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International Urogynecology Journal
Published in: International Urogynecology Journal 11/2019

Open Access 01-11-2019 | Original Article

Expectations regarding eHealth among women with stress urinary incontinence

Authors: Lotte Firet, Doreth Teunissen, Carmen Verhoeks, Antoine Lagro-Janssen

Published in: International Urogynecology Journal | Issue 11/2019

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Abstract

Introduction and hypothesis

Stress urinary incontinence (SUI) is a common condition with a major impact on quality of life (QoL). Various factors prevent women from seeking help. However, eHealth (Internet-based therapy) with pelvic floor muscle training (PFMT) is an effective and satisfying intervention for these women. We hypothesize that women with symptoms after regular therapy will profit from eHealth. This study explores the expectations regarding an eHealth intervention among women who still suffer from SUI despite treatment.

Methods

A qualitative study with semistructured interviews was conducted using a grounded theory approach. The study included women with SUI who had ever sought help for their condition.

Results

Thirteen women were interviewed, most whom had experience with PFMT and still suffered from moderate-to-severe incontinence. Two themes emerged from data analysis: the need to meet, and eHealth as a tool to bridge obstacles. Women greatly emphasized that a healthcare professional, preferably one they know, should be available with eHealth. Several women indicated that the absence of personal contact caused lack of trust in success. However, several women were willing to use eHealth because its anonymity and flexibility could overcome obstacles in regular care.

Conclusions

eHealth based on PFMT is currently not a preferable treatment modality for women who still suffer from SUI despite treatment. eHealth cannot act as a substitute for their positive experience with personal contact. Some women are willing to use eHealth because of its advantages over regular care. Future experiences with eHealth might enable women with SUI to trust digital care.
Appendix
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Metadata
Title
Expectations regarding eHealth among women with stress urinary incontinence
Authors
Lotte Firet
Doreth Teunissen
Carmen Verhoeks
Antoine Lagro-Janssen
Publication date
01-11-2019
Publisher
Springer International Publishing
Published in
International Urogynecology Journal / Issue 11/2019
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-018-3849-2

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