Evaluating the Feasibility of an Automated Bidet Intervention to Decrease Caregiver Burden
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 10
- 主要终点
- Number of Participants Recruited
研究概览
简要总结
This study evaluates the feasibility, including acceptability and preliminary efficacy, of an automated bidet intervention to make it easier for caregivers to assist with toileting.
详细描述
Informal caregivers provide over 30 billion hours of care to older adults each year. They often assist with toileting tasks which are often identified as one of the most physically and emotionally demanding activities of daily living. Caregivers receive limited training and support which increases their risk for injury and burnout. One potential strategy to reduce or replace the physical support needed from a caregiver is the used of an automated bidet system. It remains unknown whether an automated bidet can be used successfully with older adults and their caregivers at home. The objective of this feasibility study was to assess the acceptability and preliminary efficacy of a toileting intervention using an automated bidet system and training by an occupational therapy practitioner (OT) to reduce the amount of physical assistance required from caregivers.
The investigators will recruit 10 informal caregivers and randomize them to the treatment or waitlist control group. Caregivers in the treatment group will receive the automated bidet right away while those in the waitlist control group will not receive any treatment during that time. After 30 days, both groups will participate in a post-test assessment visit. The waitlist control group will then be offered the intervention and invited to participate in a final session after 30 days to complete assessments and a process evaluation (30 days post follow-up).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •(1) provided unpaid care and lived with a care recipient aged 55 years or older
- •(2) assisted with toileting for at least 6 months
- •(3) did not have an automated bidet
- •(4) had a working toilet and bathroom outlet, and (5) their care recipient was willing to participate
排除标准
- •Caregivers scoring 10 or above on the Short Blessed Test, indicating possible cognitive impairment
结局指标
主要结局
Number of Participants Recruited
时间窗: 5 months
The ability to recruit 10 caregivers who were eligible for the study was used with other variables to assess feasibility
Number of Caregivers Retained
时间窗: At study completion (2 months [treatment] or 3 months [waitlist control])
Retain 10 caregivers was used with other variables to assess feasibility
Number of Participants With Ability to Install the Automated Bidets, Including Any Modifications Needed
时间窗: 30 days post-installation
Installation of the automated bidets and a record of any modifications needed was used with other variables to assess feasibility
Number of Caregivers' or Care Recipients' Who Can Operate the Bidet
时间窗: 30 days post-installation
Demonstrate ability to operate the bidet successfully which was used with other variables to assess feasibility
Acceptability
时间窗: 30 days post-installation
8-item process evaluation: rated on a scale of 0 (strongly disagree) to 4 (strongly agree) with higher scores indicating greater acceptance of the intervention
Preliminary Efficacy: Performance
时间窗: 2 months (treatment) or 3 months (waitlist control)
In-Home Occupational Performance Evaluation for Providing Assistance impact on caregiver outcomes rated on a scale of 1 to 5 with higher scores indicating better performance was used with other variables to assess feasibility
Preliminary Efficacy: Satisfaction
时间窗: 2 months (treatment) or 3 months (waitlist control)
In-Home Occupational Performance Evaluation for Providing Assistance: impact on caregiver outcomes rated on a scale of 1 to 5 with higher scores indicating better satisfaction was used with other variables to assess feasibility
Preliminary Efficacy: Self-efficacy
时间窗: 2 months (treatment) or 3 months (waitlist control)
In-Home Occupational Performance Evaluation for Providing Assistance: impact on caregiver outcomes rated on a scale of 1 to 5 with higher scores indicating better self-efficacy was used with other variables to assess feasibility
Preliminary Efficacy: Physical Environmental Barriers
时间窗: 2 months (treatment) or 3 months (waitlist control)
In-Home Occupational Performance Evaluation for Providing Assistance: reduction of physical barriers to toileting (rated on a scale from 0 (independent) to 5 (no activity/dependent) was used with other variables to assess feasibility
Adverse Events
时间窗: At study completion (2 months [treatment] or 3 months [waitlist control])
Number of adverse events was used with other variables to assess feasibility
次要结局
未报告次要终点
研究者
Susan Stark
Associate Professor of Occupational Therapy, Neurology and Social Work
Washington University School of Medicine