Urinary Incontinence
Conditions
Keywords
Nursing homes, quasi-experimental, mixed methods, parallel study, urinary incontinence
Brief summary
The purpose of this study is to compare the use of an electronic incontinence identification system with nursing home support (Tena Identifi) versus usual care on the quality, resource use and outcomes of continence care for older residents of nursing care homes.
Detailed description
This is a prospective, quasi-experimental, controlled study with a mixed methods design with qualitative and quantitative components.
Interventions
DEVICETENA Identifi
TENA Identifi
Sponsors
SCA Hygiene Products, AB
University of Alberta
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Nursing homes: A facility which: * provides care for residents over the age of 65 years * has an existing policy for continence care * is registered with the appropriate Provincial authorities * engages in recording of the RAI- MDS v2.0 * Residents: Nursing home residents over the age of 65 requiring a continence assessment upon entry to the nursing home or requiring a reassessment because of either a change in clinical status or provincial requirement shall be eligible for entry
Exclusion criteria
* Residents * at the end of life, * with profound behavioural disturbances likely to render the use of the Tena Identifi system impractical * an identifiable, potentially reversible cause for their urinary incontinence (e.g.: acute urinary tract infection) * with double incontinence dominated by faecal incontinence * Staff and Managers - Staff who did not take the training on the Identifi system or managers whose units that did not participate in the study will be ineligible for the focus group.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Between group change in the proportion of residents with a one category change in continence products usage | 8 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Between group change in number of pads used | 8 weeks |
| Between group change in proportion of residents with pad leakage episodes | 8 weeks |
| Between group change in change in cost of continence products | 8 weeks |
| Between group change in change in healthcare aide / personal support worker time spent in continence care | 8 weeks |
| Between group change in time for construction of continence care plan following assessment | 8 weeks |
| Between group change in Activities of daily living as measured by Barthel index | 8 weeks |
| Between group change in number of wet checks at night | 8 weeks |
| Between group change in reduction in number of residents on timed toileting schedules | 8 weeks |
| Utility and acceptability of the Tena Identifi system by the end-user through a Focus Group | 8 weeks |
| Between group change in Quality of life, measured by QoL AD | 8 weeks |
Countries
Canada
Outcome results
None listed