eHealth educational intervention: effects of an online video program in prevention of the pelvic women’s health-a non-randomized experimental study

Arch Gynecol Obstet. 2025 Oct 3. doi: 10.1007/s00404-025-08200-6. Online ahead of print.

ABSTRACT

PURPOSE: This study aimed to evaluate the effects of an online educational video program on pelvic floor health knowledge, sexual function, quality of life, and motivation for physical activity in women engaged in low- and high-intensity exercise.

METHODS: A two-arm clinical trial was conducted with 60 women aged 18-35, divided into low- and high-intensity activity groups. Participants completed a six-week online video course covering pelvic floor anatomy, function, and self-management. Pre- and post-intervention assessments included validated questionnaires: PIKQ (pelvic floor knowledge), FSFI-19 (sexual function), BREQ-2 (exercise motivation), and EQOL-6D (quality of life). Data were analyzed using repeated measures ANOVA.

RESULTS: Pelvic floor knowledge improved significantly in both groups (low-intensity: p < 0.001, d = 0.668; high-intensity: p < 0.001, d = 0.825), especially in POP-related knowledge (p < 0.001). Sexual function improved in desire (p = 0.046) and arousal (p = 0.027) for the low-intensity group, and in pain during intercourse for the high-intensity group (p = 0.049). No significant changes were found in exercise motivation (p > 0.05). Anxiety and depression scores improved only in the low-intensity group (p = 0.031).

CONCLUSIONS: The online program effectively enhanced pelvic floor knowledge and aspects of sexual function, showing promise as a preventive educational tool for active women.

TRIAL REGISTRATION: Registered in ClinicalTrials.gov (NCT05667012). Last update: 2024-12-06.

PMID:41042325 | DOI:10.1007/s00404-025-08200-6