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Buck, Jackie 
ORCID: https://orcid.org/0000-0002-3598-2329, Fromings Hill, Julia, Collins, Rachael, Booth, Joanne and Fleming, Jane
(2024)
Effectiveness of non-pharmacological interventions delivered at home for urinary and faecal incontinence with homebound older people: Systematic review of randomised controlled trials.
Age and Ageing, 53 (6).
ISSN 0002-0729
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Abstract
Introduction: Incontinence is a common, distressing condition, most prevalent in older people. There is an unmet need for effective interventions to support continence. This review focuses on non-pharmacological interventions to reduce incontinence among homebound older people. Aim: to identify interventions with potential to be delivered by care workers, nurses or family members in a person's home. Methods: Multiple databases were searched until 15 September 2023 for randomised controlled trials reporting home-based interventions for incontinence for older people (≥65 years) living at home. Two reviewers independently screened titles, abstracts and papers against inclusion criteria, then assessed for the Risk of Bias (RoB2). A third reviewer resolved the discrepancies. Primary data were extracted and synthesised. Results: A full-text review of 81 papers identified seven eligible papers (1996-2022, all USA), including n = 636 participants (561 women and 75 men). Two studies focusing on multicomponent behavioural interventions showed benefit, as did one study of transcutaneous tibial nerve stimulation self-administered through electrode-embedded socks. Three, which included cognitively impaired people, reported improvement with toileting assistance programmes, but the effects were not all significant. Results were inconclusive from a study examining the effects of fluid intake adjustments. Interventions were delivered by nurses, three in collaboration with family caregivers. No faecal incontinence interventions met the criteria. Conclusion: There is scant evidence for continence supporting interventions delivered in older people's own homes. With an ageing population often reliant on family or social care workers well-placed to support continence promotion and policy drives for services to support older people remaining at home, this evidence gap needs addressing.
| Item Type: | Article |
|---|---|
| Additional Information: | Funding Information: This study was supported by research funding from The General Nursing Council for England and Wales Trust [Reg. No: 288068]. |
| Uncontrolled Keywords: | faecal incontinence,homebound,older people,systematic review,urinary incontinence,ageing,geriatrics and gerontology ,/dk/atira/pure/subjectarea/asjc/1300/1302 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > School of Health Sciences Faculty of Medicine and Health Sciences > Norwich Medical School |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Groups > Health Promotion |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 07 Aug 2024 16:30 |
| Last Modified: | 25 Sep 2024 18:00 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/96175 |
| DOI: | 10.1093/ageing/afae126 |
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