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| Name | Class |
|---|---|
| SCA Hygiene Products, AB | UNKNOWN |
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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.
This is a prospective, quasi-experimental, controlled study with a mixed methods design with qualitative and quantitative components.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | Tena Identifi is an integrated electronic monitoring system based upon a wearable continence pad which allows registration of resident's micturition patterns over a 72 hour period, allowing caregivers to construct an individualised continence care plan, including use of appropriate products. To create a voiding report, a resident wears the Identifi Sensor Wear with an attached Identifi Logger for three consecutive days (72 hours). The logger continuously logs the moisture status of the brief. The resulting data is sent to a server via 3 G signal where it is mapped onto a graph indicating voiding times and volumes. |
|
| Control Intervention | No Intervention | The control portion of the study is "usual care", defined as the routine practices and procedures, including continence assessment approach, prescribed in the nursing home unit or facility. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TENA Identifi | Device | TENA Identifi |
|
| Measure | Description | Time Frame |
|---|---|---|
| Between group change in the proportion of residents with a one category change in continence products usage | 8 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Between group change in time for construction of continence care plan following assessment | 8 weeks | |
| Between group change in number of pads used | 8 weeks | |
| Between group change in proportion of residents with pad leakage episodes |
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Inclusion Criteria:
Nursing homes: A facility which:
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
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.
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| Name | Affiliation | Role |
|---|---|---|
| Adrian S Wagg, MD | University of Alberta | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Division of Geriatric Medicine, Clinical Sciences Building, University of Alberta Hosp | Edmonton | Alberta | T6G 2P4 | Canada |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24479697 | Background | Yu P, Hailey D, Fleming R, Traynor V. An exploration of the effects of introducing a telemonitoring system for continence assessment in a nursing home. J Clin Nurs. 2014 Nov;23(21-22):3069-76. doi: 10.1111/jocn.12538. Epub 2014 Jan 31. | |
| 15867743 | Background | Nikoletti S, Young J, King M. Evaluation of an electronic monitoring device for urinary incontinence in elderly patients in an acute care setting. J Wound Ostomy Continence Nurs. 2004 May-Jun;31(3):138-49. doi: 10.1097/00152192-200405000-00008. |
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| ID | Term |
|---|---|
| D014549 | Urinary Incontinence |
| ID | Term |
|---|---|
| D014555 | Urination Disorders |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| 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 Quality of life, measured by QoL AD | 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 |
| 19191259 | Background | Offermans MP, Du Moulin MF, Hamers JP, Dassen T, Halfens RJ. Prevalence of urinary incontinence and associated risk factors in nursing home residents: a systematic review. Neurourol Urodyn. 2009;28(4):288-94. doi: 10.1002/nau.20668. |
| 22182302 | Background | Roe B, Flanagan L, Jack B, Shaw C, Williams K, Chung A, Barrett J. Systematic review of descriptive studies that investigated associated factors with the management of incontinence in older people in care homes. Int J Older People Nurs. 2013 Mar;8(1):29-49. doi: 10.1111/j.1748-3743.2011.00300.x. Epub 2011 Dec 19. |
| 36640164 | Derived | Rajabali SN, Hunter KF, Asaana P, McCreary ML, Nazari S, Wagg AS. Effectiveness of a Smart Urinary Continence Care Assessment System for Nursing Home Residents: A Quasi-Experimental, Sequential Quantitative-Qualitative Methods Trial. J Wound Ostomy Continence Nurs. 2023 Jan-Feb 01;50(1):48-56. doi: 10.1097/WON.0000000000000937. |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D059411 | Lower Urinary Tract Symptoms |
| D020924 | Urological Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |