Algorithm-Based Mobile Texting Platform for the Self-Management of Interstitial Cystitis/Bladder Pain Syndrome: Pilot Study Evaluating Feasibility, Usability, and Potential Utility.

IF 0.8 Q4 UROLOGY & NEPHROLOGY Urology Practice Pub Date : 2025-03-01 Epub Date: 2024-10-11 DOI:10.1097/UPJ.0000000000000737

Edward K Kim, Lily A Brown, Denise Hartzell-Leggin, Uduak U Andy, Camryn E Harvie, Kristene E Whitmore, Diane K Newman, Rebecca F Hamm, Lily A Arya

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Abstract

Introduction: We developed an algorithm-based mobile texting platform for promoting self-management in patients with interstitial cystitis/bladder pain syndrome (IC/BPS). Our aim was to measure the feasibility, usability, and potential utility of the platform.

Methods: A texting platform that delivered 4 treatment modules (education and behavioral modification, cognitive behavioral therapy, pelvic floor physical therapy, and guided mindfulness practices) and an automated weekly message over 6 weeks was developed. Feasibility and usability were determined using patient engagement (proportion of platform messages to which patients responded) and System Usability Scale. Satisfaction with patient-physician communication questionnaire, Pain Self-Efficacy Scale, and Interstitial Cystitis Symptom and Problem Index were administered before and after the intervention.

Results: Engagement with the platform in 52 female patients with IC/BPS (median age [IQR] 40 [30-48] years) was 76.9%. The commonest module selected by patients was pelvic floor physical therapy (50%) followed by cognitive behavioral therapy (34%) and guided mindfulness (15%). System usability score (median, IQR) was 87 (83-95), indicating high usability. Satisfaction with patient-physician communication improved significantly (median change, 4; IQR, 1-9; P < .001). Pain self-efficacy score improved from moderate impairment at baseline to minimal impairment at 6 weeks (median change, 10; IQR, 2-18; P < .001). Urinary symptoms scores also improved (median change Interstitial Cystitis Symptom Index, -3; IQR, -5 to -1.5; P < .001, Problem Index, -2; IQR, 5.5 to -0.5; P < .001).

Conclusions: An automated mobile platform has the potential for improving access to self-management strategies and easing clinicians' challenge of counseling patients with IC/BPS during time-limited in-person visits.

Trial registration: ClinicalTrials.gov Identifier: NCT05260112.

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基于算法的移动短信平台，用于间质性膀胱炎/膀胱疼痛综合征的自我管理：评估可行性、可用性和潜在效用的试点研究。

简介我们开发了一个基于算法的移动短信平台，用于促进间质性膀胱炎/膀胱疼痛综合征（IC/BPS）患者的自我管理。我们的目的是衡量该平台的可行性、可用性和潜在效用：我们开发了一个短信平台，在六周内提供四个治疗模块（教育和行为矫正、认知行为疗法、盆底物理疗法和正念练习指导）和每周自动发送的信息。采用患者参与度（患者回复平台信息的比例）和系统可用性量表确定可行性和可用性。干预前后还进行了医患沟通满意度问卷调查、疼痛自我效能量表以及间质性膀胱炎症状和问题指数：52名IC/BPS女性患者[中位年龄（IQR）40（30-48）岁]对该平台的参与率为76.9%。患者最常选择的模块是盆底物理治疗（50%），其次是认知行为治疗（34%）和正念引导（15%）。系统可用性得分（中位数，IQR）为 87（83-95），表明系统可用性很高。对医患沟通的满意度显著提高（中位数变化为 4，IQR 为 1-9，p< .001）。疼痛自我效能评分从基线时的中度受损改善到六周时的轻度受损（变化中位数为 10，IQR 为 2-18，p < .001）。泌尿系统症状评分也有所改善（间质性膀胱炎症状指数中位数变化-3，IQR-5，-1.5，p < .001，问题指数-2，IQR 5.5，-0.5，p 结论：自动化移动平台有可能提高自我管理策略的可及性，并减轻临床医生在有限的时间内为 IC/BPS 患者提供咨询服务所面临的挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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