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Published in: International Urogynecology Journal 11/2017

Open Access 01-11-2017 | Original Article

Innovative treatment modalities for urinary incontinence: a European survey identifying experience and attitude of healthcare providers

Authors: Arnoud W. Kastelein, Maarten F. A. Dicker, Brent C. Opmeer, Sonia S. Angles, Kaisa E. Raatikainen, Joan F. Alonso, Diana Tăut, Olavi Airaksinen, Linda D. Cardozo, Jan-Paul W. R. Roovers, on behalf of the WOMEN-UP consortium

Published in: International Urogynecology Journal | Issue 11/2017

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Abstract

Introduction and hypothesis

Urinary incontinence is a common condition in women, with a reported prevalence ranging from 25% to 51%. Of these women, an estimated 38% suffer from stress urinary incontinence (SUI). A European research consortium is investigating an innovative system based on information and communication technology for the conservative treatment of women with SUI. When introducing a new intervention, implementation barriers arise and need to be identified. Therefore, we investigated healthcare providers’ experience with and attitude towards innovative care options.

Methods

We performed an online survey to assess (1) the characteristics and practice of healthcare providers, (2) current protocols for SUI, (3) current use of biofeedback, and (4) knowledge about serious gaming. The survey was sent to members of professional societies in Europe (EUGA), UK (BSUG) and The Netherlands (DPFS).

Results

Of 341 questionnaires analyzed (response rate between 18% and 30%), 64% of the respondents had access to a protocol for the treatment of SUI, and 31% used biofeedback when treating patients with SUI. However, 92% considered that biofeedback has a clear or probable added value, and 97% of those who did not use biofeedback would change their practice if research evidence supported its use. Finally, 89% of respondents indicated that they had no experience of serious gaming, but 92% considered that it could be useful.

Conclusions

Although inexperienced, European urogynecologists and physical therapists welcome innovative treatment options for the conservative treatment of SUI such as portable wireless biofeedback and serious gaming. Scientific evidence is considered a prerequisite to incorporate such innovations into clinical practice.
Literature
1.
go back to reference Hannestad YS, Rortveit G, Sandvik H, Hunskaar S. A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. Epidemiology of incontinence in the county of Nord-Trondelag. J Clin Epidemiol. 2000;53(11):1150–7.CrossRefPubMed Hannestad YS, Rortveit G, Sandvik H, Hunskaar S. A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. Epidemiology of incontinence in the county of Nord-Trondelag. J Clin Epidemiol. 2000;53(11):1150–7.CrossRefPubMed
2.
go back to reference Sykes D, Castro R, Pons ME, Hampel C, Hunskaar S, Papanicolaou S, et al. Characteristics of female outpatients with urinary incontinence participating in a 6-month observational study in 14 European countries. Maturitas. 2005;52(Suppl 2):S13–23.CrossRefPubMed Sykes D, Castro R, Pons ME, Hampel C, Hunskaar S, Papanicolaou S, et al. Characteristics of female outpatients with urinary incontinence participating in a 6-month observational study in 14 European countries. Maturitas. 2005;52(Suppl 2):S13–23.CrossRefPubMed
3.
go back to reference Lim R, Liong ML, Leong WS, Khan NA, Yuen KH. Effect of stress urinary incontinence on the sexual function of couples and the quality of life of patients. J Urol. 2016;196(1):153–8.CrossRefPubMed Lim R, Liong ML, Leong WS, Khan NA, Yuen KH. Effect of stress urinary incontinence on the sexual function of couples and the quality of life of patients. J Urol. 2016;196(1):153–8.CrossRefPubMed
4.
go back to reference Dumoulin C, Hay-Smith J, Habee-Seguin GM, Mercier J. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women: a short version Cochrane systematic review with meta-analysis. Neurourol Urodyn. 2015;34(4):300–8.CrossRefPubMed Dumoulin C, Hay-Smith J, Habee-Seguin GM, Mercier J. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women: a short version Cochrane systematic review with meta-analysis. Neurourol Urodyn. 2015;34(4):300–8.CrossRefPubMed
6.
go back to reference Chen SY, Tzeng YL. Path analysis for adherence to pelvic floor muscle exercise among women with urinary incontinence. J Nurs Res. 2009;17(2):83–92.CrossRefPubMed Chen SY, Tzeng YL. Path analysis for adherence to pelvic floor muscle exercise among women with urinary incontinence. J Nurs Res. 2009;17(2):83–92.CrossRefPubMed
7.
go back to reference Gallo ML, Staskin DR. Cues to action: pelvic floor muscle exercise compliance in women with stress urinary incontinence. Neurourol Urodyn. 1997;16(3):167–77.CrossRefPubMed Gallo ML, Staskin DR. Cues to action: pelvic floor muscle exercise compliance in women with stress urinary incontinence. Neurourol Urodyn. 1997;16(3):167–77.CrossRefPubMed
8.
go back to reference Alewijnse D, Mesters IE, Metsemakers JF, van den Borne BH. Program development for promoting adherence during and after exercise therapy for urinary incontinence. Patient Educ Couns. 2002;48(2):147–60.CrossRefPubMed Alewijnse D, Mesters IE, Metsemakers JF, van den Borne BH. Program development for promoting adherence during and after exercise therapy for urinary incontinence. Patient Educ Couns. 2002;48(2):147–60.CrossRefPubMed
9.
go back to reference Dumoulin C, Hay-Smith J, Frawley H, McClurg D, Alewijnse D, Bo K, et al. 2014 consensus statement on improving pelvic floor muscle training adherence: International Continence Society 2011 State-of-the-Science Seminar. Neurourol Urodyn. 2015;34(7):600–5.CrossRefPubMed Dumoulin C, Hay-Smith J, Frawley H, McClurg D, Alewijnse D, Bo K, et al. 2014 consensus statement on improving pelvic floor muscle training adherence: International Continence Society 2011 State-of-the-Science Seminar. Neurourol Urodyn. 2015;34(7):600–5.CrossRefPubMed
10.
go back to reference Hay-Smith J, Herderschee R, Dumoulin C, Herbison P. Comparisons of approaches to pelvic floor muscle training for urinary incontinence in women: an abridged Cochrane systematic review. Eur J Phys Rehabil Med. 2012;48(4):689–705.PubMed Hay-Smith J, Herderschee R, Dumoulin C, Herbison P. Comparisons of approaches to pelvic floor muscle training for urinary incontinence in women: an abridged Cochrane systematic review. Eur J Phys Rehabil Med. 2012;48(4):689–705.PubMed
11.
go back to reference Imamura M, Abrams P, Bain C, Buckley B, Cardozo L, Cody J, et al. Systematic review and economic modelling of the effectiveness and cost-effectiveness of non-surgical treatments for women with stress urinary incontinence. Health Technol Assess. 2010;14(40):1–188.CrossRefPubMed Imamura M, Abrams P, Bain C, Buckley B, Cardozo L, Cody J, et al. Systematic review and economic modelling of the effectiveness and cost-effectiveness of non-surgical treatments for women with stress urinary incontinence. Health Technol Assess. 2010;14(40):1–188.CrossRefPubMed
12.
go back to reference Adams SA. Use of "serious health games" in health care: a review. Stud Health Technol Inform. 2010;157:160–6.PubMed Adams SA. Use of "serious health games" in health care: a review. Stud Health Technol Inform. 2010;157:160–6.PubMed
13.
go back to reference de Wit-Zuurendonk LD, Oei SG. Serious gaming in women’s health care. BJOG. 2011;118(Suppl 3):17–21.CrossRefPubMed de Wit-Zuurendonk LD, Oei SG. Serious gaming in women’s health care. BJOG. 2011;118(Suppl 3):17–21.CrossRefPubMed
14.
go back to reference Lohse KR, Hilderman CG, Cheung KL, Tatla S, Van der Loos HF. Virtual reality therapy for adults post-stroke: a systematic review and meta-analysis exploring virtual environments and commercial games in therapy. PLoS One. 2014;9(3):e93318.CrossRefPubMedPubMedCentral Lohse KR, Hilderman CG, Cheung KL, Tatla S, Van der Loos HF. Virtual reality therapy for adults post-stroke: a systematic review and meta-analysis exploring virtual environments and commercial games in therapy. PLoS One. 2014;9(3):e93318.CrossRefPubMedPubMedCentral
15.
go back to reference Read JL, Shortell SM. Interactive games to promote behavior change in prevention and treatment. JAMA. 2011;305(16):1704–5.CrossRefPubMed Read JL, Shortell SM. Interactive games to promote behavior change in prevention and treatment. JAMA. 2011;305(16):1704–5.CrossRefPubMed
16.
go back to reference Fleming TM, de Beurs D, Khazaal Y, Gaggioli A, Riva G, Botella C, et al. Maximizing the impact of e-therapy and serious gaming: time for a paradigm shift. Front Psychiatry. 2016;7:65.CrossRefPubMedPubMedCentral Fleming TM, de Beurs D, Khazaal Y, Gaggioli A, Riva G, Botella C, et al. Maximizing the impact of e-therapy and serious gaming: time for a paradigm shift. Front Psychiatry. 2016;7:65.CrossRefPubMedPubMedCentral
17.
go back to reference van Gemert-Pijnen JE, Nijland N, van Limburg M, Ossebaard HC, Kelders SM, Eysenbach G, et al. A holistic framework to improve the uptake and impact of eHealth technologies. J Med Internet Res. 2011;13(4):e111.CrossRefPubMedPubMedCentral van Gemert-Pijnen JE, Nijland N, van Limburg M, Ossebaard HC, Kelders SM, Eysenbach G, et al. A holistic framework to improve the uptake and impact of eHealth technologies. J Med Internet Res. 2011;13(4):e111.CrossRefPubMedPubMedCentral
18.
go back to reference Sjostrom M, Umefjord G, Stenlund H, Carlbring P, Andersson G, Samuelsson E. Internet-based treatment of stress urinary incontinence: 1- and 2-year results of a randomized controlled trial with a focus on pelvic floor muscle training. BJU Int. 2015;116(6):955–64.CrossRefPubMedPubMedCentral Sjostrom M, Umefjord G, Stenlund H, Carlbring P, Andersson G, Samuelsson E. Internet-based treatment of stress urinary incontinence: 1- and 2-year results of a randomized controlled trial with a focus on pelvic floor muscle training. BJU Int. 2015;116(6):955–64.CrossRefPubMedPubMedCentral
19.
go back to reference Fitz FF, Resende AP, Stupp L, Sartori MG, Girao MJ, Castro RA. Biofeedback for the treatment of female pelvic floor muscle dysfunction: a systematic review and meta-analysis. Int Urogynecol J. 2012;23(11):1495–516.CrossRefPubMed Fitz FF, Resende AP, Stupp L, Sartori MG, Girao MJ, Castro RA. Biofeedback for the treatment of female pelvic floor muscle dysfunction: a systematic review and meta-analysis. Int Urogynecol J. 2012;23(11):1495–516.CrossRefPubMed
20.
go back to reference Hirakawa T, Suzuki S, Kato K, Gotoh M, Yoshikawa Y. Randomized controlled trial of pelvic floor muscle training with or without biofeedback for urinary incontinence. Int Urogynecol J. 2013;24(8):1347–54.CrossRefPubMed Hirakawa T, Suzuki S, Kato K, Gotoh M, Yoshikawa Y. Randomized controlled trial of pelvic floor muscle training with or without biofeedback for urinary incontinence. Int Urogynecol J. 2013;24(8):1347–54.CrossRefPubMed
21.
go back to reference Starr JA, Drobnis EZ, Cornelius C. Pelvic floor biofeedback via a smart phone app for treatment of stress urinary incontinence. Urol Nurs. 2016;36(2):88–91.PubMed Starr JA, Drobnis EZ, Cornelius C. Pelvic floor biofeedback via a smart phone app for treatment of stress urinary incontinence. Urol Nurs. 2016;36(2):88–91.PubMed
22.
go back to reference Herderschee R, Hay-Smith EJ, Herbison GP, Roovers JP, Heineman MJ. Feedback or biofeedback to augment pelvic floor muscle training for urinary incontinence in women. Cochrane Database Syst Rev. 2011;(7):CD009252. Herderschee R, Hay-Smith EJ, Herbison GP, Roovers JP, Heineman MJ. Feedback or biofeedback to augment pelvic floor muscle training for urinary incontinence in women. Cochrane Database Syst Rev. 2011;(7):CD009252.
23.
go back to reference Shamliyan T, Wyman J, Kane RL. Nonsurgical treatments for urinary incontinence in adult women: diagnosis and comparative effectiveness. Comparative effectiveness reviews no. 36. Rockville, MD: Agency for Healthcare Research and Quality; 2012. Shamliyan T, Wyman J, Kane RL. Nonsurgical treatments for urinary incontinence in adult women: diagnosis and comparative effectiveness. Comparative effectiveness reviews no. 36. Rockville, MD: Agency for Healthcare Research and Quality; 2012.
24.
go back to reference Agur WI, Steggles P, Waterfield M, Freeman RM. The long-term effectiveness of antenatal pelvic floor muscle training: eight-year follow up of a randomised controlled trial. BJOG. 2008;115(8):985–90.CrossRefPubMed Agur WI, Steggles P, Waterfield M, Freeman RM. The long-term effectiveness of antenatal pelvic floor muscle training: eight-year follow up of a randomised controlled trial. BJOG. 2008;115(8):985–90.CrossRefPubMed
25.
go back to reference Beyar N, Groutz A. Pelvic floor muscle training for female stress urinary incontinence: five years outcomes. Neurourol Urodyn. 2017;36(1):132–5.CrossRefPubMed Beyar N, Groutz A. Pelvic floor muscle training for female stress urinary incontinence: five years outcomes. Neurourol Urodyn. 2017;36(1):132–5.CrossRefPubMed
26.
go back to reference Bo K, Hilde G. Does it work in the long term? – a systematic review on pelvic floor muscle training for female stress urinary incontinence. Neurourol Urodyn. 2013;32(3):215–23.CrossRefPubMed Bo K, Hilde G. Does it work in the long term? – a systematic review on pelvic floor muscle training for female stress urinary incontinence. Neurourol Urodyn. 2013;32(3):215–23.CrossRefPubMed
27.
go back to reference Popovic MD, Kostic MD, Rodic SZ, Konstantinovic LM. Feedback-mediated upper extremities exercise: increasing patient motivation in poststroke rehabilitation. Biomed Res Int. 2014;2014, 520374.CrossRefPubMedPubMedCentral Popovic MD, Kostic MD, Rodic SZ, Konstantinovic LM. Feedback-mediated upper extremities exercise: increasing patient motivation in poststroke rehabilitation. Biomed Res Int. 2014;2014, 520374.CrossRefPubMedPubMedCentral
28.
go back to reference Diana Taut SP, Jan-Paul Roovers, Miguel-Angel Mananas, Adriana Baban. Play seriously: Effectiveness of serious games and their features in motor rehabilitation. A meta. analysis. 2017. (in press). Diana Taut SP, Jan-Paul Roovers, Miguel-Angel Mananas, Adriana Baban. Play seriously: Effectiveness of serious games and their features in motor rehabilitation. A meta. analysis. 2017. (in press).
29.
go back to reference Ward R, Stevens C, Brentnall P, Briddon J. The attitudes of health care staff to information technology: a comprehensive review of the research literature. Health Info Libr J. 2008;25(2):81–97.CrossRefPubMed Ward R, Stevens C, Brentnall P, Briddon J. The attitudes of health care staff to information technology: a comprehensive review of the research literature. Health Info Libr J. 2008;25(2):81–97.CrossRefPubMed
30.
go back to reference Krebs P, Duncan DT. Health app use among US mobile phone owners: a national survey. JMIR Mhealth Uhealth. 2015;3(4):e101. Krebs P, Duncan DT. Health app use among US mobile phone owners: a national survey. JMIR Mhealth Uhealth. 2015;3(4):e101.
Metadata
Title
Innovative treatment modalities for urinary incontinence: a European survey identifying experience and attitude of healthcare providers
Authors
Arnoud W. Kastelein
Maarten F. A. Dicker
Brent C. Opmeer
Sonia S. Angles
Kaisa E. Raatikainen
Joan F. Alonso
Diana Tăut
Olavi Airaksinen
Linda D. Cardozo
Jan-Paul W. R. Roovers
on behalf of the WOMEN-UP consortium
Publication date
01-11-2017
Publisher
Springer London
Published in
International Urogynecology Journal / Issue 11/2017
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-017-3339-y

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