Effectiveness of web-based interventions for women with urinary incontinence: protocol for a systematic review and meta-analysis of randomised controlled trials.

Journal: BMJ open

Volume: 14

Issue: 3

Year of Publication: 2024

Affiliated Institutions:  Women's Hospital School of Medicine Zhejiang University, Hangzhou, Zhejiang, China. Faculty of Nursing, Zhejiang University School of Medicine, Hangzhou, China. Department of Obstetrics, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. Women's Hospital School of Medicine Zhejiang University, Hangzhou, Zhejiang, China fengsw@zju.edu.cn.

Abstract summary 

Urinary incontinence (UI) is one of the most common chronic diseases among women, which can endanger their physical and mental health and incur a heavy financial burden on both individuals and society. Web-based interventions (WBIs) have been applied to manage women's UI, but their effectiveness has remained inconclusive. This systematic review and meta-analysis aims to explore the effectiveness of WBIs on self-reported symptom severity, condition-specific quality of life, adherence to pelvic floor muscle training (primary outcomes) and other extensive secondary outcomes among women with UI. We also aimed to investigate whether intervention characteristics (format, interactivity and main technology) have impacts on the effectiveness of primary outcomes.This systematic review protocol was developed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols guidelines. 10 electronic databases will be comprehensively searched from their inception to 1 May 2024, along with grey literature searches and manual reviews of relevant reference lists to identify eligible randomised controlled trials. The methodological quality of the included studies will be assessed by two reviewers based on the Cochrane Risk of Bias Tool. Meta-analyses will be conducted via Stata V.12.0. Leave-one-out sensitivity analyses will be performed, and publication bias will be evaluated using funnel plots and Egger's test. Subgroup analyses regarding intervention format, interactivity and main technology will be carried out.No ethics approval is needed for this review since no primary data are to be collected. The results of this review will help develop an optimal WBI for women with UI, thereby providing them with maximum benefits. The findings will be disseminated via a peer-reviewed journal or conference presentation.CRD42023435047.

Authors & Co-authors:  Xu Guo Xu Chen Chen Wang Jin Wang Zhang Xie Mao Zhao Feng

Study Outcome 

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Statistics
Citations :  Bo K, Frawley HC, Haylen BT, et al. . An international Urogynecological Association (IUGA)/International continence society (ICS) joint report on the terminology for the conservative and Nonpharmacological management of female pelvic floor Dysfunction[J]. Int Urogynecol J 2017;28:191–213. 10.1007/s00192-016-3123-4
Authors :  13
Identifiers
Doi : e081731
SSN : 2044-6055
Study Population
Women,Female
Mesh Terms
Female
Other Terms
Meta-Analysis;Systematic Review;Urinary incontinences;eHealth
Study Design
Study Approach
Country of Study
Publication Country
England