Single-blind RCT Comparing Smartphone vs. Paper-based HEP in Pelvic Floor PT

NCT ID: NCT06162845

Last Updated: 2023-12-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

33 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-11

Study Completion Date

2023-07-31

Brief Summary

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The goal of this randomized clinical trial is to investigate the impact of a smartphone-based application on patient-reported outcomes for patients with pelvic floor muscle weakness, and the relationship of patient adherence to outcomes in pelvic floor physical therapy compared to the paper-based standard of care.

An additional aim is the exploration and development of two patient-reported questionnaires to enhance understanding of exercise adherence in outpatient pelvic floor physical therapy and smartphone application self-efficacy. These goals will serve to improve practice recommendations for home exercise prescriptions in this patient population.

Participants will be asked to complete 6 patient-reported outcome measures after they complete four, 60-minute long physical therapy treatment sessions conducted one time per week according to the current standard of care for pelvic floor physical therapy.

The experimental group will be given a free pelvic floor muscle exercise application while the control group will be provided with the paper-based standard of care for their home exercise program.

Detailed Description

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Conditions

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Pelvic Floor Muscle Weakness

Keywords

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Smartphone Applications Home exercise program Adherence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants
Participants were blinded to their group allocation and were not aware that another treatment existed until debriefing and unblinding.

Study Groups

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Experimental arm recieving free smartohone-based pelvic floor muscle exercise application

Smartphone-based home exercise program for performing pelvic floor muscle exercises

Group Type EXPERIMENTAL

A smartphone based application free to download from the google play and iphone store to provide auditory and visual cues and counting for number of perscribed pelvic floor muscle contractions

Intervention Type BEHAVIORAL

Use of a smartphone-based home exercise application for pelvic floor muscle exercises with visual and auditory feedback for 10 repetitions of pelvic floor contraction endurance holds and 10 repetitions of pelvic floor quick contractions performed three times per day.

Control arm recieving paper-based home exercise program

Paper-based home exercise program for performing pelvic floor muscle exercises.

Group Type ACTIVE_COMPARATOR

Paper-based home exercise program for pelvic floor muscle exercise

Intervention Type BEHAVIORAL

Written instructions on a piece of paper for 10 repetitions of pelvic floor contraction endurance holds and 10 repetitions of pelvic floor quick contractions performed three times per day.

Interventions

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A smartphone based application free to download from the google play and iphone store to provide auditory and visual cues and counting for number of perscribed pelvic floor muscle contractions

Use of a smartphone-based home exercise application for pelvic floor muscle exercises with visual and auditory feedback for 10 repetitions of pelvic floor contraction endurance holds and 10 repetitions of pelvic floor quick contractions performed three times per day.

Intervention Type BEHAVIORAL

Paper-based home exercise program for pelvic floor muscle exercise

Written instructions on a piece of paper for 10 repetitions of pelvic floor contraction endurance holds and 10 repetitions of pelvic floor quick contractions performed three times per day.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* 18-85 years old

* Referred to outpatient pelvic floor physical therapy for treatment of pelvic floor weakness
* Generation 5 or later iPhone, Android, or Smart Device
* Must be willing to receive Push Notification reminders from the application
* Must have free space on device to download and install app
* Must have access to the Google Play store or to iOS Apple App Store


* Pelvic Organ Prolapse Surgery with complications
* Neurodegenerative Disease
* History of TBI or CVA with resulting impairment in long- or short-term memory
* Denervation injury to the pelvic floor
* Spinal cord injury
* Pelvic Pain Condition
* Incapable of Completing Outcomes Questionnaire without caregiver support
* Unable to speak and read English
* Current Pregnancy
* Less than 6 weeks postpartum
* Researcher judgement
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University of Central Arkansas

OTHER

Sponsor Role lead

Responsible Party

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Sarah Walker

Graduate Student enrolled in PhD in Physical Therapy program

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sarah M Walker, DPT

Role: PRINCIPAL_INVESTIGATOR

University of Central Arkansas

Locations

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Advanced Physical Therapy

Little Rock, Arkansas, United States

Site Status

Countries

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United States

Other Identifiers

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UCentralArkansas

Identifier Type: -

Identifier Source: org_study_id