{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T13:03:30Z","timestamp":1783861410862,"version":"3.55.0"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2025,3,20]],"date-time":"2025-03-20T00:00:00Z","timestamp":1742428800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,3,20]],"date-time":"2025-03-20T00:00:00Z","timestamp":1742428800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Introduction and Hypothesis<\/jats:title>\n            <jats:p>Pessary self-management (PSM) may increase patient autonomy and minimize the number of doctor consultations. However, little is known about the implementation and patient perception of PSM. This study aims to explore patients\u2019 experiences, opinions, and needs regarding PSM and how this was taught. Furthermore, to develop a standardized instruction manual.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>A qualitative study with semi-structured interviews was conducted among patients with pessary therapy for pelvic organ prolapse (POP). A preliminary framework was conducted for thematic content analysis. Three main themes were described: initial opinion, motivation and suggestions for healthcare workers and other patients regarding PSM.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Seventeen patients were interviewed of which 11 performed PSM, five women refused PSM, and one woman was not able to perform PSM. The initial opinion of patients varied. Half of patients were confident in succeeding to perform PSM, and in the other half, nervousness and lack of confidence in being able to perform PSM predominated. Autonomy, hygiene and fewer doctor consultations were named as the main motivating factors to perform PSM. Reasons for not performing PSM were anxiety and existing comorbidities. Patients were generally satisfied with the way PSM was explained and named videos and information leaflets as tips.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>This explorative qualitative study revealed the motivators and barriers to learning PSM. Our findings highlight the importance of addressing patients\u2019 concerns and providing adequate information. In doing so, it is important to create a supportive environment to increase patient engagement and confidence in managing their condition through PSM. These results can help to successfully implement PSM in future healthcare.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00192-025-06118-w","type":"journal-article","created":{"date-parts":[[2025,3,20]],"date-time":"2025-03-20T16:50:23Z","timestamp":1742489423000},"page":"1633-1639","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Exploring Factors Influencing Motivation and Success in Teaching Patients Pessary Self-Management: A Qualitative Study"],"prefix":"10.1007","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-7241-5693","authenticated-orcid":false,"given":"Ren\u00e9e","family":"B\u00f6rger","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evy Maria Bernadette","family":"Paulussen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josephine","family":"Eissing","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marlies Yvette","family":"Bongers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorothea Maria","family":"Koppes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirjam","family":"Weemhoff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,3,20]]},"reference":[{"issue":"9","key":"6118_CR1","doi-asserted-by":"publisher","first-page":"1037","DOI":"10.1007\/s00192-009-0902-1","volume":"20","author":"MC Slieker-ten Hove","year":"2009","unstructured":"Slieker-ten Hove MC, Pool-Goudzwaard AL, Eijkemans MJ, Steegers-Theunissen RP, Burger CW, Vierhout ME. The prevalence of pelvic organ prolapse symptoms and signs and their relation with bladder and bowel disorders in a general female population. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20(9):1037\u201345. https:\/\/doi.org\/10.1007\/s00192-009-0902-1","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct."},{"issue":"10","key":"6118_CR2","doi-asserted-by":"publisher","first-page":"1157","DOI":"10.1007\/s00192-009-0930-x","volume":"20","author":"DS Kapoor","year":"2009","unstructured":"Kapoor DS, Thakar R, Sultan AH, Oliver R. Conservative versus surgical management of prolapse: what dictates patient choice? Int Urogynecol J Pelvic Floor Dysfunct. 2009;20(10):1157\u201361. https:\/\/doi.org\/10.1007\/s00192-009-0930-x","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct."},{"issue":"8","key":"6118_CR3","doi-asserted-by":"publisher","first-page":"1899","DOI":"10.1007\/s00192-023-05472-x","volume":"34","author":"J Stairs","year":"2023","unstructured":"Stairs J, Gujral P, Ehlebracht A, van Diepen A, Clancy AA. Women\u2019s attitudes towards pessary self-care: a qualitative study. Int Urogynecol J. 2023;34(8):1899\u2013906. https:\/\/doi.org\/10.1007\/s00192-023-05472-x","journal-title":"Int Urogynecol J."},{"issue":"13","key":"6118_CR4","doi-asserted-by":"publisher","first-page":"1715","DOI":"10.1111\/j.1471-0528.2009.02380.x","volume":"116","author":"S Sarma","year":"2009","unstructured":"Sarma S, Ying T, Moore KH. Long-term vaginal ring pessary use: discontinuation rates and adverse events. BJOG. 2009;116(13):1715\u201321. https:\/\/doi.org\/10.1111\/j.1471-0528.2009.02380.x","journal-title":"BJOG."},{"issue":"1","key":"6118_CR5","doi-asserted-by":"publisher","first-page":"u206180.w2533","DOI":"10.1136\/bmjquality.u206180.w2533","volume":"3","author":"R Kearney","year":"2014","unstructured":"Kearney R, Brown C. Self-management of vaginal pessaries for pelvic organ prolapse. BMJ Qual Improv Rep. 2014;3(1):u206180.w2533. https:\/\/doi.org\/10.1136\/bmjquality.u206180.w2533","journal-title":"BMJ Qual Improv Rep."},{"key":"6118_CR6","doi-asserted-by":"publisher","first-page":"100164","DOI":"10.1016\/j.eurox.2022.100164","volume":"16","author":"KH Moore","year":"2022","unstructured":"Moore KH, Lammers K, Allen W, Parkin K, Te West N. Does monthly self-management of vaginal ring pessaries reduce the rate of adverse events? A clinical audit. Eur J Obstet Gynecol Reprod Biol X. 2022;16:100164. https:\/\/doi.org\/10.1016\/j.eurox.2022.100164","journal-title":"Eur J Obstet Gynecol Reprod Biol X."},{"key":"6118_CR7","doi-asserted-by":"publisher","first-page":"n310","DOI":"10.1136\/bmj.n310","volume":"372","author":"C Bugge","year":"2021","unstructured":"Bugge C, Dembinsky M, Kearney R, Hagen S. Does self-management of vaginal pessaries improve care for women with pelvic organ prolapse? BMJ. 2021;372:n310. https:\/\/doi.org\/10.1136\/bmj.n310","journal-title":"BMJ."},{"issue":"7","key":"6118_CR8","doi-asserted-by":"publisher","first-page":"e060223","DOI":"10.1136\/bmjopen-2021-060223","volume":"12","author":"L Dwyer","year":"2022","unstructured":"Dwyer L, Dowding D, Kearney R. What is known from the existing literature about self-management of pessaries for pelvic organ prolapse? A scoping review. BMJ Open. 2022;12(7):e060223. https:\/\/doi.org\/10.1136\/bmjopen-2021-060223","journal-title":"BMJ Open."},{"issue":"3","key":"6118_CR9","doi-asserted-by":"publisher","first-page":"214","DOI":"10.1097\/SPV.0000000000001013","volume":"27","author":"A Holubyeva","year":"2021","unstructured":"Holubyeva A, Rimpel K, Blakey-Cheung S, Finamore PS, O\u2019Shaughnessy DL. Rates of Pessary Self-Care and the Characteristics of Patients Who Perform it. Female Pelvic Med Reconstr Surg. 2021;27(3):214\u20136. https:\/\/doi.org\/10.1097\/SPV.0000000000001013","journal-title":"Female Pelvic Med Reconstr Surg."},{"issue":"11","key":"6118_CR10","doi-asserted-by":"publisher","first-page":"2350","DOI":"10.1111\/j.1365-2648.2009.05095.x","volume":"65","author":"S Storey","year":"2009","unstructured":"Storey S, Aston M, Price S, Irving L, Hemmens E. Women\u2019s experiences with vaginal pessary use. J Adv Nurs. 2009;65(11):2350\u20137. https:\/\/doi.org\/10.1111\/j.1365-2648.2009.05095.x","journal-title":"J Adv Nurs."}],"container-title":["International Urogynecology Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-025-06118-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00192-025-06118-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-025-06118-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T13:35:44Z","timestamp":1758807344000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00192-025-06118-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,20]]},"references-count":10,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["6118"],"URL":"https:\/\/doi.org\/10.1007\/s00192-025-06118-w","relation":{},"ISSN":["0937-3462","1433-3023"],"issn-type":[{"value":"0937-3462","type":"print"},{"value":"1433-3023","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,20]]},"assertion":[{"value":"21 November 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 February 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 March 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 authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of Interest"}},{"value":"Approved by the Medical Ethical Committee Zuyd.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}}]}}