Comparison Between Home-based Wearable Device and Supervised PFMT on SUI/MUI

The ICIQ-UI SF score ranges from 0 to 21 and is the weighted sum of three items addressing urinary incontinence frequency ("how often do you leak urine?" 0=never to 5=all the time), leakage quantity ("how much urine do you usually leak?" 0=none to 6=a large amount), and interference with everyday life (0=not at all to 10=a great deal). Higher scores reflect greater severity.

The change on the severity of SUI

The change on the severity of SUI

The change on the severity of SUI

The instrument has 3 subscales: (1) avoidance and limiting behavior, (2) psychosocial impacts, and (3) social embarrassment. All items are evaluated using a 5-point Likert-type scale. The 22 items in the I-QOL were summed and transformed to a 0 to 100 scale for greater interpretability, with the higher scores representing better quality of life.

POP-SS contains seven items relating to frequency of prolapse symptoms. Each item is scored from 0 (never) to 4 (all the time), with a possible total score ranging from 0 to 28. Higher scores reflect greater severity.

Ranging from 0 to 48, with higher scores indicating greater sexual dysfunction

It is a 23-item rating scale consisting of two domains: efficacy expectations and outcome expectations. In efficacy expectations domain, participants demonstrate how confident they are in performing pelvic floor muscle training. In outcome expectations domain, participants show the confidence that the training will prevent unwanted urine leakage. The score ranges are from 0 to 100. The higher the score, the greater self-efficacy perceived by the participant.

The Pelvic Organ Prolapse Quantification (POP-Q) approach was used to measure the positions of vaginal structures relative to the hymenal ring. Stage of POP was diagnosed using the reliable and valid Pelvic Organ Prolapse-Quantification examination (POP-Q) in which the maximal point of vaginal descent is measured relative to the hymen during strain with the woman in the 45-degree lithotomy position.

It consists of a six-point scale ranging from 0 to 5, 0 indicating no muscle activity, 1 minor muscle flicker, 2 weak muscle activity, 3 moderate muscle contraction, 4 good muscle contraction and 5 a strong muscle contraction

The outcomes included vaginal resting pressure (VRP), maximum vaginal pressure (MVP), maximum voluntary contraction pressure (MVCP), the grade of type I and II pelvic floor muscle fiber strength.

In our study, patients' adherence to treatment will be determined as the frequency of exercises anticipated for 3 months of supervised treatment, which will be subjectively self-reported and objectively device-recorded. Patients' overall adherence will be categorized as follows: 50%≤= low adherence; 50%-75%= medium adherence; and ≥75%= high adherence.

Answers to the question "which best describes your urinary symptoms now, compared with how they were before this study" are evaluated on a seven-point scale ranging from 1 = Very much better to 7 = Very much worse. Only answers affirming a score of 1 (very much better) or 2 (much better) will be considered to indicate improvement.