{Reference Type}: Journal Article {Title}: Continence App® Impact on Puerperal Women's Knowledge, Attitude and Practice: Randomized Clinical Trial. {Author}: Saboia DM;Vasconcelos CTM;Oriá MOB;Vasconcelos Neto JA;Nascimento SL;Lopes LG; {Journal}: Int Urogynecol J {Volume}: 35 {Issue}: 8 {Year}: 2024 Aug 1 {Factor}: 1.932 {DOI}: 10.1007/s00192-024-05875-4 {Abstract}: OBJECTIVE: Enhancing women's knowledge, attitude, and practice (KAP) concerning urinary incontinence (UI) through diverse educational strategies has been a focal point for professionals in recent years. This study was aimed at assessing the impact of the educational application Continence App® on the KAP of postpartum women experiencing UI. We hypothesized that access to the app would lead to improved KAP among these women.
METHODS: Postpartum women who had undergone vaginal birth, aged 18 years or above, literate, admitted in a maternity ward, delivered a full-term or large-for-gestational-age infant, and possessed a smartphone or compatible device for app usage were included. Changes in KAP were evaluated using a survey specifically designed for this purpose. The Mann-Whitney U test was employed to compare KAP scores between control and intervention groups, as well as between baseline and post-intervention assessments.
RESULTS: Among the 542 women screened for eligibility, 349 were enrolled in the study, with 138 completing post-intervention assessments. The mean (standard deviation [SD]) age of participants was 25.9 (5.8) years. Post-intervention scores for knowledge and practice demonstrated a decline among non-app users, whereas a significant increase was observed among those in the intervention group. Attitudinal changes remained insignificant.
CONCLUSIONS: The findings highlight the effectiveness of an app-based educational intervention in enhancing the knowledge and practice related to UI among postpartum women.