Angélico Carolina, Dos Santos Sousa Ana Jéssica, de Godoi Fernandes Jéssica Gabriela, da Costa Vilela Ingrid, Pereira Baldon Vanessa Santos, Driusso Patricia
Women's Health Research Laboratory, Physical Therapy Department, Federal University of São Carlos, São Carlos, SP, Brazil.
Physical Therapy Department, Federal University of Uberlândia, Uberlândia, MG, Brazil.
Mhealth. 2025 Mar 14;11:17. doi: 10.21037/mhealth-24-40. eCollection 2025.
Pelvic floor muscle training (PFMT) is a treatment that can be used during pregnancy. The main aim of this study was to evaluate adherence to PFMT and self-efficacy using a mobile application (app) named GoMAP. The secondary objective was to evaluate the correlation between self-efficacy and adherence of participants who used the GoMAP app.
This is a feasibility study. The participants were pregnant women who underwent an 8-week PFMT protocol, provided through a previously validated GoMAP app. To assess self-efficacy, the Self-Efficacy Scale for practicing Pelvic Floor Exercises was applied four times-every two weeks after starting the PFMT program on the GoMAP app. Adherence was evaluated daily by a frequency questionnaire that was completed as the participant performed the exercise program. The data are expressed as mean ± standard deviation and percentage, and the Pearson correlation test was performed between quantitative variables. A 5% significance level was adopted.
Eighteen pregnant women completed the 8-week exercise protocol. The mean Self-Efficacy Scale after eight weeks of PFMT was 75.8±14.8 and the average adherence of pregnant women to the protocol was 30.4±14.0 days. The adherence and self-efficacy variables showed a strong correlation after eight weeks of PFMT (r=0.79, P<0.001).
Women who used the GoMAP app demonstrated good adherence and self-confidence when performing the PFMT exercises. The app could be an important therapeutic resource when conducting a PFMT program for pregnant women.
盆底肌训练（PFMT）是一种可在孕期使用的治疗方法。本研究的主要目的是使用一款名为GoMAP的移动应用程序评估对PFMT的依从性和自我效能感。次要目的是评估使用GoMAP应用程序的参与者的自我效能感与依从性之间的相关性。
这是一项可行性研究。参与者为接受为期8周PFMT方案的孕妇，该方案通过先前经验证的GoMAP应用程序提供。为评估自我效能感，在开始GoMAP应用程序上的PFMT计划后，每两周应用一次盆底肌锻炼自我效能量表，共应用四次。通过参与者执行锻炼计划时完成的频率问卷每日评估依从性。数据以均值±标准差和百分比表示，并对定量变量进行Pearson相关性检验。采用5%的显著性水平。
18名孕妇完成了为期8周的锻炼方案。PFMT八周后的平均自我效能量表评分为75.8±14.8，孕妇对该方案的平均依从天数为30.4±14.0天。PFMT八周后，依从性和自我效能感变量显示出强相关性（r=0.79，P<0.001）。
使用GoMAP应用程序的女性在进行PFMT锻炼时表现出良好的依从性和自信心。在为孕妇开展PFMT计划时，该应用程序可能是一种重要的治疗资源。
