Preventing Toileting Disability in Frail Older Women
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 42
- 试验地点
- 2
- 主要终点
- Performance Oriented Timed Toileting Instrument (POTTI)
研究概览
简要总结
Pilot study to determine the feasibility and possible treatment effect of a multi-component intervention combining non-drug treatments for urinary incontinence and physical activity to improve urinary incontinence, toileting skills, physical function, and quality of life in frail older women without dementia living in senior housing facilities.
详细描述
This was a single blinded, two-arm pilot randomized controlled trial designed to test the feasibility and potential treatment effects of a multi-component intervention that combined behavioral urinary incontinence treatments with physical activity to improve urinary incontinence, toileting skills, quality of life, and physical function in frail older women without dementia living in senior apartment buildings.The intervention included a 12-week program of tailored behavioral UI treatments delivered by a nurse practitioner during 4 home visits, 150 minutes of weekly walking, and twice weekly strength training classes.
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 60 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Age 60 years or older
- •Have urinary incontinence
- •Not currently meeting national recommendations for physical activity (150 minutes of weekly moderate intensity aerobic exercise and twice weekly strength building exercise.
- •At risk for functional decline per the Vulnerable Elders Survey (score of 3+)
- •Free of dementia (pass mini-cog screening)
排除标准
- •Cognitive impairment
- •Grade 4 vaginal prolapse or pessary use
- •Orthopedic surgery in past year
- •Urinary retention (catheter use)
- •Neurological cause for urinary incontinence (i.e. Parkinson's Disease, MS)
- •Bladder cancer
- •Bladder or incontinence surgery in past year
- •Recipient of hospice or palliative care
- •New prescription or dosage change in past three months for anti-incontinence medication
研究组 & 干预措施
No treatment control group
No treatment control group
干预措施: Defeating Urinary Incontinence with Exercise Training (Behavioral)
Behavioral Urinary Incontinence Treatment
12 week program combining behavioral treatments for urinary incontinence and physical activity
干预措施: Defeating Urinary Incontinence with Exercise Training (Behavioral)
结局指标
主要结局
Performance Oriented Timed Toileting Instrument (POTTI)
时间窗: baseline, after completing 12 week intervention
A performance based measure that takes less than 5 minutes to administer. Participants are timed as they complete tasks that simulate toileting including: rising from a chair, walking 15 feet to another chair, turning around, pulling down an elastic waist skirt worn over their typical clothing, sitting in the chair, grabbing a piece of toileting paper and throwing it into a wastebasket, rising and pulling the skirt back up. Longer times indicate greater difficulty with toileting. It has strong inter-rater and test-retest reliability (90% agreement) and has been validated with activities of daily living dependency (r= -.721, p\<.001) in nursing home residents (Ouslander et al., 1987). It has demonstrated responsiveness to change in a recent clinical trial (van Houten et. al., 2007).
Toileting Skills Questionnaire
时间窗: baseline, after completing 12 week intervention
A five item toileting skills questionnaire that assesses participants level of difficulty with undressing, walking to the toilet, getting on and off the toilet, reaching to grab toilet paper, and reaching around to wipe their bottom. Responses for each item range from 0-no difficulty to 4-cannot do. Total scores range from 0-20. Higher scores indicate more difficulty.
次要结局
- International Consultation on Incontinence Questionnaire (ICIQ)(baseline, after completing 12 week intervention)
- 3 day bladder diary(baseline, after completing 12 week intevention)
- Incontinence Impact Questionnaire (IIQ)(baseline, after completing 12 week intervention)
- Urogenital Distress Inventory (UDI)(baseline, after completing 12 week intevention)
- Environmental toileting barriers checklist(baseline)
- Short Physical Performance Battery(baseline, after completing 12 week intervention)