dc.contributor.author |
Brennen, Robyn |
|
dc.contributor.author |
Soh, Sze-Ee |
|
dc.contributor.author |
Denehy, Linda |
|
dc.contributor.author |
Lin, Kuan Yin |
|
dc.contributor.author |
Jobling, Thomas |
|
dc.contributor.author |
McNally, Orla M |
|
dc.contributor.author |
Hyde, Simon |
|
dc.contributor.author |
Kruger, Jenny |
|
dc.contributor.author |
Frawley, Helena |
|
dc.coverage.spatial |
Germany |
|
dc.date.accessioned |
2024-04-08T03:21:38Z |
|
dc.date.available |
2024-04-08T03:21:38Z |
|
dc.date.issued |
2023-09 |
|
dc.identifier.citation |
(2023). Supportive Care in Cancer, 31(10), 589-. |
|
dc.identifier.issn |
0941-4355 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/68089 |
|
dc.description.abstract |
Purpose:
To assess the feasibility and clinical outcomes of telehealth-delivered pelvic floor muscle training (PFMT) for urinary incontinence (UI) and/or faecal incontinence (FI) after gynaecological cancer surgery.
Methods:
In this pre-post cohort clinical trial, patients with incontinence after gynaecological cancer surgery underwent a 12-week physiotherapist-supervised telehealth-delivered PFMT program. The intervention involved seven videoconference sessions with real-time feedback from an intra-vaginal biofeedback device and a daily home PFMT program. Feasibility outcomes included recruitment, retention, engagement and adherence rates. Clinical outcomes were assessed at baseline, immediately post-intervention and a 3-month post-intervention using International Consultation on Incontinence questionnaires for UI (ICIQ-UI-SF) and Bowel function (ICIQ-B) and the intra-vaginal biofeedback device. Means and 95%CIs for all time points were analysed using bootstrapping methods.
Results:
Of the 63 eligible patients, 39 (62%) consented to the study. Three participants did not complete baseline assessment and were not enrolled in the trial. Of the 36 participants who were enrolled, 32 (89%) received the intervention. Retention was 89% (n=32/36). The majority of participants (n=30, 94%) demonstrated high engagement, attending at least six videoconference sessions. Adherence to the daily PFMT program was moderate, with 24 participants (75%) completing five-to-seven PFMT sessions per week during the intervention. All clinical outcomes improved immediately post-intervention; however, the magnitude of these improvements was small.
Conclusion:
Telehealth-delivered PFMT may be feasible to treat incontinence after gynaecological cancer surgery.
Trial registration:
ClinicalTrials.gov Identifier: ACTRN12621000880842) |
|
dc.format.medium |
Electronic |
|
dc.language |
eng |
|
dc.publisher |
Springer Nature |
|
dc.relation.ispartofseries |
Supportive care in cancer |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
http://creativecommons.org/licenses/by/4.0/ |
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dc.subject |
Pelvic Floor |
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dc.subject |
Humans |
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dc.subject |
Neoplasms |
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dc.subject |
Fecal Incontinence |
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dc.subject |
Feasibility Studies |
|
dc.subject |
Telemedicine |
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dc.subject |
Female |
|
dc.subject |
Biofeedback |
|
dc.subject |
Faecal incontinence |
|
dc.subject |
Gynaecological cancer |
|
dc.subject |
Pelvic floor muscle training |
|
dc.subject |
Telehealth |
|
dc.subject |
Urinary incontinence |
|
dc.subject |
4203 Health Services and Systems |
|
dc.subject |
32 Biomedical and Clinical Sciences |
|
dc.subject |
3202 Clinical Sciences |
|
dc.subject |
42 Health Sciences |
|
dc.subject |
Clinical Research |
|
dc.subject |
Clinical Trials and Supportive Activities |
|
dc.subject |
Urologic Diseases |
|
dc.subject |
Comparative Effectiveness Research |
|
dc.subject |
6 Evaluation of treatments and therapeutic interventions |
|
dc.subject |
6.3 Medical devices |
|
dc.subject |
7.1 Individual care needs |
|
dc.subject |
6.7 Physical |
|
dc.subject |
7 Management of diseases and conditions |
|
dc.subject |
Renal and urogenital |
|
dc.subject |
3 Good Health and Well Being |
|
dc.subject |
Science & Technology |
|
dc.subject |
Life Sciences & Biomedicine |
|
dc.subject |
Oncology |
|
dc.subject |
Health Care Sciences & Services |
|
dc.subject |
Rehabilitation |
|
dc.subject |
QUALITY-OF-LIFE |
|
dc.subject |
PHYSICAL-THERAPY |
|
dc.subject |
EORTC QLQ-C30 |
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dc.subject |
ICIQ |
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dc.subject |
DYSFUNCTION |
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dc.subject |
SURVIVORS |
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dc.subject |
SYMPTOMS |
|
dc.subject |
IMPACT |
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dc.subject |
WOMEN |
|
dc.subject |
11 Medical and Health Sciences |
|
dc.subject |
17 Psychology and Cognitive Sciences |
|
dc.subject |
52 Psychology |
|
dc.title |
Pelvic floor muscle training delivered via telehealth to treat urinary and/or faecal incontinence after gynaecological cancer surgery: a single cohort feasibility study |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.1007/s00520-023-08050-5 |
|
pubs.issue |
10 |
|
pubs.begin-page |
589 |
|
pubs.volume |
31 |
|
dc.date.updated |
2024-03-05T11:46:45Z |
|
dc.rights.holder |
Copyright: The authors |
en |
dc.identifier.pmid |
37740820 (pubmed) |
|
pubs.author-url |
https://link.springer.com/article/10.1007/s00520-023-08050-5#Abs1 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
research-article |
|
pubs.subtype |
Journal Article |
|
pubs.elements-id |
986249 |
|
pubs.org-id |
Bioengineering Institute |
|
pubs.org-id |
ABI Associates |
|
dc.identifier.eissn |
1433-7339 |
|
dc.identifier.pii |
10.1007/s00520-023-08050-5 |
|
pubs.number |
589 |
|
pubs.record-created-at-source-date |
2024-03-06 |
|
pubs.online-publication-date |
2023-09-23 |
|