User Experience of an App-Based Treatment for Stress Urinary Incontinence: Qualitative Interview Study
User Experience of an App-Based Treatment for Stress Urinary Incontinence: Qualitative Interview Study
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DOI：
10.2196/11296
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发表时间：
2019-03-14
影响因子：
7.4
通讯作者：
Sjostrom, Malin
中科院分区：
文献类型：
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作者：
Asklund, Ina;Samuelsson, Eva;Sjostrom, Malin
背景：压力性尿失禁（SUI）影响10%-39%的女性。其一线治疗包括生活方式干预和骨盆底肌肉训练（PFMT），可以在监督或无监督的情况下进行。健康应用程序的数量正在增加，可用于提高对治疗的依从性。我们开发了达特应用程序，为SUI女性提供为期3个月的治疗计划，重点是PFMT。在一项随机对照试验中评估了app治疗，该试验证明了改善失禁症状和生活质量的疗效。在这项定性访谈研究中，我们调查了参与者的应用程序为基础的treatment.Objective的经验：本研究旨在探讨妇女的经验，使用一个应用程序为基础的治疗程序SUI.Methods：这项定性研究是基于电话采访15名选定的妇女，平均年龄为47岁，谁曾使用的应用程序在以前的随机对照试验。使用了一个半结构化的访谈指南与开放式问题，并逐字转录的采访。根据扎根理论对数据进行分析。结果：结果分为三类：“新的东西！”“保持动力！”和“足够好吗？“确定了一个核心类别，即“使我能够独立”。与会者赞赏有一个新的和现代的方式来访问SUI的治疗方案。新技术的使用似乎使失禁治疗更受重视，也减少了受试者的尴尬。与她们的移动的手机和应用程序功能（如提醒和视觉图形）的接近有助于支持和激励女性完成PFMT。参与者相信他们可以自己执行治疗计划，尽管他们对自己是否正确地进行了骨盆底肌肉收缩表示不确定。他们认为，基于应用程序的治疗增加了他们的自信心，使他们能够承担责任，他们的treatment.Conclusions：使用基于应用程序的治疗计划SUI授权的妇女在这项研究中，并帮助他们自我管理他们的尿失禁治疗。他们赞赏该应用程序作为一个新的工具，支持他们的动机，通过一个稍微具有挑战性的PFMT计划。
Background: Stress urinary incontinence (SUI) affects 10%-39% of women. Its first-line treatment consists of lifestyle interventions and pelvic floor muscle training (PFMT), which can be performed supervised or unsupervised. Health apps are increasing in number and can be used to improve adherence to treatments. We developed the Tat app, which provides a 3-month treatment program with a focus on PFMT for women with SUI. The app treatment was evaluated in a randomized controlled trial, which demonstrated efficacy for improving incontinence symptoms and quality of life. In this qualitative interview study, we investigated participant experiences of the app-based treatment.Objective: This study aimed to explore women's experiences of using an app-based treatment program for SUI.Methods: This qualitative study is based on telephone interviews with 15 selected women, with a mean age of 47 years, who had used the app in the previous randomized controlled trial. A semistructured interview guide with open-ended questions was used, and the interviews were transcribed verbatim. Data were analyzed according to the grounded theory.Results: The results were grouped into three categories: "Something new!" "Keeping motivation up!" and "Good enough?" A core category, "Enabling my independence," was identified. The participants appreciated having a new and modern way to access a treatment program for SUI. The use of new technology seemed to make incontinence treatment feel more prioritized and less embarrassing for the subjects. The closeness to their mobile phone and app features like reminders and visual graphs helped support and motivate the women to carry through the PFMT. The participants felt confident that they could perform the treatment program on their own, even though they expressed some uncertainty about whether they were doing the pelvic floor muscle contractions correctly. They felt that the app-based treatment increased their self-confidence and enabled them to take responsibility for their treatment.Conclusions: Use of the app-based treatment program for SUI empowered the women in this study and helped them self-manage their incontinence treatment. They appreciated the app as a new tool for supporting their motivation to carry through a slightly challenging PFMT program.