Evidence map›Paper›PMID 38032694›Full record

ArticleJMIR mHealth and uHealth2023

Exploring Adherence to Pelvic Floor Muscle Training in Women Using Mobile Apps: Scoping Review.

Rosie C Harper, Sally Sheppard, Carly Stewart, Carol J Clark

Registry-linked trialOpen access · goldAbstract readScoping Review
In one paragraph

Article in JMIR mHealth and uHealth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06527638 (PURI-PRO), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.7field-weighted citation impact, top 9% 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.

NCT06527638 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

PURI-PRO (Portuguese URinary Incontinence PROject) - Symptoms Impact and eHealth Intervention for Menopausal Women With Urinary Incontinence

TypeinterventionalSponsorISPA - Instituto Universitario de Ciencias Psicologicas, Sociais e da VidaRan2025 to 2026Enrolled80ConditionsUrinary IncontinenceArmsExperimental Group: eHealth intervention for UI symptoms improvement, Control Group: Delivery of a Health Literacy single-leaflet
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Male Pelvic Health in Saudi Arabia:Saudi medical journal · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. #DryByChristmas: A patient and public involvement study on women's engagement with humorous pelvic floor muscle training digital nudges on social media.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  16. 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

4 authors at 3 institutions in 1 country.

Rosie C HarperFaculty of Health and Social Sciences, Bournemouth University, Bournemouth, United Kingdom.ORCID 0000-0003-3414-7580
Sally SheppardFaculty of Health and Social Sciences, Bournemouth University, Bournemouth, United Kingdom.ORCID 0000-0003-1477-2135
Carly StewartFaculty of Science and Technology, Bournemouth University, Bournemouth, United Kingdom.ORCID 0000-0001-9466-2870
Carol J ClarkFaculty of Health and Social Sciences, Bournemouth University, Bournemouth, United Kingdom.ORCID 0000-0002-9296-7141
Bournemouth University · GBNational Institute for Health Research · GBUniversity Hospitals Dorset NHS Foundation Trust

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPelvic floor dysfunction is a public health issue, with 1 in 3 women experiencing symptoms at some point in their lifetime. The gold standard of treatment for pelvic floor dysfunction is supervised pelvic floor muscle training (PFMT); however, adherence to PFMT in women is poor. Mobile apps are increasingly being used in the National Health Service to enable equity in the distribution of health care and increase accessibility to services. However, it is unclear how PFMT mobile apps influence PFMT adherence in women.

objectiveWe aimed to identify which behavior change techniques (BCTs) have been used in PFMT mobile apps, to distinguish the core "capability, opportunity, and motivation" (COM) behaviors targeted by the BCTs used in PFMT mobile apps, and to compare the levels of PFMT adherence in women between those using PFMT mobile apps and those receiving usual care.

methodsWe conducted a scoping review of the literature. Published quantitative literature that compared the use of a PFMT mobile app to a control group was included to address the objectives of the study. The electronic bibliographic databases searched included MEDLINE, CINAHL, Scopus, Web of Science, and PEDro, along with CENTRAL. Studies were also identified from reference searching of systematic reviews. Original articles written in English from 2006 onward were included. Nonexperimental quantitative studies, qualitative studies, studies that use male participants, case studies, web-based interventions, and interventions that use vaginal probes were excluded. Narrative synthesis was conducted on eligible articles based on the aims of the study.

resultsOf the 114 records retrieved from the search, a total of 6 articles met the eligibility and inclusion criteria. The total number of participants in the studies was 471. All PFMT mobile apps used the BCT "prompts and cues." Opportunity was the core COM behavior targeted by the PFMT mobile apps. Higher levels of adherence to PFMT were observed among women using PFMT mobile apps.

conclusionsDigital "prompts and cues" are a BCT commonly used in PFMT mobile apps, and further research is required to practically assess whether a future randomized controlled trial that investigates the effectiveness of digital "prompts and cues" on PFMT adherence in women can be conducted.

Indexed as

Mobile ApplicationsBehavior TherapyFemaleHumansMalePelvic FloorState Medicineadherencebehavior changemHealthmobile appspelvic floor muscle trainingwomen

Identifiers

PMID38032694
PMCPMC10722367
OpenAlexW4388236167

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.