A Trial of effectIveness of a Smart Sensor for Continence Care: the ARCTICC Study

University of Alberta89 enrolled

Overview

The purpose of this study is to compare the use of an electronic incontinence identification system with nursing home support (Tena Identifi) versus usual care on the quality, resource use and outcomes of continence care for older residents of nursing care homes.

This is a prospective, quasi-experimental, controlled study with a mixed methods design with qualitative and quantitative components.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

TRIPLE

Enrollment

Conditions

Urinary Incontinence

Interventions

TENA IdentifiDEVICE

TENA Identifi

Eligibility

Sex: ALLMin age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Nursing homes: A facility which: * provides care for residents over the age of 65 years * has an existing policy for continence care * is registered with the appropriate Provincial authorities * engages in recording of the RAI- MDS v2.0 * Residents: Nursing home residents over the age of 65 requiring a continence assessment upon entry to the nursing home or requiring a reassessment because of either a change in clinical status or provincial requirement shall be eligible for entry Exclusion Criteria: * Residents * at the end of life, * with profound behavioural disturbances likely to render the use of the Tena Identifi system impractical * an identifiable, potentially reversible cause for their urinary incontinence (e.g.: acute urinary tract infection) * with double incontinence dominated by faecal incontinence * Staff and Managers - Staff who did not take the training on the Identifi system or managers whose units that did not participate in the study will be ineligible for the focus group.

Locations (1)

Division of Geriatric Medicine, Clinical Sciences Building, University of Alberta Hosp

Edmonton, Alberta, Canada

Outcomes

Primary Outcomes

Between group change in the proportion of residents with a one category change in continence products usage

Time frame: 8 weeks

Secondary Outcomes

Between group change in time for construction of continence care plan following assessment

Time frame: 8 weeks

Between group change in number of pads used

Time frame: 8 weeks

Between group change in proportion of residents with pad leakage episodes

Time frame: 8 weeks

Between group change in change in cost of continence products

Time frame: 8 weeks

Between group change in change in healthcare aide / personal support worker time spent in continence care

Time frame: 8 weeks

Between group change in Quality of life, measured by QoL AD

Time frame: 8 weeks

Between group change in Activities of daily living as measured by Barthel index

Time frame: 8 weeks

Between group change in number of wet checks at night

Time frame: 8 weeks

Between group change in reduction in number of residents on "timed toileting schedules"

Time frame: 8 weeks

Utility and acceptability of the Tena Identifi system by the end-user through a Focus Group

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.