Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Background: Urinary Incontinence (UI) is highly prevalent in older residents of nursing homes. For many, management consists of using appropriate products (pads) maintained by a check and change regimen; this is often poorly managed. Digital health technology devices, like urine saturation sensors, may aid ensure timely change of pads. This study examined the efficacy and safety of the use of the TENA SmartCare Change Indicator (Change Indicator) device for nursing home residents with UI.
Methods: Cluster randomised controlled trial of device use in older nursing home residents with UI, compared to usual care. Co-primary outcomes were a compound care efficiency score and change in skin health. Secondary resident and caregiver outcomes were also compared.
Results: Fourteen sites were recruited, nine of which operated routine check and change regimens. Included units comprised 108 residents, 53 in the intervention group and 49 in the usual care group and 83 caregivers (31 usual care, 52 intervention). The median age of residents was 87 (range 59-101) years; 21.5% were male. Care efficiency was improved by 30 min/day in the intervention group and 16 min/day in the usual care group (P > .05). There was no change in skin health. There were statistically significant improvements in sleep quality and a total of 24 hour absorbency of pads used, favouring device use. One device related harm was reported.
Discussion: This comparative trial of a device designed to improve the delivery of continence care to older residents of nursing homes resulted in reductions in time spent in continence care by 30 min/day, or a 31% reduction. Given that the study failed to demonstrate its primary outcome, it is difficult to assess the clinical relevance of device use. The reduction in pad use and in number of sleep interruptions are valuable outcomes. A longer-term implementation and efficacy study is warranted.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12365968 | PMC |
| http://dx.doi.org/10.1093/ageing/afaf236 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Use of unscheduled care in the last year of life for people with multiple long-term health conditions: a retrospective cohort study of 299,361 decedents.
BJGP Open
September 2025
School of Medicine, University of St Andrews, St Andrews, Scotland, United Kingdom.
Background: People living with and dying from multiple long-term health conditions are high users of healthcare services. Unscheduled care, the unplanned use of healthcare services, rises dramatically in the last year of life, likely reflecting unmet needs.
Aim: To characterise Scotland-based decedents with multiple long-term health conditions in their last year of life and explore the relationship between characteristics and unscheduled care usage over that year.
Effect of an integrated care model on ST-segment elevation myocardial infarction management in China: a prospective, multicentre, non-randomised controlled study.
Heart
September 2025
Department of Cardiology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong, China.
Background: Early reperfusion therapy is critical in patients with ST-segment elevation myocardial infarction (STEMI). However, limitations in resources and patient-level and system-level barriers delay the administration of reperfusion therapy. This study evaluated the impact of an integrated care strategy for STEMI management in China.
View Article and Find Full Text PDFExperiences of using a physical activity and exercise digital intervention to reduce respiratory tract infections: a qualitative process evaluation.
BMJ Open
September 2025
Primary Care Research Centre, University of Southampton, Southampton, UK.
Objectives: Increasing physical activity and effectively managing stress can positively impact immunity and may reduce the duration of respiratory tract infections (RTIs). As part of a larger trial, participants accessed a digital behavioural change intervention that encouraged physical activity and stress management to reduce RTIs. We aimed to understand the barriers and facilitators to engaging in physical activity and stress reduction.
View Article and Find Full Text PDFTranstheoretical Model-based Dietary and Exercise Interventions for Glycemic Control in Type 2 Diabetes: Systematic Review and Meta-analysis.
Nutr Rev
September 2025
Graduate Program in Medical Sciences: Endocrinology, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, 90035-003, Brazil.
Context: The pillars of diabetes treatment include pharmacotherapy, healthy eating, physical activity, self-monitoring, education, mental health support, and smoking cessation. Interventions based on the Transtheoretical Model of Change, which consider a patient's readiness to behavioral change, may be effective for promoting sustainable self-care. However, the impact of such interventions on diabetes management requires systematic evaluation.
View Article and Find Full Text PDFLonger-term effects of modernized collaborative care for depression on multiple mental health factors (eIMPACT): A randomized controlled trial.
J Affect Disord
September 2025
Department of Psychology, Indiana University Indianapolis, 402 N. Blackford St., LD 100E, Indianapolis, IN, USA. Electronic address:
Background: Integrating digital mental health into collaborative care could address multiple mental health factors. To determine the longer-term effects of modernized collaborative care for depression on overlapping mental health factors, we analyzed data from the eIMPACT trial.
Methods: Primary care patients with depression and elevated cardiovascular disease risk (N = 216, Mage: 59 years, 78 % female, 50 % Black, 46 % with income <$10,000/year) were randomized to 12 months of the eIMPACT intervention (modernized collaborative care involving internet cognitive-behavioral therapy [iCBT], telephonic CBT, and/or select antidepressants) or usual primary care for depression.