{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T09:55:25Z","timestamp":1791971725283,"version":"4.3.4"},"reference-count":35,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T00:00:00Z","timestamp":1784332800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"vor","delay-in-days":88,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"funder":[{"DOI":"10.13039\/501100004844","name":"National Cheng Kung University Hospital","doi-asserted-by":"publisher","award":["Grant No. A-ER-112-385"],"award-info":[{"award-number":["Grant No. A-ER-112-385"]}],"id":[{"id":"10.13039\/501100004844","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Higher Education Sprout Project by the Ministry of Education (MOE), Taiwan"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Women's Health"],"DOI":"10.1186\/s12905-026-04711-9","type":"journal-article","created":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T16:56:09Z","timestamp":1784393769000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Adherence and continuance intention of biofeedback-assisted pelvic floor muscle training: a theory-driven study among women with pelvic floor disorders"],"prefix":"10.1186","volume":"26","author":[{"given":"Ying-Hsuan","family":"Chao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chia-Jung","family":"Chiang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chung-Hung","family":"Tsai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ya-Min","family":"Cheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li-Chieh","family":"Kuo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fong-Chin","family":"Su","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,18]]},"reference":[{"key":"4711_CR1","unstructured":"Guidelines NIfHaCE. London: National Institute for Health and Care Excellence(NICE); 2003-."},{"issue":"5","key":"4711_CR2","doi-asserted-by":"publisher","first-page":"380","DOI":"10.1097\/GCO.0000000000000200","volume":"27","author":"AA Dieter","year":"2015","unstructured":"Dieter AA, Wilkins MF, Wu JM. Epidemiological trends and future care needs for pelvic floor disorders. Curr Opin Obstet Gynecol. 2015;27(5):380\u20134.","journal-title":"Curr Opin Obstet Gynecol"},{"key":"4711_CR3","doi-asserted-by":"publisher","first-page":"1180907","DOI":"10.3389\/fpubh.2023.1180907","volume":"11","author":"RA Peinado Molina","year":"2023","unstructured":"Peinado Molina RA, Hern\u00e1ndez Mart\u00ednez A, Mart\u00ednez V\u00e1zquez S, Mart\u00ednez Galiano JM. Influence of pelvic floor disorders on quality of life in women. Front Public Health. 2023;11:1180907.","journal-title":"Front Public Health"},{"issue":"1","key":"4711_CR4","first-page":"47","volume":"44","author":"C Dumoulin","year":"2008","unstructured":"Dumoulin C, Hay-Smith J. Pelvic floor muscle training versus no treatment for urinary incontinence in women. A Cochrane systematic review. Eur J Phys Rehabil Med. 2008;44(1):47\u201363.","journal-title":"Eur J Phys Rehabil Med"},{"issue":"12","key":"4711_CR5","first-page":"Cd003882","volume":"2011","author":"S Hagen","year":"2011","unstructured":"Hagen S, Stark D. Conservative prevention and management of pelvic organ prolapse in women. Cochrane Database Syst Rev. 2011;2011(12):Cd003882.","journal-title":"Cochrane Database Syst Rev"},{"key":"4711_CR6","doi-asserted-by":"crossref","unstructured":"Szumilewicz A, Dornowski M, Piernicka M, Worska A, Kuchta A, Kortas J et al. Exercises improves pelvic floor muscle function in healthy pregnant women \u2013 A randomized control trial. Frontiers in Physiology. 2019;10(JAN).","DOI":"10.3389\/fphys.2018.01867"},{"key":"4711_CR7","first-page":"S12","volume":"35","author":"C Delneri","year":"2016","unstructured":"Delneri C, Iona L, Giorgini T, Zampa A, Di Bernardo H, Zanello E. Effect of pelvic floor muscle training on sexual function in women with urinary incontinence. Neurourol Urodyn. 2016;35:S12\u20133.","journal-title":"Neurourol Urodyn"},{"issue":"7","key":"4711_CR8","doi-asserted-by":"publisher","first-page":"654","DOI":"10.1002\/nau.10153","volume":"22","author":"K B\u00f8","year":"2003","unstructured":"B\u00f8 K. Pelvic floor muscle strength and response to pelvic floor muscle training for stress urinary incontinence. Neurourol Urodyn. 2003;22(7):654\u20138.","journal-title":"Neurourol Urodyn"},{"key":"4711_CR9","doi-asserted-by":"crossref","unstructured":"Bump RC, Hurt WG, Fantl JA, Wyman JF. Assessment of Kegel pelvic muscle exercise performance after brief verbal instruction. Am J Obstet Gynecol. 1991;165(2):322-7; discussion 7\u20139.","DOI":"10.1016\/0002-9378(91)90085-6"},{"issue":"70","key":"4711_CR10","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3310\/hta24700","volume":"24","author":"S Hagen","year":"2020","unstructured":"Hagen S, Bugge C, Dean SG, Elders A, Hay-Smith J, Kilonzo M, et al. Basic versus biofeedback-mediated intensive pelvic floor muscle training for women with urinary incontinence: The opal RCT. Health Technol Assess. 2020;24(70):1\u2013143.","journal-title":"Health Technol Assess"},{"issue":"1","key":"4711_CR11","doi-asserted-by":"publisher","first-page":"477","DOI":"10.1186\/s12905-022-02067-4","volume":"22","author":"W Sawettikamporn","year":"2022","unstructured":"Sawettikamporn W, Sarit-Apirak S, Manonai J. Attitudes and barriers to pelvic floor muscle exercises of women with stress urinary incontinence. BMC Womens Health. 2022;22(1):477.","journal-title":"BMC Womens Health"},{"key":"4711_CR12","doi-asserted-by":"publisher","first-page":"785","DOI":"10.2147\/RMHP.S496997","volume":"18","author":"L Zhao","year":"2025","unstructured":"Zhao L, Li N, Gu L, Shen C, Wang R, Yang X, et al. Attitudes and Perceptions of eHealth Among Female Patients with Urinary Incontinence and Healthcare Providers: A Systematic Review and Thematic Synthesis. Risk Manag Healthc Policy. 2025;18:785\u2013800.","journal-title":"Risk Manag Healthc Policy"},{"issue":"7","key":"4711_CR13","doi-asserted-by":"publisher","first-page":"600","DOI":"10.1002\/nau.22796","volume":"34","author":"C Dumoulin","year":"2015","unstructured":"Dumoulin C, Hay-Smith J, Frawley H, McClurg D, Alewijnse D, Bo K, et al. 2014 consensus statement on improving pelvic floor muscle training adherence: International Continence Society 2011 State-of-the-Science Seminar. Neurourol Urodyn. 2015;34(7):600\u20135.","journal-title":"Neurourol Urodyn"},{"issue":"23","key":"4711_CR14","doi-asserted-by":"publisher","first-page":"12743","DOI":"10.3390\/app132312743","volume":"13","author":"AE Matsi","year":"2023","unstructured":"Matsi AE, Billis E, Lampropoulou S, Xergia SA, Tsekoura M, Fousekis K. The Effectiveness of Pelvic Floor Muscle Exercise with Biofeedback in Women with Urinary Incontinence: A Systematic Review. Appl Sci. 2023;13(23):12743.","journal-title":"Appl Sci"},{"key":"4711_CR15","doi-asserted-by":"crossref","unstructured":"Herderschee R, Hay-Smith EJ, Herbison GP, Roovers JP, Heineman MJ. Feedback or biofeedback to augment pelvic floor muscle training for urinary incontinence in women. Cochrane Database Syst Rev. 2011(7):Cd009252.","DOI":"10.1002\/14651858.CD009252"},{"issue":"5","key":"4711_CR16","doi-asserted-by":"publisher","first-page":"511","DOI":"10.1093\/her\/cyf043","volume":"18","author":"D Alewijnse","year":"2003","unstructured":"Alewijnse D, Mesters I, Metsemakers J, van den Borne B. Predictors of long-term adherence to pelvic floor muscle exercise therapy among women with urinary incontinence. Health Educ Res. 2003;18(5):511\u201324.","journal-title":"Health Educ Res"},{"issue":"6","key":"4711_CR17","doi-asserted-by":"publisher","first-page":"757","DOI":"10.2522\/ptj.20120072","volume":"93","author":"D Borello-France","year":"2013","unstructured":"Borello-France D, Burgio KL, Goode PS, Ye W, Weidner AC, Lukacz ES, et al. Adherence to behavioral interventions for stress incontinence: rates, barriers, and predictors. Phys Ther. 2013;93(6):757\u201373.","journal-title":"Phys Ther"},{"key":"4711_CR18","doi-asserted-by":"publisher","first-page":"e44929","DOI":"10.2196\/44929","volume":"11","author":"SJ Woodley","year":"2023","unstructured":"Woodley SJ, Moller B, Clark AR, Bussey MD, Sangelaji B, Perry M, et al. Digital Technologies for Women\u2019s Pelvic Floor Muscle Training to Manage Urinary Incontinence Across Their Life Course: Scoping Review. JMIR Mhealth Uhealth. 2023;11:e44929.","journal-title":"JMIR Mhealth Uhealth"},{"key":"4711_CR19","doi-asserted-by":"crossref","unstructured":"Torres-Lacomba M, Navarro-Braz\u00e1lez B, Yuste-S\u00e1nchez MJ, S\u00e1nchez-S\u00e1nchez B, Prieto-G\u00f3mez V, Vergara-P\u00e9rez F. Women\u2019s Experiences with Compliance with Pelvic Floor Home Exercise Therapy and Lifestyle Changes for Pelvic Organ Prolapse Symptoms: A Qualitative Study. J Pers Med. 2022;12(3).","DOI":"10.3390\/jpm12030498"},{"key":"4711_CR20","doi-asserted-by":"crossref","unstructured":"Giardulli B, Coppola I, Testa M, Buccarella O, Battista S. The Experience of Pelvic Floor Muscle Training in People with Urinary Incontinence: A Qualitative Study. Sex Disabil. 2024;42.","DOI":"10.1007\/s11195-024-09863-w"},{"key":"4711_CR21","doi-asserted-by":"publisher","first-page":"114514","DOI":"10.1016\/j.ejogrb.2025.114514","volume":"312","author":"J Wang","year":"2025","unstructured":"Wang J, Wu L, Fan G, Ji Y. The mediating effect of self-efficacy on adherence to pelvic floor muscle training: an analysis based on the COM-B model. Eur J Obstet Gynecol Reprod Biol. 2025;312:114514.","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"4711_CR22","doi-asserted-by":"crossref","unstructured":"Villa-Del-Pino I, Jim\u00e9nez-Rejano JJ, Rebollo-Salas M, Rodr\u00edguez-Dom\u00ednguez \u00c1J, Su\u00e1rez-Serrano CM. Compliance and Adherence to Pelvic Floor Exercise Therapy in People with Pelvic Floor Disorders: A Systematic Review and Meta-Analysis. Life (Basel). 2025;15(4).","DOI":"10.3390\/life15040613"},{"key":"4711_CR23","doi-asserted-by":"publisher","first-page":"104695","DOI":"10.1016\/j.midw.2025.104695","volume":"153","author":"Z Gui","year":"2026","unstructured":"Gui Z, Liang Y, Huang Y, Gu Q, Li Q, Li X, et al. Barriers and facilitators to pelvic floor muscle exercises among postpartum women: A meta-synthesis based on the capability, opportunity, motivation, and behavior (COM-B) model. Midwifery. 2026;153:104695.","journal-title":"Midwifery"},{"issue":"6","key":"4711_CR24","doi-asserted-by":"publisher","first-page":"1388","DOI":"10.1067\/mob.2001.118659","volume":"185","author":"MD Barber","year":"2001","unstructured":"Barber MD, Kuchibhatla MN, Pieper CF, Bump RC. Psychometric evaluation of 2 comprehensive condition-specific quality of life instruments for women with pelvic floor disorders. Am J Obstet Gynecol. 2001;185(6):1388\u201395.","journal-title":"Am J Obstet Gynecol"},{"issue":"4","key":"4711_CR25","doi-asserted-by":"publisher","first-page":"613","DOI":"10.3390\/life15040613","volume":"15","author":"I Villa-Del-Pino","year":"2025","unstructured":"Villa-Del-Pino I, Jim\u00e9nez-Rejano J-J, Rebollo-Salas M, Rodr\u00edguez-Dom\u00ednguez \u00c1-J, Su\u00e1rez-Serrano C-M. Compliance and Adherence to Pelvic Floor Exercise Therapy in People with Pelvic Floor Disorders: A Systematic Review and Meta-Analysis. Life. 2025;15(4):613.","journal-title":"Life"},{"issue":"7","key":"4711_CR26","doi-asserted-by":"publisher","first-page":"e12587","DOI":"10.2196\/12587","volume":"7","author":"S Dufour","year":"2019","unstructured":"Dufour S, Fedorkow D, Kun J, Deng SX, Fang Q. Exploring the Impact of a Mobile Health Solution for Postpartum Pelvic Floor Muscle Training: Pilot Randomized Controlled Feasibility Study. JMIR Mhealth Uhealth. 2019;7(7):e12587.","journal-title":"JMIR Mhealth Uhealth"},{"issue":"4","key":"4711_CR27","doi-asserted-by":"publisher","first-page":"484","DOI":"10.1097\/JCMA.0000000000000660","volume":"85","author":"HC Horng","year":"2022","unstructured":"Horng HC, Chao WT, Chen JF, Chang CP, Wang PH, Chang PL. Home-based noninvasive pelvic floor muscle training device to assist women in performing Kegel exercise in the management of stress urinary incontinence. J Chin Med Assoc. 2022;85(4):484\u201390.","journal-title":"J Chin Med Assoc"},{"key":"4711_CR28","doi-asserted-by":"publisher","first-page":"269","DOI":"10.1093\/ptj\/85.3.269","volume":"85","author":"K B\u00f8","year":"2005","unstructured":"B\u00f8 K, Sherburn M. Evaluation of Female Pelvic-Floor Muscle Function and Strength. Phys Ther. 2005;85:269\u201382.","journal-title":"Phys Ther"},{"issue":"4","key":"4711_CR29","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1007\/s00192-005-1308-3","volume":"16","author":"JA Thompson","year":"2005","unstructured":"Thompson JA, O\u2019Sullivan PB, Briffa K, Neumann P, Court S. Assessment of pelvic floor movement using transabdominal and transperineal ultrasound. Int Urogynecol J Pelvic Floor Dysfunct. 2005;16(4):285\u201392.","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"key":"4711_CR30","doi-asserted-by":"publisher","first-page":"319","DOI":"10.2307\/249008","volume":"13","author":"F Davis","year":"1989","unstructured":"Davis F, Davis F, Perceived, Usefulness. Perceived Ease of Use, and User Acceptance of Information Technology. MIS Q. 1989;13:319.","journal-title":"MIS Q"},{"key":"4711_CR31","doi-asserted-by":"publisher","first-page":"425","DOI":"10.2307\/30036540","volume":"27","author":"V Venkatesh","year":"2003","unstructured":"Venkatesh V, Morris M, Davis G, Davis F. User Acceptance of Information Technology: Toward A Unified View1. MIS Q. 2003;27:425\u201378.","journal-title":"MIS Q"},{"key":"4711_CR32","doi-asserted-by":"publisher","first-page":"351","DOI":"10.2307\/3250921","volume":"25","author":"A Bhattacherjee","year":"2001","unstructured":"Bhattacherjee A. Understanding Information Systems Continuance: An Expectation-Confirmation Model. MIS Q. 2001;25:351\u201370.","journal-title":"MIS Q"},{"issue":"10","key":"4711_CR33","first-page":"Cd005654","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 Syst Rev. 2018;10(10):Cd005654.","journal-title":"Cochrane Database Syst Rev"},{"issue":"4","key":"4711_CR34","doi-asserted-by":"publisher","first-page":"284","DOI":"10.1002\/nau.10122","volume":"22","author":"D Alewijnse","year":"2003","unstructured":"Alewijnse D, Metsemakers JF, Mesters IE, van den Borne B. Effectiveness of pelvic floor muscle exercise therapy supplemented with a health education program to promote long-term adherence among women with urinary incontinence. Neurourol Urodyn. 2003;22(4):284\u201395.","journal-title":"Neurourol Urodyn"},{"issue":"9919","key":"4711_CR35","doi-asserted-by":"publisher","first-page":"796","DOI":"10.1016\/S0140-6736(13)61977-7","volume":"383","author":"S Hagen","year":"2014","unstructured":"Hagen S, Stark D, Glazener C, Dickson S, Barry S, Elders A, et al. Individualised pelvic floor muscle training in women with pelvic organ prolapse (POPPY): a multicentre randomised controlled trial. Lancet. 2014;383(9919):796\u2013806.","journal-title":"Lancet"}],"container-title":["BMC Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12905-026-04711-9","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12905-026-04711-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12905-026-04711-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T09:36:58Z","timestamp":1791970618000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12905-026-04711-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,18]]},"references-count":35,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["4711"],"URL":"https:\/\/doi.org\/10.1186\/s12905-026-04711-9","relation":{},"ISSN":["1472-6874"],"issn-type":[{"value":"1472-6874","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,18]]},"assertion":[{"value":"23 March 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 July 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 July 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"All protocols and procedures involving human participants in this study complied with the ethical standards established by institutional and national research committees. The research adhered to the principles of the 1964 Helsinki Declaration, including its subsequent amendments or equivalent ethical guidelines. The Institutional Review Board of National Cheng Kung University Hospital, Tainan, Taiwan, thoroughly reviewed and approved the procedures and consent form (Reference Number: A-ER-112-385; Registration number NCT07243028 at ClinicalTrials.gov). Written informed consent was obtained from all participants prior to their involvement in the study.","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"519"}}