{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T03:17:37Z","timestamp":1787800657340,"version":"build-2784847793"},"reference-count":23,"publisher":"FapUNIFESP (SciELO)","issue":"3","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Assoc. Med. Bras."],"abstract":"<jats:p>SUMMARY  OBJECTIVE: The objective of this study was to evaluate the effects of home-based pelvic floor muscle training in women with urinary incontinence, addressing the difficulties arising from social isolation due to the coronavirus disease 2019 pandemic by utilizing a specialized mobile app.  METHODS: This randomized, single-group clinical trial aimed to assess the efficacy of pelvic floor muscle training guided by a mobile app (Diario Sa\u00fade) in women with stress urinary incontinence. Participants were instructed via telephone to engage in pelvic floor muscle training exercises twice a day for 30 days. Pre- and post-treatment, participants completed validated questionnaires regarding urinary symptoms and quality of life through telephone interviews. Additionally, treatment adherence was evaluated.  RESULTS: A total of 156 women were enrolled in the study, with a mean age of 49.3\u00b114.2 years. Significant improvements in urinary incontinence symptoms and quality of life were observed following pelvic floor muscle training guided by the mobile app (p&lt;0.001). Notably, 74.3% of the participants reported performing the exercises with appropriate frequency. Of the participants, 62% reported either complete or substantial improvement in urinary symptoms post-treatment.  CONCLUSION: This study revealed notable enhancements in stress urinary incontinence, urinary storage, and overall quality of life subsequent to pelvic floor muscle training guided by a mobile app, particularly during the coronavirus disease 2019 pandemic. The mobile app demonstrated robust acceptance and adherence among women experiencing urinary incontinence.<\/jats:p>","DOI":"10.1590\/1806-9282.20231073","type":"journal-article","created":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T08:34:26Z","timestamp":1749544466000},"source":"Crossref","is-referenced-by-count":7,"title":["Mobile app for pelvic floor muscle training for urinary incontinence during the coronavirus disease 2019 pandemic: clinical trial"],"prefix":"10.1590","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0370-6992","authenticated-orcid":false,"given":"Camila Carvalho de","family":"Araujo","sequence":"first","affiliation":[{"name":"Universidade Estadual de Campinas,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7364-4718","authenticated-orcid":false,"given":"Luiz Gustavo Oliveira","family":"Brito","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3077-3047","authenticated-orcid":false,"given":"Andrea","family":"Marques","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0545-1332","authenticated-orcid":false,"given":"Marcela","family":"Bardin","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3197-1195","authenticated-orcid":false,"given":"C\u00e1ssia Raquel Teatin","family":"Juliato","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2024]]},"reference":[{"issue":"8","key":"ref1","doi-asserted-by":"crossref","DOI":"10.1002\/bjs.11675","article-title":"When preserving life becomes imperative, quality of life is eclipsed! COVID-19 outbreak impacting patients with pelvic floor disorders undergoing pelvic floor rehabilitation","volume":"107","author":"Brusciano L","year":"2020","journal-title":"Br J Surg"},{"issue":"1","key":"ref2","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1002\/nau.20870","article-title":"Fourth international consultation on incontinence recommendations of the international scientific committee: evaluation and treatment of urinary incontinence, pelvic organ prolapse, and fecal incontinence","volume":"29","author":"Abrams P","year":"2010","journal-title":"Neurourol Urodyn"},{"issue":"3","key":"ref3","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/0738-3991(91)90060-I","article-title":"Patient compliance with exercise: different theoretical approaches to short-term and long-term compliance","volume":"17","author":"Sluijs EM","year":"1991","journal-title":"Patient Educ Couns"},{"key":"ref4","series-title":"Guidance for the management of urogynecological conditions during the coronavirus (COVID-19) pandemic (Guidance from the International Uroginecologic Association (IUGA) on the safe management of pelvic floor conditions during the COVID pandemic)","author":"Thakar R","year":"2020"},{"key":"ref5","series-title":"Resolu\u00e7\u00e3o N\u00b0 516, de 20 de mar\u00e7o de 2020 - Teleconsulta","year":"2020"},{"issue":"7","key":"ref6","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1002\/nau.22796","article-title":"2014 consensus statement on improving pelvic floor muscle training adherence: international continence society 2011 state-of-the-science seminar","volume":"34","author":"Dumoulin C","year":"2015","journal-title":"Neurourol Urodyn"},{"issue":"2","key":"ref7","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1007\/s00192-020-04588-8","article-title":"Telehealth in the rehabilitation of female pelvic floor dysfunction: a systematic literature review","volume":"32","author":"Mata KRU","year":"2021","journal-title":"Int Urogynecol J"},{"issue":"11","key":"ref8","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1097\/SPV.0000000000000670","article-title":"The adherence of home pelvic floor muscles training using a mobile device application for women with urinary incontinence: a randomized controlled trial","volume":"26","author":"Araujo CC","year":"2020","journal-title":"Female Pelvic Med Reconstr Surg"},{"issue":"7","key":"ref9","doi-asserted-by":"crossref","first-page":"2271","DOI":"10.1002\/nau.23551","article-title":"6th International Consultation on Incontinence. Recommendations of the international scientific committee: evaluation and treatment of urinary incontinence, pelvic organ prolapse and faecal incontinence","volume":"37","author":"Abrams P","year":"2018","journal-title":"Neurourol Urodyn"},{"issue":"12","key":"ref10","doi-asserted-by":"crossref","first-page":"3157","DOI":"10.1007\/s00192-020-04344-y","article-title":"Validation and cultural translation for the Brazilian Portuguese version of the questionnaire for urinary incontinence diagnosis","volume":"32","author":"Araujo CC","year":"2021","journal-title":"Int Urogynecol J"},{"issue":"5","key":"ref11","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1590\/S1677-55382005000500013","article-title":"Responsiveness to the Portuguese version of the international consultation on incontinence questionnaire-short form (ICIQ-SF) after stress urinary incontinence surgery","volume":"31","author":"Tamanini JT","year":"2005","journal-title":"Int Braz J Urol"},{"issue":"6","key":"ref12","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1590\/S0100-72032010000600004","article-title":"[Validation of the international consultation on incontinence questionnaire overactive bladder (ICIQ-OAB) for Portuguese]","volume":"32","author":"Pereira SB","year":"2010","journal-title":"Rev Bras Ginecol Obstet"},{"issue":"10","key":"ref13","doi-asserted-by":"crossref","first-page":"1183","DOI":"10.1007\/s00192-009-0916-8","article-title":"Portuguese validation of the urinary incontinence-specific quality-of-life instrument: I-QOL","volume":"20","author":"Souza CC","year":"2009","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"key":"ref14","series-title":"Designing clinical research","first-page":"80","author":"Hulley SB","year":"2007","edition":"3rd ed."},{"issue":"4","key":"ref15","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1007\/s11884-021-00635-2","article-title":"Evidence for the appropriate use of telemedicine in female pelvic medicine and reconstructive surgery","volume":"16","author":"Barrett F","year":"2021","journal-title":"Curr Bladder Dysfunct Rep"},{"issue":"6","key":"ref16","doi-asserted-by":"crossref","first-page":"757","DOI":"10.2522\/ptj.20120072","article-title":"Adherence to behavioral interventions for stress incontinence: rates, barriers, and predictors","volume":"93","author":"Borello-France D","year":"2013","journal-title":"Phys Ther"},{"key":"ref17","article-title":"Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women","volume":"5","author":"Dumoulin C","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"issue":"9","key":"ref18","doi-asserted-by":"crossref","first-page":"1325","DOI":"10.1007\/s00192-017-3514-1","article-title":"Treatment of stress urinary incontinence with a mobile app: factors associated with success","volume":"29","author":"Nystr\u00f6m E","year":"2018","journal-title":"Int Urogynecol J"},{"issue":"8","key":"ref19","doi-asserted-by":"crossref","first-page":"1347","DOI":"10.1007\/s00192-012-2012-8","article-title":"Randomized controlled trial of pelvic floor muscle training with or without biofeedback for urinary incontinence","volume":"24","author":"Hirakawa T","year":"2013","journal-title":"Int Urogynecol J"},{"issue":"6","key":"ref20","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1002\/nau.22640","article-title":"Effect of vaginal spheres and pelvic floor muscle training in women with urinary incontinence: a randomized, controlled trial","volume":"34","author":"Porta-Roda O","year":"2015","journal-title":"Neurourol Urodyn"},{"issue":"12","key":"ref21","doi-asserted-by":"crossref","first-page":"2485","DOI":"10.1007\/s00192-020-04498-9","article-title":"Unsupervised behavioral and pelvic floor muscle training programs for storage lower urinary tract symptoms in women: a systematic review","volume":"31","author":"Wu C","year":"2020","journal-title":"Int Urogynecol J"},{"issue":"5","key":"ref22","doi-asserted-by":"crossref","first-page":"1369","DOI":"10.1002\/nau.23116","article-title":"Mobile app for treatment of stress urinary incontinence: a randomized controlled trial","volume":"36","author":"Asklund I","year":"2017","journal-title":"Neurourol Urodyn"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.physio.2019.08.011","article-title":"Is pelvic floor muscle training effective for symptoms of overactive bladder in women? A systematic review","volume":"106","author":"Bo K","year":"2020","journal-title":"Physiotherapy"}],"container-title":["Revista da Associa\u00e7\u00e3o M\u00e9dica Brasileira"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0104-42302024000300610&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T08:34:30Z","timestamp":1749544470000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0104-42302024000300610&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":23,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024]]}},"alternative-id":["S0104-42302024000300610"],"URL":"https:\/\/doi.org\/10.1590\/1806-9282.20231073","relation":{},"ISSN":["1806-9282","0104-4230"],"issn-type":[{"value":"1806-9282","type":"electronic"},{"value":"0104-4230","type":"print"}],"subject":[],"published":{"date-parts":[[2024]]},"article-number":"e20231073"}}