Smartphone-based reminder system to promote pelvic floor muscle training for the management of postnatal urinary incontinence: Historical control study with propensity score-matched analysis

Kinouchi, Kaori; Ohashi, Kazutomo

PeerJ, 2018, 2018(2), e4372

Number of Access:202（2025-09-06 08:11 Counts）

Identifier to cite or link to this item: https://hdl.handle.net/11094/101075

Link to primary information 

File Format Terms of use Size Views Date.Available Description information
PeerJ_2018_2 pdf None 500 KB 10 2025.04.23  
Creative Commons : Attribution

Item Information

Output File Export EndNote Basic Export Mendeley

Title
Smartphone-based reminder system to promote pelvic floor muscle training for the management of postnatal urinary incontinence: Historical control study with propensity score-matched analysis
Creator
NRID
1000070467504 1000070467504
researchmap permalink
kinouchi kinouchi
Scopus Author ID
57200596896 57200596896
CreatorName
Kinouchi, Kaori
NRID
1000030203897 1000030203897
CreatorName
Ohashi, Kazutomo
Subject
Historical control study
Pelvic floor muscle training
Postpartum
Propensity score matched analysis
Smartphone
Urinary incontinence
Description
Kinouchi K., Ohashi K.. Smartphone-based reminder system to promote pelvic floor muscle training for the management of postnatal urinary incontinence: Historical control study with propensity score-matched analysis. PeerJ 2018, e4372 (2018); https://doi.org/10.7717/peerj.4372.
Abstract
Background. The purpose of this study was to evaluate the efficacy of a smartphone- based reminder system in promoting pelvic floor muscle training (PFMT) to help postpartum women manage urinary incontinence (UI). Methods. Forty-nine and 212 postpartum women in the intervention and control groups, respectively, received PFMT guidance using a leaflet and verbal instruction as the standard care at an obstetrics clinic in Japan. Women in the intervention group also received PFMT support using the smartphone-based reminder system between January and August 2014. For analysis, they were compared with historical controls between February 2011 and January 2012, who did not receive such support and were chosen by propensity score matching. The outcomes examined were PFMT adherence and UI prevalence. The former consisted of implementation rate (i.e., the percentage of women who reported performing PFMT during the intervention period), training intensity (i.e., the number of pelvic floor muscle contractions (PFMCs) per day), and training frequency (i.e., the number of days PFMT was performed per week); the latter consisted of self-reported UI prevalence at baseline and at the end of the eight-week intervention period. Result. Propensity score matching resulted in 58 postpartum women (n = 29 per group). The intervention group exhibited better PFMT adherence than the control group, in terms of PFMT implementation rate (69 vs. 31%, p=0:008), median training intensity (15 vs. 1PFMCreps/day, p=0:006), and training frequency (7 vs. 3 days/week, p < 0:001). UI prevalence was not different between the groups at baseline, but was significantly reduced in the intervention group at eight weeks (0 vs. 24%, p=0:004). Conclusion. Our smartphone-based reminder system appears promising in enhancing PFMT adherence and managing postpartum UI in postpartum women. By enhancing PFMT adherence and improving women's ability to manage the condition, the reminder system could improve the health-related quality of life of postpartum women with UI.
Publisher
PeerJ Inc.
Source Title
PeerJ
Volume (Issue)
2018(2)
Page
e4372
Date of Issued
2018-02-09
Language
English
Handle URL
https://hdl.handle.net/11094/101075
eISSN
21678359
Relation.isIdenticalTo
DOI (Publisher Version)
https://doi.org/10.7717/peerj.4372
Access Rights
open access
CopyRight
This article is licensed under a Creative Commons Attribution 4.0 International License.
oaire:version
Version of Record
Category
学術雑誌論文 Journal Article