Evidence map›Paper›PMID 41444311›Full record

Trial reportScientific reports2025

Exploring the application of an integrated health behavior change-based nursing model in pelvic floor muscle self-training.

Xi Ye, Yuling Wu, Tian Le, Zhiqing Song, Yanjie Cao, Yanyue Zhang, Xuanxuan Hong, Le Yu, Liehong Wang

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 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

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.

  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

9 authors.

Xi YeQinghai University Affiliated Clinical Medical College, Xining, Qinghai, China.
Yuling WuObstetrics and Gynecology Department, Anhui Province Maternal and Child Health Hospital, Hefei, Anhui, China.
Tian LeObstetrics and Gynecology Department, The Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, China.
Zhiqing SongObstetrics and Gynecology Department, Anhui Province Maternal and Child Health Hospital, Hefei, Anhui, China.
Yanjie CaoObstetrics and Gynecology Department, Shanghai Changning District Maternity and Child Health Hospital associated with East China Normal University, Shanghai, China.
Yanyue ZhangObstetrics and Gynecology Department, Peking University Third Hospital, Beijing, China.
Xuanxuan HongQinghai University Affiliated Clinical Medical College, Xining, Qinghai, China.
Le YuObstetrics and Gynecology Department, Anhui Province Maternal and Child Health Hospital, Hefei, Anhui, China.
Liehong WangQinghai Red Cross Hospital, 55 South Street, Xining, Qinghai, China. a121009@correo.umm.edu.mx.

Funding

clinical medical research center for obstetrics and gynecology diseases in Qinghai Province 2024-SF-L03
6 · The paper itself

Abstract

To examine the effect of the Integrated Theory of Health Behavior Change (ITHBC) model on self-efficacy, adherence, and rehabilitation outcomes in pelvic floor muscle training among postpartum women. This study recruited primiparas who underwent vaginal delivery at five medical institutions in China between January 2020 and January 2025. Participants were randomly assigned to either the ITHBC nursing model combined with conventional care group (observation group) or the conventional care group (control group). Outcomes included compliance with pelvic floor muscle training, self-efficacy, pelvic floor function, muscle strength, surface electromyography, ultrasound parameters, quality of life, and nursing satisfaction. The observation group showed better performance than the control group in terms of compliance, self-efficacy, and nursing satisfaction. Statistically significant differences were observed in pelvic floor function and quality of life pre- and post-intervention, with the observation group outperforming the control group post-intervention. For pelvic floor muscle strength, statistically significant changes occurred pre- and post-intervention; however, no significant difference was found in type I muscle fiber fatigue degree between groups. Surface electromyography showed significant improvements pre- and post-intervention, with the observation group performing better across most indicators except endurance contraction variability. Ultrasound parameters revealed no significant differences in bladder detrusor muscle thickness, residual urine volume, or bladder neck initial position but showed significant differences in other parameters, with the observation group performing better overall except for the right anal angle. The ITHBC model shows promise for improving adherence and short-term pelvic floor function, but further validation in diverse populations is needed.Clinical Trial Number: www.chictr.org.cn, ID: ChiCTR2300070607. Registered on 18/4/2023.

Indexed as

Exercise TherapyHealth BehaviorPelvic FloorAdultChinaElectromyographyFemaleHumansMuscle StrengthPostpartum PeriodQuality of LifeSelf EfficacyCompliance improvementIntegrated theory of health behavior change (ITHBC) nursing modelPelvic floor rehabilitationSelf-efficacy enhancementSuperior rehabilitation outcomes

Identifiers

PMID41444311
PMCPMC12738760

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.