Evidence map›Paper›PMID 40111471›Full record

ArticleInternational urogynecology journal2025

Exploring Factors Influencing Motivation and Success in Teaching Patients Pessary Self-Management: A Qualitative Study.

Renée Börger, Evy Maria Bernadette Paulussen, Josephine Eissing, Marlies Yvette Bongers, Dorothea Maria Koppes, Mirjam Weemhoff

Abstract read
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Article in International urogynecology journal, 2025. 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
–field-weighted citation impact
1 · What the graph read from it

What it found

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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.

2 · The registry

The trial behind it

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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.

  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

6 authors.

Renée BörgerDepartment of Obstetrics and Gynaecology, Zuyderland Medical Centre, Heerlen, The Netherlands. re.borger@zuyderland.nl.ORCID 0009-0007-7241-5693
Evy Maria Bernadette PaulussenDepartment of Obstetrics and Gynaecology, Zuyderland Medical Centre, Heerlen, The Netherlands.
Josephine EissingDepartment of Obstetrics and Gynaecology, Zuyderland Medical Centre, Heerlen, The Netherlands.
Marlies Yvette BongersGROW, School for Oncology and Developmental Biology, Maastricht University Medical Centre, Maastricht, The Netherlands.
Dorothea Maria KoppesDepartment of Obstetrics and Gynaecology, Zuyderland Medical Centre, Heerlen, The Netherlands.
Mirjam WeemhoffDepartment of Obstetrics and Gynaecology, Zuyderland Medical Centre, Heerlen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisPessary self-management (PSM) may increase patient autonomy and minimize the number of doctor consultations. However, little is known about the implementation and patient perception of PSM. This study aims to explore patients' experiences, opinions, and needs regarding PSM and how this was taught. Furthermore, to develop a standardized instruction manual.

methodsA qualitative study with semi-structured interviews was conducted among patients with pessary therapy for pelvic organ prolapse (POP). A preliminary framework was conducted for thematic content analysis. Three main themes were described: initial opinion, motivation and suggestions for healthcare workers and other patients regarding PSM.

resultsSeventeen patients were interviewed of which 11 performed PSM, five women refused PSM, and one woman was not able to perform PSM. The initial opinion of patients varied. Half of patients were confident in succeeding to perform PSM, and in the other half, nervousness and lack of confidence in being able to perform PSM predominated. Autonomy, hygiene and fewer doctor consultations were named as the main motivating factors to perform PSM. Reasons for not performing PSM were anxiety and existing comorbidities. Patients were generally satisfied with the way PSM was explained and named videos and information leaflets as tips.

conclusionsThis explorative qualitative study revealed the motivators and barriers to learning PSM. Our findings highlight the importance of addressing patients' concerns and providing adequate information. In doing so, it is important to create a supportive environment to increase patient engagement and confidence in managing their condition through PSM. These results can help to successfully implement PSM in future healthcare.

Indexed as

Patient Acceptance of Health CarePatient Education as TopicPelvic Organ ProlapsePessariesSelf-ManagementAgedFemaleHumansInterviews as TopicMiddle AgedMotivationNeeds AssessmentQualitative ResearchConservative treatmentPelvic organ prolapsePessaryQualitative studySelf-management

Identifiers

PMID40111471
PMCPMC12464063

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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.