Study design, materials and methods
A blinded, randomized, mixed methods study was conducted to evaluate a 16-week intervention. Quantitative measurements included the Incontinence Impact Questionnaire (IIQ-7) scores, Urogenital Distress Inventory (UDI-6) and PERFECT pelvic exam. Interpretive description methodology, using one-to-one interviews determined factors influencing acceptability and feasibility.
Interpretation of results
The mHealth solution studied did demonstrate improvement in outcomes when compared to standard care in the population of post-partum women in this study. Notably, standard care consistent of a standardized pelvic floor exam inclusive of instruction of correct basic pelvic floor exercises. Considering the collective results (quantitative and qualitative) pointing to the value of this standard care. Although the concept of the mHealth solution was perceived as valuable the issues related to the operationalization of the mHealth device studied, did not translate to overall acceptability or feasibility.