Research recommendations
It will be important to identify the factors associated with treatment success and failure if we are to ensure successful implementation and treatment efficacy. Indeed, clarifying these factors could help to improve the app’s content and to ensure that it targets the most appropriate populations. Mixed-methods research could be of benefit,25 and as such, we are currently preparing a report that combines our quantitative and qualitative results. Additionally, it will be important to evaluate and improve the implementation process continuously by collecting user feedback and evaluating log data.
We conclude that the app-based treatment for stress, urgency, and mixed female UI is a cost-effective alternative to care-as-usual in general practice after 12 months. App-based treatment can therefore be recommended as a viable alternative to care-as-usual in general practice.
No competing interests: All authors have completed the ICMJE uniform disclosure form atwww.icmje.org/coi_disclosure.pdf(available on request from the corresponding author) and report no conflict of interest.