28d87bde293028932a056a14b67ff6ad pmc_34360093.pdf 1710f09fe63aa9086b19f8d1244dd2467260bb92 pmc_34360093.pdf 432729d600187f312d45b4390d277e3ed1d0f8ab00eac894032ff8a1c2941d47 pmc_34360093.pdf Title: The WOMEN-UP Solution, a Patient-Centered Innovative e-Health Tool for Pelvic Floor Muscle Training: Qualitative and Usability Study during Early-Stage Development Subject: e-Health may enhance self-management of pelvic floor muscle training (PFMT) to treat stress urinary incontinence (SUI). It is crucial to involve patients in planning, developing and monitoring the optimal e-Health solution. This research aims to describe patient-centered innovation in an early developmental stage of the WOMEN-UP solution. We conducted a qualitative study through a self-developed questionnaire in 22 women with SUI, to define system requirements from a patient’s perspective. The first prototype of the WOMEN-UP solution was developed. It was tested by 9 patients in a usability study (think-aloud protocol and retrospective interviews). Patient preferences regarding the possible use of an e-Health solution with serious games for PFMT were: (1) to receive feedback about PFMT; (2) convenient home-use; (3) increasing motivation; (4) available in medical centers. Identified usability aids (31) reassured our design-development plan, which considered the biofeedback and serious games as key factors. Patient’s perspective detected some unexpected issues related to the calibration and serious games, involving a change in the ongoing development to get an improved WOMEN-UP solution; the value of patient-centered innovation during the development of an e-Health solution for PFMT (WOMEN-UP solution). To identify patients’ unmet needs, we proposed a longitudinal approach for the future eHealth-related patient-centered innovations. Keywords: patient-centered innovation; qualitative study; usability study; pelvic floor muscle training; urinary incontinence; serious games; biofeedback; eHealth Author: Sònia Anglès-Acedo, Lorena López-Frías, Vicenç Soler, Joan Francesc Alonso, Arnoud W. Kastelein, Boris C. de Graaf, Eva. V. Vodegel, Jaana Tervo, Adriana Baban, Montserrat Espuña-Pons and on behalf of the WOMEN-UP Consortium Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Fri Jul 23 04:37:41 2021 CEST ModDate: Fri Jul 23 04:48:34 2021 CEST Custom Metadata: no Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 15 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 1036391 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- GCKIRR+URWPalladioL-Ital Type 1 Custom yes yes no 10 0 TZVLHZ+URWPalladioL-Bold Type 1 Custom yes yes no 15 0 JGIRAQ+URWPalladioL-Roma Type 1 Custom yes yes no 19 0 PYRMES+VnURWPalladioL-Bold Type 1 Custom yes yes no 23 0 VQBTPJ+VnURWPalladioL Type 1 Custom yes yes no 28 0 LWQXII+TimesNewRomanPS-BoldItalicMT Type 1C WinAnsi yes yes no 36 0 IRWHZX+TimesNewRomanPSMT Type 1C WinAnsi yes yes no 39 0 MCBCCI+SourceSansRoman-Regular Type 1C Custom yes yes no 61 0 MCBCCM+SourceSansRoman.613wght Type 1C Custom yes yes no 65 0 MCBCCO+SourceSansRoman-Bold Type 1C Custom yes yes no 69 0 GJHBLP+PalatinoLinotype-Roman CID TrueType Identity-H yes yes yes 94 0 GJHBMA+PalatinoLinotype-Italic CID TrueType Identity-H yes yes yes 100 0 GJHBMB+PalatinoLinotype-Italic TrueType WinAnsi yes yes no 106 0 GJHBMC+PalatinoLinotype-Bold TrueType WinAnsi yes yes no 109 0 GJHBMD+PalatinoLinotype-Roman TrueType WinAnsi yes yes no 112 0 GJHBKP+PalatinoLinotype-Bold CID TrueType Identity-H yes yes yes 123 0 GJHBLP+PalatinoLinotype-Roman CID TrueType Identity-H yes yes yes 129 0 GJHBMA+PalatinoLinotype-Italic CID TrueType Identity-H yes yes yes 135 0 GJHBMB+PalatinoLinotype-Italic TrueType WinAnsi yes yes no 141 0 GJHBMC+PalatinoLinotype-Bold TrueType WinAnsi yes yes no 144 0 GJHBMD+PalatinoLinotype-Roman TrueType WinAnsi yes yes no 147 0 GFAWRG+CMSY10 Type 1 Builtin yes yes no 157 0 GJHBKP+PalatinoLinotype-Bold CID TrueType Identity-H yes yes yes 180 0 GJHBLP+PalatinoLinotype-Roman CID TrueType Identity-H yes yes yes 186 0 GJHBMA+PalatinoLinotype-Italic CID TrueType Identity-H yes yes yes 192 0 GJHBMB+PalatinoLinotype-Italic TrueType WinAnsi yes yes no 198 0 GJHBMC+PalatinoLinotype-Bold TrueType WinAnsi yes yes no 201 0 GJHBMD+PalatinoLinotype-Roman TrueType WinAnsi yes yes no 204 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2024-10-02 03:08:12 CEST RepresentationInformation: pmc_34360093.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2023-03-31 12:14:45 CEST Size: 1036391 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 334 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: section.1 Item: Title: Materials and Methods Destination: section.2 Children: Item: Title: Stage 1. Qualitative Assessment: Identify Key Stakeholders’ Needs Destination: subsection.2.1 Children: Item: Title: Participants Destination: subsubsection.2.1.1 Item: Title: Data Analysis Destination: subsubsection.2.1.2 Item: Title: Stage 2. WOMEN-UP Solution: First Prototype Destination: subsection.2.2 Item: Title: Stage 3. Usability Testing Destination: subsection.2.3 Children: Item: Title: Participants Destination: subsubsection.2.3.1 Item: Title: Qualitative Analysis Destination: subsubsection.2.3.2 Item: Title: Multidisciplinary Solution Optimization Destination: subsubsection.2.3.3 Item: Title: Results Destination: section.3 Children: Item: Title: Stage 1. Qualitative Assessment: Identify Key Stakeholders’ Needs Destination: subsection.3.1 Item: Title: Stage 3. Usability Testing Destination: subsection.3.2 Children: Item: Title: Usability Aids Destination: subsubsection.3.2.1 Item: Title: Usability Issues Destination: subsubsection.3.2.2 Item: Title: Multidisciplinary Solution Optimization Destination: subsubsection.3.2.3 Item: Title: Discussion Destination: section.4 Children: Item: Title: Stage 1. Qualitative Assessment: Identify Key Stakeholders' Needs Destination: subsection.4.1 Item: Title: Stage 3. Usability Testing Destination: subsection.4.2 Item: Title: Conclusions Destination: section.5 Item: Title: References Destination: section.5 Info: Title: The WOMEN-UP Solution, a Patient-Centered Innovative e-Health Tool for Pelvic Floor Muscle Training: Qualitative and Usability Study during Early-Stage Development Author: Sònia Anglès-Acedo, Lorena López-Frías, Vicenç Soler, Joan Francesc Alonso, Arnoud W. Kastelein, Boris C. de Graaf, Eva. V. Vodegel, Jaana Tervo, Adriana Baban, Montserrat Espuña-Pons and on behalf of the WOMEN-UP Consortium Subject: e-Health may enhance self-management of pelvic floor muscle training (PFMT) to treat stress urinary incontinence (SUI). It is crucial to involve patients in planning, developing and monitoring the optimal e-Health solution. This research aims to describe patient-centered innovation in an early developmental stage of the WOMEN-UP solution. We conducted a qualitative study through a self-developed questionnaire in 22 women with SUI, to define system requirements from a patient’s perspective. The first prototype of the WOMEN-UP solution was developed. It was tested by 9 patients in a usability study (think-aloud protocol and retrospective interviews). Patient preferences regarding the possible use of an e-Health solution with serious games for PFMT were: (1) to receive feedback about PFMT; (2) convenient home-use; (3) increasing motivation; (4) available in medical centers. Identified usability aids (31) reassured our design-development plan, which considered the biofeedback and serious games as key factors. Patient’s perspective detected some unexpected issues related to the calibration and serious games, involving a change in the ongoing development to get an improved WOMEN-UP solution; the value of patient-centered innovation during the development of an e-Health solution for PFMT (WOMEN-UP solution). To identify patients’ unmet needs, we proposed a longitudinal approach for the future eHealth-related patient-centered innovations. 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