Evidence map›Paper›PMID 37410523›Full record

ArticleInteractive journal of medical research2023

Identifying Targets for Innovation in Amazon Reviews of Bedwetting Alarms: Thematic Analysis.

Astha Sahoo, Savannah Leah Starr, Vadim Osadchiy, Sophia Desai, Neha Iyer, Marie Luff, Grace E Sollender, Renea Sturm

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Interactive journal of medical research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 32% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
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

8 authors at 1 institution in 1 country.

Astha SahooDavid Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, United States.ORCID https://orcid.org/0009-0008-4816-7295
Savannah Leah StarrDavid Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, United States.ORCID https://orcid.org/0000-0002-0563-6070
Vadim OsadchiyDavid Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, United States.ORCID https://orcid.org/0000-0003-0492-9987
Sophia DesaiDepartment of Bioengineering, Samueli School of Engineering, University of California, Los Angeles, Los Angeles, CA, United States.ORCID https://orcid.org/0009-0002-4688-8247
Neha IyerDepartment of Bioengineering, Samueli School of Engineering, University of California, Los Angeles, Los Angeles, CA, United States.ORCID https://orcid.org/0000-0003-4156-3339
Marie LuffDavid Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, United States.ORCID https://orcid.org/0000-0003-4137-3930
Grace E SollenderDepartment of Urology, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, United States.ORCID https://orcid.org/0000-0003-1126-9454
Renea SturmDavid Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, United States.ORCID https://orcid.org/0000-0001-8030-5637
University of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNocturnal enuresis (NE) is a frequent diagnosis in pediatric and adolescent populations with an estimated prevalence of around 15% at the age of 6 years. NE can have a substantial impact on multiple health domains. Bedwetting alarms, which typically consist of a sensor and moisture-activated alarm, are a common treatment.

objectiveThis study aimed to determine areas of satisfaction versus dissatisfaction reported by the parents and caregivers of children using current bedwetting alarms.

methodsUsing the search term "bedwetting alarms" on the Amazon marketplace, products with >300 reviews were included. For each product, the 5 reviews ranked the "most helpful" for each star category were selected for analysis. Meaning extraction method was applied to identify major themes and subthemes. A percent skew was calculated by summing the total number of mentions of each subtheme,+1 for a positive mention, 0 for a neutral mention, and -1 for a negative mention, and dividing this total by the number of reviews in which that particular subtheme was observed. Subanalyses were performed for age and gender.

resultsOf 136 products identified, 10 were evaluated based on the selection criteria. The main themes identified across products were long-term concerns, marketing, alarm systems, and device mechanics and features. The subthemes identified as future targets for innovation included alarm accuracy, volume variability, durability, user-friendliness, and adaptability to girls. In general, durability, alarm accuracy, and comfort were the most negatively skewed subthemes (with a negative skew of -23.6%, -20.0%, and -12.4% respectively), which are indicative of potential areas for improvement. Effectiveness was the only substantially positively skewed subtheme (16.8%). Alarm sound and device features were positively skewed for older children, whereas ease of use had a negative skew for younger children. Girls and their caretakers reported negative experiences with devices that featured cords, arm bands, and sensor pads.

conclusionsThis analysis provides an innovation roadmap for future device design to improve patient and caregiver satisfaction and compliance with bedwetting alarms. Our results highlight the need for additional options in alarm sound features, as children of different ages have divergent preferences in this domain. Additionally, girls and their parents and caretakers provided more negative overall reviews regarding the range of current device features compared to boys, indicating a potential focus area for future development. The percent skew showed that subthemes were often more negatively skewed toward girls, with the ease of use being -10.7% skewed for boys versus -20.5% for girls, and comfort being -7.1% skewed for boys versus -29.4% for girls. Put together, this review highlights multiple device features that are targets for innovation to ensure translational efficacy regardless of age, gender, or specific family needs.

Indexed as

adaptabilityadolescentagealarmalertAmazonbedwetbedwetting alarmschild healthdevicediagnosisearly customer discoveryefficacyenuresisnatural language processingNLPnocturnal enuresisnotificationonlineonline reviewspediatricpediatric urologypolysomnographysensorsexsleep disordersleeping practicesleep practiceteenthematic analysistreatmentUrologyuser

Identifiers

PMID37410523
PMCPMC10360013
OpenAlexW4378532666

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.