{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T19:16:56Z","timestamp":1791227816726,"version":"4.1.0"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2025,1,18]],"date-time":"2025-01-18T00:00:00Z","timestamp":1737158400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,1,18]],"date-time":"2025-01-18T00:00:00Z","timestamp":1737158400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001321","name":"National Research Foundation","doi-asserted-by":"publisher","award":["TTK200228507323"],"award-info":[{"award-number":["TTK200228507323"]}],"id":[{"id":"10.13039\/501100001321","id-type":"DOI","asserted-by":"publisher"}]},{"name":"University of the Witwatersrand"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Introduction and Hypothesis<\/jats:title>\n            <jats:p>Evidence on health system challenges mostly relate to high-income countries. Lack of context-specific knowledge, educational opportunities, and access to resources among pelvic health care providers could be barriers to effective implementation of pelvic health services in South Africa. The aim of this study was to determine the patient and therapist profile, and the educational and resource needs of pelvic health physiotherapists in South Africa.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Ninety-five pelvic health physiotherapists, recruited over 6 months, participated in a cross-sectional study during 2022\u20132023. Participants completed a REDCap survey covering the stipulated domains. Frequencies, percentages, and Chi-squared tests were used for data analysis.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>The majority were employed in the private sector (<jats:italic>n<\/jats:italic> = 72; 75.8%) and had undergraduate training in pelvic health (<jats:italic>n<\/jats:italic> = 86; 89.5%); mostly in pre- and postnatal care (<jats:italic>n<\/jats:italic> = 69; 72.6%). Urinary incontinence was the most frequently seen condition (<jats:italic>n<\/jats:italic> = 81; 85.3%). Conditions were seen very seldom (<jats:italic>n<\/jats:italic> = 46; 48.4%) and most participants treated &lt; 5 patients per month (<jats:italic>n<\/jats:italic> = 75; 78.9%), did not have patient educational material available (<jats:italic>n<\/jats:italic> = 58; 61.1%), preferred hard-copy formats (63.8%, <jats:italic>n<\/jats:italic> = 60), whereas 94.7% (<jats:italic>n<\/jats:italic> = 90) felt that there is a lack of patient resources. Participants (<jats:italic>n<\/jats:italic> = 66; 69.5%) indicated a need for educational opportunities for clinicians.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>This study highlights the contextualising of educational and resource needs in mid- to low-income countries, such as South Africa, which might be contrary to common beliefs and practices.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00192-024-06036-3","type":"journal-article","created":{"date-parts":[[2025,1,18]],"date-time":"2025-01-18T07:23:05Z","timestamp":1737184985000},"page":"1187-1195","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Educational and Resource Needs of Pelvic Health Physiotherapists: Context Matters"],"prefix":"10.1007","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8445-1348","authenticated-orcid":false,"given":"Corlia","family":"Brandt","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,1,18]]},"reference":[{"key":"6036_CR1","unstructured":"World Health Organisation. Women\u2019s Health. https:\/\/www.who.int\/health-topics\/women-s-health. Accessed 11 Oct 2024."},{"key":"6036_CR2","doi-asserted-by":"publisher","first-page":"174550652110722","DOI":"10.1177\/17455065211072252","volume":"18","author":"H Malaekah","year":"2022","unstructured":"Malaekah H, Al Medbel HS, Al Mowallad S, Al Asiri Z, Albadrani A, Abdullah H. Prevalence of pelvic floor dysfunction in women in Riyadh, Kingdom of Saudi Arabia: a cross-sectional study. Womens Health (Lond). 2022;18:17455065211072252. https:\/\/doi.org\/10.1177\/17455065211072252.","journal-title":"Womens Health (Lond)"},{"issue":"5","key":"6036_CR3","doi-asserted-by":"publisher","first-page":"543","DOI":"10.1111\/bju.15903","volume":"30","author":"D Whiting","year":"2022","unstructured":"Whiting D, Shane AI, Pope R, Payne S, Venn S. Female urinary incontinence in sub-Saharan Africa. BJU Int. 2022;130(5):543\u20139. https:\/\/doi.org\/10.1111\/bju.15903.","journal-title":"BJU Int"},{"issue":"12","key":"6036_CR4","doi-asserted-by":"publisher","first-page":"1117","DOI":"10.1080\/09593985.2018.1470706","volume":"35","author":"HC Frawley","year":"2019","unstructured":"Frawley HC, Neumann P, Delany C. An argument for competency-based training in pelvic floor physiotherapy practice. Physiother Theory Pract. 2019;35(12):1117\u201330. https:\/\/doi.org\/10.1080\/09593985.2018.1470706.","journal-title":"Physiother Theory Pract"},{"key":"6036_CR5","unstructured":"Chartered Society of Physiotherapy. 001603_ERN LTP Briefing\u2014Pelvic Health. 2019. https:\/\/www.csp.org.uk\/system\/files\/documents\/2019-04\/001603_ERN%20LTP%20Briefing%20-%20Pelvic%20Health.pdf. Accessed 11 Oct 2024."},{"issue":"8","key":"6036_CR6","doi-asserted-by":"publisher","first-page":"CD013105","DOI":"10.1002\/14651858.CD013105","volume":"8","author":"N Haya","year":"2018","unstructured":"Haya N, Feiner B, Baessler K, Christmann-Schmid C, Maher C. Perioperative interventions in pelvic organ prolapse surgery. Cochrane Database System Rev. 2018;8(8):CD013105. https:\/\/doi.org\/10.1002\/14651858.CD013105.","journal-title":"Cochrane Database Syst Rev"},{"issue":"10","key":"6036_CR7","doi-asserted-by":"publisher","first-page":"CD005654","DOI":"10.1002\/14651858.CD005654.pub4","volume":"10","author":"C Dumoulin","year":"2018","unstructured":"Dumoulin C, Cacciari LP, Hay-Smith EJC. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database System Rev. 2018;10(10):CD005654. https:\/\/doi.org\/10.1002\/14651858.CD005654.pub4.","journal-title":"Cochrane Database Syst Rev"},{"issue":"3","key":"6036_CR8","doi-asserted-by":"publisher","first-page":"298","DOI":"10.3138\/ptc-2018-0112","volume":"72","author":"G Alaniz","year":"2020","unstructured":"Alaniz G, Dods M, Dackovic H, Mascola M, Moreira K, Dufour S. Pre-licensure inter-professional perspectives: pelvic health physiotherapy. Physiother Can. 2020;72(3):298\u2013304. https:\/\/doi.org\/10.3138\/ptc-2018-0112.","journal-title":"Physiother Can"},{"issue":"1","key":"6036_CR9","doi-asserted-by":"publisher","first-page":"25","DOI":"10.3138\/ptc-2023-0030","volume":"76","author":"S Scodras","year":"2024","unstructured":"Scodras S, Yeung E, Colquhoun H, Jaglal SB, Salbach NM. Pelvic health content in Canadian entry-to-practice physiotherapy programs: an online survey. Physiother Can. 2024;76(1):25\u201333. https:\/\/doi.org\/10.3138\/ptc-2023-0030.","journal-title":"Physiother Can"},{"issue":"2","key":"6036_CR10","first-page":"63","volume":"30","author":"G Abrahams","year":"2022","unstructured":"Abrahams G, Khan S, Thani X. South African public primary healthcare services and challenges. Considerations during the Covid-19 pandemic. Admin Pub. 2022;30(2):63\u201385. \nhttps:\/\/hdl.handle.net\/10520\/ejc-adminpub_v30_n2_a7.","journal-title":"Admin Pub"},{"issue":"2","key":"6036_CR11","doi-asserted-by":"publisher","first-page":"1","DOI":"10.14440\/bladder.2023.873","volume":"10","author":"T Li","year":"2023","unstructured":"Li T, Li Y, Wu S. Global status quo and trends of research on urinary incontinence: a bibliometric and visualized study. Bladder 2023;10(2):1. https:\/\/doi.org\/10.14440\/bladder.2023.873.","journal-title":"Bladder"},{"key":"6036_CR12","unstructured":"International Urogynecology Association. 2024. https:\/\/www.iuga.org\/. Accessed 11 Oct 2024."},{"issue":"8","key":"6036_CR13","doi-asserted-by":"publisher","first-page":"1214","DOI":"10.3390\/jpm13081214","volume":"13","author":"DG Poalelungi","year":"2023","unstructured":"Poalelungi DG, Musat CL, Fulga A, Neagu M, Neagu AI, Piraianu AI, Fulga I. Advancing patient care: how artificial intelligence is transforming healthcare. J Person Med 2023;13(8):1214.\u00a0https:\/\/doi.org\/10.3390\/jpm13081214.","journal-title":"J Person Med"},{"issue":"1","key":"6036_CR14","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1007\/s10900-016-0241-3","volume":"42","author":"JA Reid","year":"2017","unstructured":"Reid JA, Templeman CL, Groneberg DA, Brueggmann D, Jaque JM. Patients\u2019 knowledge of female pelvic health and related educational preferences. J Commun Health. 2017;42(1):147\u201354. https:\/\/doi.org\/10.1007\/s10900-016-0241-3.","journal-title":"J Commun Health"},{"issue":"2","key":"6036_CR15","doi-asserted-by":"publisher","first-page":"869","DOI":"10.1002\/nau.23350","volume":"37","author":"E Bakker","year":"2018","unstructured":"Bakker E, Shelly B, Esch FH, Frawley H, McClurg D, Meyers P. International continence society supported pelvic physiotherapy education guideline. Neurourol Urodyn. 2018;37(2):869\u201376. https:\/\/doi.org\/10.1002\/nau.23350.","journal-title":"Neurourol Urodyn"},{"issue":"6","key":"6036_CR16","doi-asserted-by":"publisher","first-page":"e005190","DOI":"10.1136\/bmjgh-2021-005190","volume":"6","author":"C Van Zyl","year":"2021","unstructured":"Van Zyl C, Badenhorst M, Hanekom S, Heine M. Unravelling 'low-resource settings\u2019: a systematic scoping review with qualitative content analysis. BMJ Global Health. 2021;6(6):e005190. https:\/\/doi.org\/10.1136\/bmjgh-2021-005190.","journal-title":"BMJ Global Health"}],"container-title":["International Urogynecology Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-024-06036-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00192-024-06036-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-024-06036-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T11:18:59Z","timestamp":1753269539000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00192-024-06036-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,18]]},"references-count":16,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["6036"],"URL":"https:\/\/doi.org\/10.1007\/s00192-024-06036-3","relation":{},"ISSN":["0937-3462","1433-3023"],"issn-type":[{"value":"0937-3462","type":"print"},{"value":"1433-3023","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,18]]},"assertion":[{"value":"15 October 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 December 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 January 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The cross-sectional study was approved by the Human Research Ethics Committee (Medical) of the University of the Witwatersrand (M180712).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Statement"}},{"value":"None.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of Interest"}}]}}