'Baas over je blaas’ Een e-health interventie voor Nederlandse vrouwen met stress urine incontinentie: een implementatie studie

Titel onderzoek Nederlands

'Baas over je blaas’ Een e-health interventie voor Nederlandse vrouwen met stress urine incontinentie: een implementatie studie

Titel onderzoek Engels

an e-Health Intervention for Dutch Women with Stress Urinary Incontinence: an Implementation Study

Onderzoeksvraag

Wat zijn faciliterende en belemmerende factoren van de adoptie van een web-based e-health interventie met bekkenbodemspiertraining voor vrouwen met stress urine incontinentie?

Uitgangsvraag PICO

P

Nederlandse vrouwen met stress urine incontinentie

I

web-based, e-health interventie met bekkenbodemspieroefeningen

C

geen

O

primaire uitkomstmaten: belemmerende en faciliterende factoren van de adoptie van de interventie. Secundaire uitkomstmaten: effect op kwaliteit van leven, effect op ernst van incontinentie en factoren die geassocieerd zijn met succesvolle behandeling.

Onderzoeksinstituut

Radboudumc

Samenvatting van het onderzoek

Background: Stress urinary incontinence (SUI) is a common problem with a great potential influence on quality of life. Although SUI can be treated effectively with pelvic floor muscle training (PFMT), only a minority of women with this complaint seek help. An internet-based electronic health (eHealth) intervention could make care more accessible. The Swedish eHealth intervention Tät-treatment of Stress Urinary Incontinence offers PFMT and has shown to be effective in reducing symptoms in women with SUI. This intervention might be helpful for Dutch women too, but its adoption needs to be studied as the Netherlands differs from Sweden in terms of geographical characteristics and health care organization.
Objective: The objective of this protocol is to investigate the barriers and facilitators to the adoption of an eHealth intervention
for Dutch women with SUI and the effects of this intervention.
Methods: We are conducting an explanatory sequential mixed methods study among 800 Dutch women with SUI who participate in the translated version of Tät-treatment of Stress Urinary Incontinence. This eHealth intervention takes 3 months. A pre-post study is conducted using surveys, which are sent at baseline (T0), 3 weeks after baseline (T1), posttreatment (T2), and 3 months posttreatment (T3). After the intervention, semistructured interviews will be held with 15 to 20 participants. The primary outcomes are barriers and facilitators to using the Tät-treatment of Stress Urinary Incontinence. This will also be analyzed among groups that differ in age and severity of incontinence. A thematic content analysis of the qualitative data will be performed. The secondary outcomes are: (1) effect on symptoms of urinary incontinence, (2) effect on quality of life, and (3) factors that are potentially associated with success. Effects will be analyzed by a mixed model analysis. Logistic regression analysis will be used to study what patient-related factors are associated with success.
Results: Enrollment started in July 2018 and will be finished by December 2019. Data analysis will start in March 2020.
Conclusions: An eHealth intervention for Dutch women with SUI is promising because it can make treatment more accessible. The strength of this study is that it explores the possibilities for an internet-based-only treatment for women with SUI by using both quantitative and qualitative research methodologies. The study elaborates on existing results by using a previously tested and effective eHealth program. Insight into the barriers and facilitators to using this program can enhance the implementation of the intervention in the Dutch health care system.

Startdatum onderzoek

Type onderzoek

Therapeutisch

Aard van het onderzoek

Medisch inhoudelijk

Design van het onderzoek

Implementatie onderzoek

Onderzoeker

L. Firet

Contactpersoon

L. Firet

Projectleider

T.A.M. Teunissen

Andere betrokkenen

W.J.J. Assendelft

ICPC codes

U04

Beantwoordt het onderzoek een geprioriteerde kennislacune(s) uit de onderzoeksagenda huisartsgeneeskunde?

Ja

Voortgang

Lopend onderzoek

Samenwerking(en) met andere afdelingen of instituten

Tät.nu – eContinence Project Group, Umea University, Umea, Sweden

Soort samenwerking

Wij hebben vanuit de samenwerking met de Zweedse universiteit beschikking gekregen over de inhoud van de interventie en deze vertaald naar het Nederlands.