennesa; Costa, Fabíola.
Afiliación
  • Janela D; Clinical Research, Sword Health Inc., Draper, UT 84020, USA.
  • Areias AC; Clinical Research, Sword Health Inc., Draper, UT 84020, USA.
  • Molinos M; Clinical Research, Sword Health Inc., Draper, UT 84020, USA.
  • Moulder RG; Clinical Research, Sword Health Inc., Draper, UT 84020, USA.
  • Magalhães I; Institute for Cognitive Science, University of Colorado, Boulder, CO 80309, USA.
  • Bento V; Bloom, Sword Health Inc., Draper, UT 84020, USA.
  • Cardeano M; Clinical Research, Sword Health Inc., Draper, UT 84020, USA.
  • Yanamadala V; Bloom, Sword Health Inc., Draper, UT 84020, USA.
  • Correia FD; Clinical Research, Sword Health Inc., Draper, UT 84020, USA.
  • Atherton J; Department of Surgery, Frank H. Netter School of Medicine, Quinnipiac University, Hamden, CT 06473, USA.
  • Costa F; Department of Neurosurgery, Hartford Healthcare Medical Group, Westport, CT 06103, USA.
Healthcare (Basel) ; 12(2)2024 Jan 08.
Article en En | MEDLINE | ID: mdl-38255031
ABSTRACT
Female urinary incontinence (UI) is highly prevalent in the US (>60%). Pelvic floor muscle training (PFMT) represents first-line care for UI; however, access and adherence challenges urge new care delivery models. This prospective cohort study investigates the feasibility and safety of a remote digital care program (DCP) combining education and PFMT with real-time biofeedback with an average duration of 10 weeks. The primary outcome was the change in the Urinary Impact Questionnaire-short form (UIQ-7) from baseline to program-end, calculated through latent growth curve analysis (LGCA). Secondary outcomes included the impact of pelvic conditions (PFIQ-7), depression (PHQ-9), anxiety (GAD-7), productivity impairment (WPAI), intention to seek additional healthcare, engagement, and satisfaction. Of the 326 participants who started the program, 264 (81.0%) completed the intervention. Significant improvement on UIQ-7 (8.8, 95%CI 4.7; 12.9, p < 0.001) was observed, corresponding to a response rate of 57.3%, together with improvements in all other outcomes and high satisfaction (8.9/10, SD 1.8). This study shows the feasibility and safety of a completely remote DCP with biofeedback managed asynchronously by a physical therapist to reduce UI-related symptoms in a real-world setting. Together, these findings may advocate for the exploration of this care delivery option to escalate access to proper and timely UI care.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies Idioma: En Revista: Healthcare (Basel) Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies Idioma: En Revista: Healthcare (Basel) Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza