A phase II exploratory cluster randomized controlled trial of a group mobility training and staff education intervention to promote urinary continence in UK care homes

Sackley, Catherine M, Rodriguez, Natalie A, van den Berg, Maayken, Badger, Frances, Wright, Christine, Besemer, Jelske, van Reeuwijk, Katarina T V and van Wely, Leontine (2008) A phase II exploratory cluster randomized controlled trial of a group mobility training and staff education intervention to promote urinary continence in UK care homes. Clinical Rehabilitation, 22 (8). pp. 714-721. ISSN 0269-2155

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Abstract

Objectives: To assess feasibility, acceptability and potential efficacy of group exercise and staff education intervention to promote continence in older people residing in care homes. To establish measures and information to inform a larger trial. Design: Phase II pilot exploratory cluster randomized controlled trial. Setting: Six purposively selected care homes in the West Midlands, UK. Subjects: Thirty-four care home residents (mean age 86, 29 female), 23 with cognitive impairments. Intervention: Physiotherapy-led group exercise and staff continence and mobility facilitation training. Main outcome measures: Reported continence status, Rivermead Mobility Index. Feasibility was assessed by uptake and compliance, and acceptability by verbal feedback. A staff knowledge questionnaire was used. Results: Thirty-three residents, cluster sizes from 3 to 7. The number of residents agreeing with the statement `Do you ever leak any urine when you don't mean to?' in the intervention group decreased from 12/17 at baseline to 7/17 at six weeks in the intervention group and increased from 9/16 at baseline to 9/15 at six weeks. The Rivermead Mobility Index scores were better in the intervention group (n = 17; baseline: 6.1, six weeks: 6.2) compared with controls (n = 16; baseline: 5.9, six weeks: 4.75). The intervention was feasible, well received and had good compliance. Conclusions: Group mobility training and staff education to promote continence is feasible and acceptable for use with care home residents, including those with cognitive impairment.

Item Type: Article
Uncontrolled Keywords: mobility limitation,nurses' aides,exercise therapy,humans,activities of daily living,aged,great britain,homes for the aged,urinary incontinence, stress,inservice training,aged, 80 and over,urinary incontinence, urge,cluster analysis,nursing homes,female,male
Faculty \ School: Faculty of Medicine and Health Sciences > School of Rehabilitation Sciences
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Depositing User: Pure Connector
Date Deposited: 15 Oct 2013 05:30
Last Modified: 21 Apr 2020 21:59
URI: https://ueaeprints.uea.ac.uk/id/eprint/43680
DOI: 10.1177/0269215508089058

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