ArticleJMIR human factors2022
Improving Pelvic Floor Muscle Training Adherence Among Pregnant Women: Validation Study.
Article in JMIR human factors, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04762433 (Parallel-Group, Randomised Single-centred, Single-blind, Pilot and Feasibility Study for KEPT-app Trial), which is not on this map. Cited by 13 papers.
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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.
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.
Parallel-Group, Randomised Single-centred, Single-blind, Pilot and Feasibility Study for KEPT-app Trial: Study Protocol
Who cites it
13 citing papers in PubMed, 16 citations in OpenAlex.
- Exploring the application of an integrated health behavior change-based nursing model in pelvic floor muscle self-training.Scientific reports · 2025Trial
- Feasibility and Usability of Kegel Exercise Pregnancy Training App (KEPT App) among Pregnant Women with Urinary Incontinence.International journal of environmental research and public health · 2022Trial
- Preliminary Effectiveness of mHealth App-Based Pelvic Floor Muscle Training among Pregnant Women to Improve Their Exercise Adherence: A Pilot Randomised Control Trial.International journal of environmental research and public health · 2022Trial
- Preferences for postpartum pelvic floor muscle rehabilitation among pregnant women.Frontiers in medicine · 2026Article
- Cross-Cultural Adaptation and Validation of the Chinese Version of the Exercise Adherence Rating Scale (EARS) in Older Patients with Urinary Incontinence After Prostate Cancer Surgery.Journal of multidisciplinary healthcare · 2026Article
- Review
- A comprehensive review of conservative therapies for female stress urinary incontinence: Advancements, efficacy, and future directions.Current urology · 2025Review
- Do We Have Sufficient Evidence to Derive Innovative Approaches to Assessing Unmet Need, Delivering Education on Bladder and Bowel Continence Health, and Providing a Better Environment for Joint Decision-Making? ICI-RS 2024.Neurourology and urodynamics · 2025Article
- Athletes' Knowledge of Pelvic Floor Dysfunction and Their Knowledge of and Engagement with Pelvic Floor Muscle Training: A Scoping Review.International journal of environmental research and public health · 2025Article
- Persuasive technologies design for mental and behavioral health platforms: A scoping literature review.PLOS digital health · 2024Article
- Motivations, psychosocial burdens, and decision-making modes of post-partum women with stress urinary incontinence engaging in pelvic floor physical therapy: a qualitative research.International urogynecology journal · 2023Article
- Concepts and Application of Tai Ji in Stroke Rehabilitation: A Narrative Review.Iranian journal of public health · 2022Review
- App development in a sports science setting: A systematic review and lessons learned from an exemplary setting to generate recommendations for the app development process.Frontiers in sports and active living · 2022Article
Corrections and comments
- Erratum issued
Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMobile health apps, for example, the Tät, have been shown to be potentially effective in improving pelvic floor muscle training (PFMT) among women, but they have not yet been studied among pregnant women. Adherence to daily PFMT will improve pelvic floor muscle strength leading to urinary incontinence (UI) improvement during the pregnancy.
objectiveThis study aims to document the validation process in developing the Kegel Exercise Pregnancy Training app, which was designed to improve the PFMT adherence among pregnant women.
methodsWe utilized an intervention mapping approach incorporated within the mobile health development and evaluation framework. The framework involved the following steps: (1) conceptualization, (2) formative research, (3) pretesting, (4) pilot testing, (5) randomized controlled trial, and (6) qualitative research. The user-centered design-11 checklist was used to evaluate the user-centeredness properties of the app.
resultsA cross-sectional study was conducted to better understand PFMT and UI among 440 pregnant women. The study reported a UI prevalence of 40.9% (180/440), with less than half having good PFMT practice despite their good knowledge. Five focus group discussions were conducted to understand the app design preferred by pregnant women. They agreed a more straightforward design should be used for better app usability. From these findings, a prototype was designed and developed accordingly, and the process conformed to the user-centered design-11 (UCD-11) checklist. A PFMT app was developed based on the mHealth development and evaluation framework model, emphasizing higher user involvement in the application design and development. The application was expected to improve its usability, acceptability, and ease of use.
conclusionsThe Kegel Exercise Pregnancy Training app was validated using a thorough design and development process to ensure its effectiveness in evaluating the usability of the final prototype in our future randomized control trial study.
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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.