{"doi":"10.1016/j.cont.2025.102276","title":"Development, usability, and randomized pilot feasibility study of a mobile application prototype supporting self-management of accidental bowel leakage","abstract":"Aims: Patients need support in managing conservative interventions for fecal incontinence (FI). To address this need, a three-phased study aimed to develop and test the usability of a mobile application prototype (App-p) supporting patient self-management of FI and examine the feasibility of conducting a randomized controlled pilot study of App-p use. Methods: Phase 1: The App-p was developed. Phase 2: App-p usability was tested. Phase 3: In a pilot feasibility study, patients with FI from an American continence/urogynecology practice were randomly assigned 1:1 to a usual care control group (UCC-Group) or usual care and App-p use group (APP-Group) and followed for five weeks. Study activities for both groups were completion of electronic data forms at baseline and five weeks and, at five weeks, a call with their clinician and an interview. Descriptive quantitative and qualitative analyses were conducted. Results: The I'M ABLe App-p described 11 conservative interventions for FI, each with a journal for self-reporting intervention performance. App-p usability was very good (System Usability Score = 72 (12.5) (mean (SD)). Twenty eligible participants were randomized as planned. All study activities were completed by 60 % (6/10) of the UCC-Group and 80 % (8/10) of the APP-Group. All journals were completed by 80 % (8/10) of the APP-Group versus 30 % (3/10) of the UCC-Group. The APP-Group accessed the App-p 27 (5-45) days (median (range)), describing it as easy-to-use, convenient, and increasing self-management accountability. One UCC-Group participant and two APP-Group participants withdrew. Conclusion: Results show feasibility of conducting a randomized controlled study using the App-p and support its further development.","journal":"Continence","year":2025,"id":553773,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9488,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1133953,"name":"Olga V. Gurvich","orcid":"0009-0003-4133-1519","position":1,"is_corresponding":false},{"id":7193,"name":"Joseph A. Konstan","orcid":"0000-0002-7788-2748","position":2,"is_corresponding":false},{"id":1451144,"name":"Ryanne Johnson","orcid":null,"position":3,"is_corresponding":false},{"id":1451145,"name":"J. McCormick","orcid":null,"position":4,"is_corresponding":false},{"id":1133954,"name":"Marshall Muehlbauer","orcid":"0000-0002-4712-5607","position":5,"is_corresponding":false},{"id":1451146,"name":"David J. Jamison","orcid":null,"position":6,"is_corresponding":false},{"id":1249780,"name":"Emma Jennings","orcid":"0009-0006-0397-2800","position":7,"is_corresponding":false},{"id":1450702,"name":"Mary Mescher Benbenek","orcid":"0000-0002-5550-7824","position":8,"is_corresponding":false},{"id":1451147,"name":"Molly Conway","orcid":null,"position":9,"is_corresponding":false},{"id":1451148,"name":"Alexandra Weinberger","orcid":null,"position":10,"is_corresponding":false},{"id":1451149,"name":"Casey Kirchschlager","orcid":null,"position":11,"is_corresponding":false},{"id":435431,"name":"Holly E. Richter","orcid":"0000-0001-7741-5771","position":12,"is_corresponding":false},{"id":1133951,"name":"Donna Z. Bliss","orcid":"0000-0002-9972-3377","position":0,"is_corresponding":true}],"reference_count":31,"raw_metadata":null,"created_at":"2026-07-19T02:54:45.872391Z","pmid":"41311646","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}