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Health Education and Symptom Flare Management Using a Video-based m-Health System for Caring Women With IC/BPS - 27/09/18

Doi : 10.1016/j.urology.2018.05.027 
Ming-Huei Lee a, b, c, Huei-Ching Wu b, Chien-Ming Tseng a, Tsung-Liang Ko d, e, Tang-Jun Weng d, Yung-Fu Chen d, f, g, h,
a Department of Management Information Systems, Central Taiwan University of Science and Technology, Taichung, Taiwan 
b Department of Urology, Feng Yuan Hospital, Ministry of Health and Welfare, Taichung, Taiwan 
c Department of Urology, Taichung Hospital, Ministry of Health and Welfare, Taichung, Taiwan 
d Department of Healthcare Administration, Central Taiwan University of Science and Technology, Taichung, Taiwan 
e Computer Center, Feng Yuan Hospital, Ministry of Health and Welfare, Taichung, Taiwan 
f Department of Health Services Administration, China Medical University, Taichung, Taiwan 
g Department of Electrical and Computer Engineering, Brigham Young University, Provo, UT 
h Department of Dental Technology and Materials Science, Central Taiwan University of Science and Technology, Taichung, Taiwan 

Address correspondence to: Yung-Fu Chen, PhD, Department of Dental Technology and Materials Science, Central Taiwan University of Science and Technology, 666 Buzih Road, Taichung, Beitun District 40601, Taiwan.Department of Dental Technology and Materials ScienceCentral Taiwan University of Science and Technology666 Buzih RoadTaichungBeitun District40601Taiwan

Abstract

Objective

To assess effectiveness of the video-based m-health system providing videos dictated by physicians for health education and symptom self-management for patients with Interstitial cystitis/bladder pain syndrome (IC/BPS).

Methods

An m-health system was designed to provide videos for weekly health education and symptom flare self-management. O'Leary-Sant index and visual analogue scale as well as SF-36 health survey were administrated to evaluate the disease severity and quality of life (QoL), respectively. A total of 60 IC/BPS patients were recruited and randomly assigned to either control group (30 patients) or study group (30 patients) in sequence depending on their orders to visit our urological clinic. Patients in both control and study groups received regular treatments, while those in the study group received additional video-based intervention. Statistical analyses were conducted to compare the outcomes between baseline and postintervention for both groups. The outcomes of video-based intervention were also compared with the text-based intervention conducted in our previous study.

Results

After video-based intervention, patients in the study group exhibited significant effect manifested in all disease severity and QoL assessments except the pain visual analogue scale, while no significance was found in the control group. Moreover, the study group exhibited more significant net improvements than the control group in 7 SF-36 constructs, except the mental health. The limitations include short intervention duration (8 weeks) and different study periods between text-based and video-based interventions.

Conclusion

Video-based intervention is effective in improving the QoL of IC/BPS patients and outperforms the text-based intervention even in a short period of intervention.

Le texte complet de cet article est disponible en PDF.

Keywords : Smartphone APP, Video-based intervention, Text-based intervention, Placebo effect, m-Health

Mots-clés : Abbreviations

Mots-clés : IC/BPS, Interstitial cystitis/bladder pain syndrome, Interstitial cystitis/bladder pain syndrome, QoL, Quality of life, Quality of life


Plan


 Parts of the results were presented at the 2016 Annual Congress of the International Continence Society, Tokyo, Japan.
 Financial Disclosure: This study was supported in part by Feng Yuan Hospital, Ministry of Health and Welfare(Grant no. FYH1030709-2) and Ministry of Science and Technology(Grant no. MOST106-2410-H-166-004).


© 2018  Publié par Elsevier Masson SAS.
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Vol 119

P. 62-69 - septembre 2018 Retour au numéro
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