Development of an online personalized self-management intervention for men with uncomplicated LUTS

Marco H. Blanker, Pim Brandenbarg, Bart G. C. Slijkhuis, Martijn G. Steffens, Michael R. van Balken, Petra Jellema

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Aims: To develop an online platform to facilitate evidence-based self-management of lower urinary tract symptoms (LUTS) in men. Methods: Using the PubMed database (search until January 2017) and relevant guidelines, we reviewed evidence for the self-management of LUTS and identified suitable components for the intervention. Next, we built an algorithm that provided individualized advice based on patient characteristics and symptoms for use on an online platform. Men with LUTS tested the usability of the intervention and provided feedback. Finally, we surveyed urologists and general practitioners to identify potential areas for improvement of the intervention. Results: We identified nine self-help interventions from 48 eligible publications. These were as follows: information and education about LUTS, pelvic floor muscle training, bladder training, urethral milking, double voiding, caffeine management, alcohol management, fluid management, and exercise advice. The level of evidence for each item was low due to the paucity of research available. Six men with LUTS reported difficulties understanding and completing the frequency-volume chart online. The 158 surveyed physicians agreed (≥50% positive ratings) on the inclusion of seven advice items, but not for double voiding and fluid management. Respondents noted that some advice should be provided to all men with LUTS, while other advice should only be presented to certain groups. Some recommendations for additions were offered. Conclusions: Despite a lack of evidence for the self-management advice, physicians agreed with most of the included advice. The online platform needs further development. Therefore, adjustments will be made and we will assess its impact in future studies.
Original languageEnglish
Pages (from-to)1685-1691
JournalNeurourology and Urodynamics
Volume38
Issue number6
DOIs
Publication statusPublished - 2019

Cite this

Blanker, M. H., Brandenbarg, P., Slijkhuis, B. G. C., Steffens, M. G., van Balken, M. R., & Jellema, P. (2019). Development of an online personalized self-management intervention for men with uncomplicated LUTS. Neurourology and Urodynamics, 38(6), 1685-1691. https://doi.org/10.1002/nau.24040
Blanker, Marco H. ; Brandenbarg, Pim ; Slijkhuis, Bart G. C. ; Steffens, Martijn G. ; van Balken, Michael R. ; Jellema, Petra. / Development of an online personalized self-management intervention for men with uncomplicated LUTS. In: Neurourology and Urodynamics. 2019 ; Vol. 38, No. 6. pp. 1685-1691.
@article{afff4814492d43f4a6674bfa13ce5549,
title = "Development of an online personalized self-management intervention for men with uncomplicated LUTS",
abstract = "Aims: To develop an online platform to facilitate evidence-based self-management of lower urinary tract symptoms (LUTS) in men. Methods: Using the PubMed database (search until January 2017) and relevant guidelines, we reviewed evidence for the self-management of LUTS and identified suitable components for the intervention. Next, we built an algorithm that provided individualized advice based on patient characteristics and symptoms for use on an online platform. Men with LUTS tested the usability of the intervention and provided feedback. Finally, we surveyed urologists and general practitioners to identify potential areas for improvement of the intervention. Results: We identified nine self-help interventions from 48 eligible publications. These were as follows: information and education about LUTS, pelvic floor muscle training, bladder training, urethral milking, double voiding, caffeine management, alcohol management, fluid management, and exercise advice. The level of evidence for each item was low due to the paucity of research available. Six men with LUTS reported difficulties understanding and completing the frequency-volume chart online. The 158 surveyed physicians agreed (≥50{\%} positive ratings) on the inclusion of seven advice items, but not for double voiding and fluid management. Respondents noted that some advice should be provided to all men with LUTS, while other advice should only be presented to certain groups. Some recommendations for additions were offered. Conclusions: Despite a lack of evidence for the self-management advice, physicians agreed with most of the included advice. The online platform needs further development. Therefore, adjustments will be made and we will assess its impact in future studies.",
author = "Blanker, {Marco H.} and Pim Brandenbarg and Slijkhuis, {Bart G. C.} and Steffens, {Martijn G.} and {van Balken}, {Michael R.} and Petra Jellema",
year = "2019",
doi = "10.1002/nau.24040",
language = "English",
volume = "38",
pages = "1685--1691",
journal = "Neurorology and Urodynamics",
issn = "0733-2467",
publisher = "Wiley-Liss Inc.",
number = "6",

}

Blanker, MH, Brandenbarg, P, Slijkhuis, BGC, Steffens, MG, van Balken, MR & Jellema, P 2019, 'Development of an online personalized self-management intervention for men with uncomplicated LUTS' Neurourology and Urodynamics, vol. 38, no. 6, pp. 1685-1691. https://doi.org/10.1002/nau.24040

Development of an online personalized self-management intervention for men with uncomplicated LUTS. / Blanker, Marco H.; Brandenbarg, Pim; Slijkhuis, Bart G. C.; Steffens, Martijn G.; van Balken, Michael R.; Jellema, Petra.

In: Neurourology and Urodynamics, Vol. 38, No. 6, 2019, p. 1685-1691.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Development of an online personalized self-management intervention for men with uncomplicated LUTS

AU - Blanker, Marco H.

AU - Brandenbarg, Pim

AU - Slijkhuis, Bart G. C.

AU - Steffens, Martijn G.

AU - van Balken, Michael R.

AU - Jellema, Petra

PY - 2019

Y1 - 2019

N2 - Aims: To develop an online platform to facilitate evidence-based self-management of lower urinary tract symptoms (LUTS) in men. Methods: Using the PubMed database (search until January 2017) and relevant guidelines, we reviewed evidence for the self-management of LUTS and identified suitable components for the intervention. Next, we built an algorithm that provided individualized advice based on patient characteristics and symptoms for use on an online platform. Men with LUTS tested the usability of the intervention and provided feedback. Finally, we surveyed urologists and general practitioners to identify potential areas for improvement of the intervention. Results: We identified nine self-help interventions from 48 eligible publications. These were as follows: information and education about LUTS, pelvic floor muscle training, bladder training, urethral milking, double voiding, caffeine management, alcohol management, fluid management, and exercise advice. The level of evidence for each item was low due to the paucity of research available. Six men with LUTS reported difficulties understanding and completing the frequency-volume chart online. The 158 surveyed physicians agreed (≥50% positive ratings) on the inclusion of seven advice items, but not for double voiding and fluid management. Respondents noted that some advice should be provided to all men with LUTS, while other advice should only be presented to certain groups. Some recommendations for additions were offered. Conclusions: Despite a lack of evidence for the self-management advice, physicians agreed with most of the included advice. The online platform needs further development. Therefore, adjustments will be made and we will assess its impact in future studies.

AB - Aims: To develop an online platform to facilitate evidence-based self-management of lower urinary tract symptoms (LUTS) in men. Methods: Using the PubMed database (search until January 2017) and relevant guidelines, we reviewed evidence for the self-management of LUTS and identified suitable components for the intervention. Next, we built an algorithm that provided individualized advice based on patient characteristics and symptoms for use on an online platform. Men with LUTS tested the usability of the intervention and provided feedback. Finally, we surveyed urologists and general practitioners to identify potential areas for improvement of the intervention. Results: We identified nine self-help interventions from 48 eligible publications. These were as follows: information and education about LUTS, pelvic floor muscle training, bladder training, urethral milking, double voiding, caffeine management, alcohol management, fluid management, and exercise advice. The level of evidence for each item was low due to the paucity of research available. Six men with LUTS reported difficulties understanding and completing the frequency-volume chart online. The 158 surveyed physicians agreed (≥50% positive ratings) on the inclusion of seven advice items, but not for double voiding and fluid management. Respondents noted that some advice should be provided to all men with LUTS, while other advice should only be presented to certain groups. Some recommendations for additions were offered. Conclusions: Despite a lack of evidence for the self-management advice, physicians agreed with most of the included advice. The online platform needs further development. Therefore, adjustments will be made and we will assess its impact in future studies.

UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85069650100&origin=inward

UR - https://www.ncbi.nlm.nih.gov/pubmed/31107577

U2 - 10.1002/nau.24040

DO - 10.1002/nau.24040

M3 - Article

VL - 38

SP - 1685

EP - 1691

JO - Neurorology and Urodynamics

JF - Neurorology and Urodynamics

SN - 0733-2467

IS - 6

ER -

Blanker MH, Brandenbarg P, Slijkhuis BGC, Steffens MG, van Balken MR, Jellema P. Development of an online personalized self-management intervention for men with uncomplicated LUTS. Neurourology and Urodynamics. 2019;38(6):1685-1691. https://doi.org/10.1002/nau.24040