Continence App® Impact on Puerperal Women's Knowledge, Attitude and Practice: Randomized Clinical Trial.

Autor: Saboia DM; Nursing Department, Federal University of Ceara, 1115 Alexandre Barúna St, Fortaleza, Ceará, 60430-160, Brazil., Vasconcelos CTM; Nursing Department, Federal University of Ceara, 1115 Alexandre Barúna St, Fortaleza, Ceará, 60430-160, Brazil. camilavasconcelos@ufc.br., Oriá MOB; Nursing Department, Federal University of Ceara, 1115 Alexandre Barúna St, Fortaleza, Ceará, 60430-160, Brazil., Vasconcelos Neto JA; Woman's Health Department of the Faculty of Medicine, Federal University of Ceara, Fortaleza, Ceará, Brazil., Nascimento SL; Department of Physiotherapy, Federal University of Ceara, Fortaleza, Ceará, Brazil., Lopes LG; Nursing Department, Federal University of Ceara, 1115 Alexandre Barúna St, Fortaleza, Ceará, 60430-160, Brazil.
Jazyk: angličtina
Zdroj: International urogynecology journal [Int Urogynecol J] 2024 Aug; Vol. 35 (8), pp. 1699-1707. Date of Electronic Publication: 2024 Aug 01.
DOI: 10.1007/s00192-024-05875-4
Abstrakt: Introduction and Hypothesis: Enhancing women's knowledge, attitude, and practice (KAP) concerning urinary incontinence (UI) through diverse educational strategies has been a focal point for professionals in recent years. This study was aimed at assessing the impact of the educational application Continence App® on the KAP of postpartum women experiencing UI. We hypothesized that access to the app would lead to improved KAP among these women.
Methods: Postpartum women who had undergone vaginal birth, aged 18 years or above, literate, admitted in a maternity ward, delivered a full-term or large-for-gestational-age infant, and possessed a smartphone or compatible device for app usage were included. Changes in KAP were evaluated using a survey specifically designed for this purpose. The Mann-Whitney U test was employed to compare KAP scores between control and intervention groups, as well as between baseline and post-intervention assessments.
Results: Among the 542 women screened for eligibility, 349 were enrolled in the study, with 138 completing post-intervention assessments. The mean (standard deviation [SD]) age of participants was 25.9 (5.8) years. Post-intervention scores for knowledge and practice demonstrated a decline among non-app users, whereas a significant increase was observed among those in the intervention group. Attitudinal changes remained insignificant.
Conclusions: The findings highlight the effectiveness of an app-based educational intervention in enhancing the knowledge and practice related to UI among postpartum women.
(© 2024. The International Urogynecological Association.)
Databáze: MEDLINE
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