{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T11:54:32Z","timestamp":1788954872754,"version":"build-2803163510"},"reference-count":24,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T00:00:00Z","timestamp":1717718400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Urinary incontinence (UI) is defined as any involuntary loss of urine that causes negative impacts on women's lives. Pelvic floor muscle training (PFMT) is considered to be \u201clevel A\u201d of scientific evidence in the treatment of UI. Despite its efficacy, it is known that the effect of PFMT may depend on continuous adherence. Therefore, healthcare professionals are looking for alternatives to improve adherence in their patients. Healthcare has been innovating through mobile device apps.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>Thus, the objective of this study was to verify the effects of PFMT with the use of a mobile device app in incontinent women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Trial Design<\/jats:title><jats:p>This was a controlled, randomized clinical trial that occurred remotely.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 104 women with stress UI and\/or mixed incontinence, over 18 years old, literate, with preserved cognitive capacity, with internet access and a mobile device with the Android system, participated in this study. They were randomly divided into two groups: The App group and the Booklet group, which underwent a PFMT protocol guided by a mobile app and a booklet, respectively. Both groups received daily reminders to perform the exercises. Before and after 12 weeks of intervention, it was evaluated using the International Consultation on Incontinence Questionnaire\u2010Short Form (ICIQ\u2010SF) and the King's Health Questionnaire (KHQ).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Both groups showed improvements in the final ICIQ\u2010SF score. However, superior results were shown for the Booklet group (App: pre: 11.5 [\u00b13.8], post: 9.8 [\u00b14.5]; Booklet: pre: 12.6 [\u00b14.5], post: 7.4 [\u00b14.3]; <jats:italic>p<\/jats:italic>\u2009=\u20090.03).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>It was concluded that PFMT, with the use of a mobile app, is capable of reducing UI and the impact of UI, but it is not superior to training with the use of booklet instructions.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.25522","type":"journal-article","created":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T06:59:19Z","timestamp":1717743559000},"page":"1997-2004","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Effects of using a mobile application on pelvic floor training in women with stress urinary incontinence: A randomized controlled clinical study"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3107-717X","authenticated-orcid":false,"given":"Ingrid da Costa","family":"Vilela","sequence":"first","affiliation":[{"name":"Universidade Federal de Uberl\u00e2ndia Uberl\u00e2ndia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6731-183X","authenticated-orcid":false,"given":"Natasha Morena Baz\u00edlio","family":"Silva","sequence":"additional","affiliation":[{"name":"Universidade Federal de Uberl\u00e2ndia Uberl\u00e2ndia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3397-5803","authenticated-orcid":false,"given":"Rog\u00e9rio de Melo Costa","family":"Pinto","sequence":"additional","affiliation":[{"name":"Universidade Federal de Uberl\u00e2ndia Uberl\u00e2ndia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8067-9786","authenticated-orcid":false,"given":"Patricia","family":"Driusso","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Carlos S\u00e3o Carlos Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9948-8821","authenticated-orcid":false,"given":"Vanessa Santos","family":"Pereira\u2010Baldon","sequence":"additional","affiliation":[{"name":"Universidade Federal de Uberl\u00e2ndia Uberl\u00e2ndia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,7]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-009-0976-9"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/13697137.2018.1543263"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23551"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23432"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24335"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-019-04012-w"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.25007"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22657"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000258277.01497.4b"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0034-89102003000200007"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-022-05189-3"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22553"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22346"},{"key":"e_1_2_11_15_1","doi-asserted-by":"crossref","unstructured":"SilvaNMB. MAPapp: [recurso eletr\u00f4nico]: Proposta de um aplicativo de cellular para Treinamento dos M\u00fasculos do Assoalho P\u00e9lvico em gestantes. 2022.doi:10.14393\/ufu.te.2022.89","DOI":"10.14393\/ufu.te.2022.89"},{"key":"e_1_2_11_16_1","volume-title":"Statistical Power Analysis for the Behavioral Sciences","author":"Cohen J.","year":"1988"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23116"},{"issue":"9","key":"e_1_2_11_18_1","article-title":"Conservative interventions for treating urinary incontinence in women: an overview of Cochrane systematic reviews","volume":"9","author":"Todhunter\u2010Brown A","year":"2022","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.3951"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-019-0907-x"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0125187"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.purol.2020.09.013"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2012.11713.x"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.13091"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1080\/02813432.2019.1640921"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.25522","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T04:39:10Z","timestamp":1757911150000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.25522"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,7]]},"references-count":24,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1002\/nau.25522"],"URL":"https:\/\/doi.org\/10.1002\/nau.25522","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,7]]},"assertion":[{"value":"2023-12-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}