Evidence map›Paper›PMID 33825925›Full record

Observational studyInternational urogynecology journal2022

Self-management of incontinence using a free mobile app: factors associated with improvement.

Emma Nyström, Lars Söderström, Eva Samuelsson

Registry-linked trialOpen access · hybridAbstract readObservational Study
In one paragraph

Observational study in International urogynecology journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05858125 (Social Media Navigation Aid Kits for Urinary Incontinence), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05858125 nacompletednot on this mapstarted 2023, after this paper: background citation

Social Media Navigation Aid Kits for Urinary Incontinence

TypeinterventionalSponsorUniversity of New MexicoRan2023 to 2024Enrolled75ConditionsUrinary Incontinence, Stress Incontinence, Female, Urge IncontinenceArmsSocial Media Navigation Aid Kit
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Emma NyströmDepartment of Public Health and Clinical Medicine, Umeå University, The Research Unit, Region Jämtland Härjedalen, Östersund, SE-831 27, Sweden. emma.nystrom@regionjh.se.ORCID 0000-0003-1745-6808
Lars SöderströmUnit of Research, Education and Development, Östersund, Sweden.
Eva SamuelssonDepartment of Public Health and Clinical Medicine, Umeå University, The Research Unit, Region Jämtland Härjedalen, Östersund, SE-831 27, Sweden.
Umeå University · SEÖstersunds Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPelvic floor muscle training (PFMT) is first-line treatment for urinary incontinence (UI) in women. Self-management via a mobile app is a new cost-effective method for PFMT delivery. This study analyzes factors associated with improvement among app users.

methodsA pragmatic observational study in a community setting. Upon downloading the app Tät®, users answered questions regarding their age, education, residence, and UI symptoms. After 3 months, users answered follow-up questions regarding symptoms and frequency of training and app usage, and the validated Patient Global Impression of Improvement (PGI-I) questionnaire. Only non-pregnant, non-postpartum adult women with UI who answered the PGI-I questionnaire were included. Multivariate logistic regression was used to analyze possible associations between these factors with any improvement and with great improvement according to the PGI-I. The models were adjusted for age.

resultsThe study included 2,153 participants who had completed self-management, that is, 11.5% of eligible women who completed the baseline questionnaire. Of these participants, 65.6% reported improvement of UI. Any improvement was associated with age, frequency of PFMT, and app use, accounting for 27.9% of variability (Nagelkerke R

conclusionSelf-management of urinary incontinence is easily accessible to many women and improvement rates are comparable with other forms of PFMT. Demographic factors and incontinence severity showed no or incongruent association, whereas regular PFMT and app use predicted any and great improvement. App use showed an additional effect beyond frequency of training.

Indexed as

Mobile ApplicationsSelf-ManagementUrinary IncontinenceUrinary Incontinence, StressAdultExercise TherapyFemaleHumansPelvic FloorTreatment OutcomeMobile applicationsPelvic floor muscle trainingPredictorsSelf-managementUrinary incontinence

Identifiers

PMID33825925
PMCPMC9021135
OpenAlexW3139993089

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.