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.
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).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
10
During the first intervention visit, a licensed contractor will install the bidets in participants' homes. The OT will then educate and train the caregiver and care recipient to successfully use the bidet, and make any modifications to the remote as needed. Throughout the intervention, the OT will use motivational enhancement strategies. The OT will make minor modifications to the remote as needed. A second intervention visit will occur 1-2 weeks post-installation to address any new difficulties. Check-in phone calls will be offered to the caregiver and care recipient if needed.
Waitlist control
Number of Participants Recruited
The ability to recruit 10 caregivers who were eligible for the study was used with other variables to assess feasibility
Time frame: 5 months
Number of Caregivers Retained
Retain 10 caregivers was used with other variables to assess feasibility
Time frame: At study completion (2 months [treatment] or 3 months [waitlist control])
Number of Participants With Ability to Install the Automated Bidets, Including Any Modifications Needed
Installation of the automated bidets and a record of any modifications needed was used with other variables to assess feasibility
Time frame: 30 days post-installation
Number of Caregivers' or Care Recipients' Who Can Operate the Bidet
Demonstrate ability to operate the bidet successfully which was used with other variables to assess feasibility
Time frame: 30 days post-installation
Acceptability
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
Time frame: 30 days post-installation
Preliminary Efficacy: Performance
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
Time frame: 2 months (treatment) or 3 months (waitlist control)
Preliminary Efficacy: Satisfaction
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
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: 2 months (treatment) or 3 months (waitlist control)
Preliminary Efficacy: Self-efficacy
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
Time frame: 2 months (treatment) or 3 months (waitlist control)
Preliminary Efficacy: Physical Environmental Barriers
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
Time frame: 2 months (treatment) or 3 months (waitlist control)
Adverse Events
Number of adverse events was used with other variables to assess feasibility
Time frame: At study completion (2 months [treatment] or 3 months [waitlist control])