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Article

The WOMEN-UP Solution, a Patient-Centered Innovative e-Health Tool for Pelvic Floor Muscle Training: Qualitative and Usability Study during Early-Stage Development

1
Department of Obstetrics and Gynecology, Hospital Clinic de Barcelona, Universitat de Barcelona, 08036 Barcelona, Spain
2
Department of Microelectronics and Electronic Systems, Universitat Autònoma de Barcelona, 08193 Bellaterra, Spain
3
Department of Automatic Control, Biomedical Engineering Research Centre, Universitat Politècnica de Catalunya, 08028 Barcelona, Spain
4
Department of Obstetrics and Gynecology, Amsterdam UMC Location Academic Medical Center, 1105 AZ Amsterdam, The Netherlands
5
Department of Physical and Rehabilitation Medicine, Kuopio University Hospital, 70210 Kuopio, Finland
6
Department of Psychology, Babes-Bolyai University of Cluj-Napoca, 400015 Cluj-Napoca, Romania
*
Author to whom correspondence should be addressed.
WOMEN-UP Consortium are listed in acknowledgments.
Academic Editors: Maria Luisa Sanchez Ferrer, Ines Moran Sanchez and Julián J. Arense Gonzalo
Int. J. Environ. Res. Public Health 2021, 18(15), 7800; https://doi.org/10.3390/ijerph18157800
Received: 25 June 2021 / Revised: 17 July 2021 / Accepted: 17 July 2021 / Published: 23 July 2021
e-Health may enhance self-management of pelvic floor muscle training (PFMT) to treat stress urinary incontinence (SUI). It is crucial to involve patients in planning, developing and monitoring the optimal e-Health solution. This research aims to describe patient-centered innovation in an early developmental stage of the WOMEN-UP solution. We conducted a qualitative study through a self-developed questionnaire in 22 women with SUI, to define system requirements from a patient’s perspective. The first prototype of the WOMEN-UP solution was developed. It was tested by 9 patients in a usability study (think-aloud protocol and retrospective interviews). Patient preferences regarding the possible use of an e-Health solution with serious games for PFMT were: (1) to receive feedback about PFMT; (2) convenient home-use; (3) increasing motivation; (4) available in medical centers. Identified usability aids (31) reassured our design-development plan, which considered the biofeedback and serious games as key factors. Patient’s perspective detected some unexpected issues related to the calibration and serious games, involving a change in the ongoing development to get an improved WOMEN-UP solution; the value of patient-centered innovation during the development of an e-Health solution for PFMT (WOMEN-UP solution). To identify patients’ unmet needs, we proposed a longitudinal approach for the future eHealth-related patient-centered innovations. View Full-Text
Keywords: patient-centered innovation; qualitative study; usability study; pelvic floor muscle training; urinary incontinence; serious games; biofeedback; eHealth patient-centered innovation; qualitative study; usability study; pelvic floor muscle training; urinary incontinence; serious games; biofeedback; eHealth
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MDPI and ACS Style

Anglès-Acedo, S.; López-Frías, L.; Soler, V.; Alonso, J.F.; Kastelein, A.W.; Graaf, B.C.d.; Vodegel, E.V.; Tervo, J.; Baban, A.; Espuña-Pons, M.; on behalf of the WOMEN-UP Consortium. The WOMEN-UP Solution, a Patient-Centered Innovative e-Health Tool for Pelvic Floor Muscle Training: Qualitative and Usability Study during Early-Stage Development. Int. J. Environ. Res. Public Health 2021, 18, 7800. https://doi.org/10.3390/ijerph18157800

AMA Style

Anglès-Acedo S, López-Frías L, Soler V, Alonso JF, Kastelein AW, Graaf BCd, Vodegel EV, Tervo J, Baban A, Espuña-Pons M, on behalf of the WOMEN-UP Consortium. The WOMEN-UP Solution, a Patient-Centered Innovative e-Health Tool for Pelvic Floor Muscle Training: Qualitative and Usability Study during Early-Stage Development. International Journal of Environmental Research and Public Health. 2021; 18(15):7800. https://doi.org/10.3390/ijerph18157800

Chicago/Turabian Style

Anglès-Acedo, Sònia, Lorena López-Frías, Vicenç Soler, Joan F. Alonso, Arnoud W. Kastelein, Boris C.d. Graaf, Eva. V. Vodegel, Jaana Tervo, Adriana Baban, Montserrat Espuña-Pons, and on behalf of the WOMEN-UP Consortium. 2021. "The WOMEN-UP Solution, a Patient-Centered Innovative e-Health Tool for Pelvic Floor Muscle Training: Qualitative and Usability Study during Early-Stage Development" International Journal of Environmental Research and Public Health 18, no. 15: 7800. https://doi.org/10.3390/ijerph18157800

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