One year effectiveness of an app-based treatment for urinary incontinence in comparison to care as usual in Dutch general practice: A pragmatic randomised controlled trial over 12 months
| Autor: | Karin M. Vermeulen, Marjolein Y. Berger, Anne M M Loohuis, Janny H. Dekker, Nienke J Wessels, Marijke C. Ph. Slieker-ten Hove, Marco H. Blanker, Henk van der Worp |
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| Přispěvatelé: | Life Course Epidemiology (LCE), Value, Affordability and Sustainability (VALUE) |
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
self-management IMPACT Urinary Incontinence Stress Population Psychological intervention effectiveness Urinary incontinence law.invention primary care Superiority Trial Randomized controlled trial Quality of life DESIGN law INTERNET-BASED TREATMENT medicine Humans education app general practice education.field_of_study Self-management urinary incontinence business.industry Obstetrics and Gynecology WOMEN Guideline Mobile Applications Physical therapy Quality of Life Female eHealth long term medicine.symptom business pragmatic ICIQ |
| Zdroj: | BJOG : An International Journal of Obstetrics and Gynaecology, 129(9), 1474-1480. Wiley |
| ISSN: | 1471-0528 |
| Popis: | OBJECTIVE: To assess the long-term effectiveness of app-based treatment for female stress, urgency, or mixed urinary incontinence (UI) compared to care-as-usual in primary care.DESIGN: A pragmatic, randomised controlled, superiority trial.SETTING: Primary care in the Netherlands from 2015 to 2018, follow-up at 12 months.POPULATION: Women with ≥2 UI-episodes per week, access to mobile apps, wanting treatment. 262 women randomised equally to app or care-as-usual; 89 (68%) and 83 (63%) attended one year follow-up.INTERVENTIONS: The standalone app included conservative management for UI with motivation aids (e.g., reminders). Care-as-usual delivered according to the Dutch GP guideline for UI.MAIN OUTCOME MEASURES: Effectiveness assessed by the change in symptom severity score (ICIQ-UI-SF) and the change in quality of life (ICIQ-LUTS-QoL) with linear regression on an intention-to-treat basis.RESULTS: Clinically relevant improvement of UI severity for both app (-2.17 ± 2.81) and care-as-usual (-3.43 ± 3.6), with a non-significant mean difference of 0.903 (-0.66 to 1.871).CONCLUSION: App-based treatment is a viable alternative to care-as-usual for UI in primary care in terms of effectiveness after one year. |
| Databáze: | OpenAIRE |
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