Development and validation of the pelvic floor muscle training video for pregnant women with urinary incontinence : subgroup analysis of pilot feasibility randomised controlled trial

Educational videos are essential in delivering pelvic floor muscle training (PFMT) educational videos to the targeted audience in primary care. This paper aims to describe the development and validation process of the PFMT video for managing urinary incontinence (UI). The video was developed based on the capability, opportunity, and motivation (COMB) framework with the expert's input in the checklist development. Pregnant women with UI were invited to validate the video based on its understandability and actionability using the Patient Education Materials Assessment Tool (PEMAT) by pregnant women with urinary incontinence. This validation study was a subgroup analysis from a pilot randomised control trial (RCT) which aimed to evaluate the feasibility and preliminary effectiveness of a newly developed pelvic floor muscle training (PFMT) app among pregnant in Malaysia. This pilot study was a single-centre, single-blind, parallel, randomised controlled pilot feasibility study: the Kegel Exercise Pregnancy Training app (KEPT-app) trial. The participants were randomised using the randomisation app and the researchers were blinded to the study participants recruitment, allocation, and analysis. A total of twenty-six pregnant women with urinary incontinence from an urban healthcare clinic were recruited, with sixteen of them receiving the intervention. However, after one-month post-intervention, thirteen pregnant women with a mean (SD) age was 30.8 (3.4) years old, evaluated the video via the KEPT app. They provided their feedback using PEMAT, with understandability 92.3%(1.8), and actionability was 96.2%(0.4). Using the COM-B framework assisted in this newly developed video that may help pregnant women perform PFMT at home effectively.