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Preliminary Effectiveness of mHealth App-Based Pelvic Floor Muscle Training among Pregnant Women to Improve Their Exercise Adherence: A Pilot Randomised Control Trial

Author

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  • Aida Jaffar

    (Department of Psychiatry, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang 43400, Malaysia
    Primary Care Unit, Faculty of Medicine and Defence Health, Universiti Pertahanan Nasional Malaysia, Kuala Lumpur 57000, Malaysia)

  • Sherina Mohd Sidik

    (Department of Psychiatry, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang 43400, Malaysia)

  • Chai Nien Foo

    (Department of Population Medicine, Faculty of Medicine and Health Sciences, Universiti Tunku Abdul Rahman, Kajang 43000, Malaysia)

  • Noor Azimah Muhammad

    (Department of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, Malaysia)

  • Rosliza Abdul Manaf

    (Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang 43400, Malaysia)

  • Nazhatussima Suhaili

    (Klinik Kesihatan Ampang, Ministry of Health, Ampang 68000, Malaysia)

Abstract

This pilot randomised control trial (RCT) aimed to evaluate the feasibility and preliminary effectiveness of conducting a full-powered trial for a newly developed pelvic floor muscle training (PFMT) app among pregnant women with urinary incontinence (UI) in Malaysia. This was a prospective, single-centre, single-blind, parallel, randomised controlled, pilot feasibility study—the Kegel Exercise Pregnancy Training app (KEPT app) trial. In total, 26 pregnant women with urinary incontinence from an urban healthcare clinic were recruited and randomly assigned to either intervention or waitlist control group. The intervention group received the KEPT app, while the control group received usual antenatal care (waitlist control). Of the 26 pregnant women, 16 (61.5%) completed the two-month follow-up. The recruitment rate was 54.2%, and the retention rate was 62.5% in the intervention group and 60% in the control group. There was a significant difference between intervention and control groups’ baseline measurement in the severity of UI ( p = 0.031). The app improved their knowledge ( p = 0.011) and self-efficacy ( p = 0.038) after the first month and attitude ( p = 0.034) after two months of intervention, compared with the control group. This study supports the feasibility of our future cluster RCT. The KEPT app demonstrates a promising effect in improving PFMT attitude and self-efficacy and potentially enhancing exercise adherence among pregnant women with UI. Trial registration: This study was prospectively registered on ClinicalTrials.gov on 19 February 2021 (NCT04762433).

Suggested Citation

  • Aida Jaffar & Sherina Mohd Sidik & Chai Nien Foo & Noor Azimah Muhammad & Rosliza Abdul Manaf & Nazhatussima Suhaili, 2022. "Preliminary Effectiveness of mHealth App-Based Pelvic Floor Muscle Training among Pregnant Women to Improve Their Exercise Adherence: A Pilot Randomised Control Trial," IJERPH, MDPI, vol. 19(4), pages 1-14, February.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:4:p:2332-:d:752226
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    References listed on IDEAS

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    1. Melinda J. Hutchesson & Rachael Taylor & Vanessa A. Shrewsbury & Lisa Vincze & Linda E. Campbell & Robin Callister & Felicity Park & Tracy L. Schumacher & Clare E. Collins, 2020. "Be Health e for Your Heart: A Pilot Randomized Controlled Trial Evaluating a Web-Based Behavioral Intervention to Improve the Cardiovascular Health of Women with a History of Preeclampsia," IJERPH, MDPI, vol. 17(16), pages 1-18, August.
    2. Aida Jaffar & Sherina Mohd Sidik & Chai Nien Foo & Noor Azimah Muhammad & Rosliza Abdul Manaf & Siti Irma Fadhilah Ismail & Nazhatussima Suhaili, 2021. "Protocol of a Single-Blind Two-Arm (Waitlist Control) Parallel-Group Randomised Controlled Pilot Feasibility Study for mHealth App among Incontinent Pregnant Women," IJERPH, MDPI, vol. 18(9), pages 1-12, April.
    3. Noriaki Maeda & Yukio Urabe & Yuta Suzuki & Daigo Hirado & Masanori Morikawa & Makoto Komiya & Rami Mizuta & Koichi Naito & Taizan Shirakawa, 2021. "Cross-Sectional Study of the Prevalence and Symptoms of Urinary Incontinence among Japanese Older Adults: Associations with Physical Activity, Health-Related Quality of Life, and Well-Being," IJERPH, MDPI, vol. 18(2), pages 1-10, January.
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    Cited by:

    1. Aida Jaffar & Noor Azimah Muhammad & Sherina Mohd Sidik & Novia Admodisastro & Rosliza Abdul Manaf & Chai Nien Foo & Nazhatussima Suhaili, 2022. "Feasibility and Usability of Kegel Exercise Pregnancy Training App (KEPT App) among Pregnant Women with Urinary Incontinence," IJERPH, MDPI, vol. 19(6), pages 1-11, March.

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