Self-management of overactive bladder at home using transcutaneous tibial nerve stimulation: a qualitative study of women's experiences.

Background: Transcutaneous tibial nerve stimulation (TTNS) has been used to treat overactive bladder (OAB), however patient experiences and views of this treatment are lacking. The aim of this study was to explore women's experiences of OAB and TTNS treatment and the perceived factors influencing pa...

Descripción completa

Detalles Bibliográficos
Publicado en:BMC Women's Health Vol. 21; no. 1; pp. 1 - 10
Autores principales: Daly, Ciara M. E., Loi, Lynette, Booth, Jo, Saidan, Dalia, Guerrero, Karen, Tyagi, Veenu
Formato: research Journal Article
Publicado: BioMed Central 10/27/2021
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=153239981&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 153239981
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        14726874
        1CIP
      jtl: BMC Women's Health
      issn: 14726874
      maglogo: N
    pubinfo:
      dt: 10/27/2021
      vid: 21
      iid: 1
      pid: 24147
      pub: BioMed Central
    artinfo:
      ui:
        153239981
        153239981
        NLM34706709
        153239981
        10.1186/s12905-021-01522-y
        NLM34706709
        153239981
      ppf: 1
      ppct: 9
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: Self-management of overactive bladder at home using transcutaneous tibial nerve stimulation: a qualitative study of women's experiences.
      aug:
        au:
          Daly, Ciara M. E.
          Loi, Lynette
          Booth, Jo
          Saidan, Dalia
          Guerrero, Karen
          Tyagi, Veenu
        affil: Department of Urogynaecology, Queen Elizabeth University Hospital, Glasgow, Scotland, UK
      sug:
        subj:
          Transcutaneous Electric Nerve Stimulation
          Overactive Bladder Therapy
          Human
          Female
          Tibial Nerve
          Treatment Outcomes
          Comparative Studies
          Multicenter Studies
          Evaluation Research
          Validation Studies
          Scales
          Social Readjustment Rating Scale
          Female
      ab: Background: Transcutaneous tibial nerve stimulation (TTNS) has been used to treat overactive bladder (OAB), however patient experiences and views of this treatment are lacking. The aim of this study was to explore women's experiences of OAB and TTNS treatment and the perceived factors influencing participation and adherence.Methods: Semi-structured, individual interviews conducted as part of a mixed-methods, randomised, feasibility trial of self-managed versus HCP-led TTNS. Interviews were audio recorded and transcribed verbatim. Reflexive thematic analysis was undertaken using Booth et al. (Neurourol Urodynam. 2017;37:528-41) approach.Results: 16 women were interviewed, 8 self-managing TTNS at home and 8 receiving TTNS in twice-weekly hospital clinic appointments. Women self-managing OAB considered TTNS easy to administer, flexible and favourably 'convenient', especially when the participant was bound by work and other life commitments. In contrast to OAB symptoms 'dominating life', self-managing bladder treatment was empowering and fitted around home life demands. Flexibility and control engendered by self-management, facilitated women's willingness to participate in TTNS. Women attending a hospital clinic for TTNS enjoyed the social aspects but found the routine appointments constrained their lives. Motivation to continue TTNS in the longer term was dependent on perception of benefit.Conclusions: This study provides novel insights into women's experiences of self-managing their OAB using TTNS compared to HCP-led management in the clinical setting. It highlights positive experiences self-managing TTNS at home and a willingness to continue in the longer term, facilitated by ease of use and convenience. Trial Registration 1/11/2018: ClinicalTrials.gov Identifier: NCT03727711.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N