Efficacy of Prompted Voiding Therapy in Elderly Hospitalized.

NCT04117126 | Completed DMC

• 1 other identifier: 7.0
• Study Type: interventional
• Target: 158
• Locations: 1 country
• Sites: 1

Brief Summary

This study evaluates effectiveness to apply prompted voiding in urinary incontinence and dependence patients admitted at functional recovery ward in a mid-stay hospital. This behavioural therapy is recommended in Best Practice Guidelines, and it has good results in elderly living in the community or in nursing home but yet it has not shown his benefits in hospitalized elderly patients for a long time.

Conditions

Urinary Incontinence

Keywords

aged; Therapeutics; hospitalization; nursing care; rehabilitation; prompted voiding

Outcome Measures

Primary Outcomes (2)

• Change of Urinary Incontinence status after prompted voiding program (PVP)

  To value the efficacy of prompted voiding therapy to recovery urinary continence in elderly hospitalized at functional recovery ward. Data wil be collected from nursing assessment at admission, at discharge and telephone call.

  at admission, at discharge (about 30 to 60 days), 1 , 3 and 6 month post discharge

• Improve urinary incontinence episodes/symptoms after prompted voiding program.

  To value the efficacy of prompted voiding therapy to improve urinary incontinence episodes/symptoms (episodes frequency, volume loss, type pad used) in elderly hospitalized at functional recovery ward. It Will be measure with assistance nurse record.

  at admission, each 15 days along admission, at discharge (about 30 to 60 days).

Secondary Outcomes (18)

• Change of Urinary Incontinence status after PVP in admitted patients with Stress Urinary Incontinence

  at admission, at discharge.(about 30 to 60 days)

• Change of Urinary Incontinence status after PVP in admitted patients with Emergency Urinary Incontinence

  at admission, at discharge.(about 30 to 60 days)

• Change of Urinary Incontinence status after PVP in admitted patients with Mixed Urinary Incontinence

  at admission, at discharge.(about 30 to 60 days)

• Change of Urinary Incontinence status after PVP in admitted patients with Functional Urinary Incontinence

  at admission, at discharge.(about 30 to 60 days)

• Change from Urinary Incontinence status after PVP in admitted patients with Reflects Urinary Incontinence

  at admission, at discharge.(about 30 to 60 days)

Study Arms (1)

urinary incontinence

EXPERIMENTAL

Recruitment, 3-day voiding record, initiate a individualized prompted voiding schedule based on the client's toileting needs until discharge, 1, 3 and 6 month follow-up post-discharge.

Behavioral: Prompted voiding

Interventions

Prompted voiding BEHAVIORAL

Monitoring: This involves asking the incontinent individual, at regular intervals, if he or she needs to use the toilet. The care provider may look for behaviours that the client needs to be toileted (e.g., restlessness, agitation, disrobing), and take the client to the toilet at regular intervals specific to their schedule, rather than routinely every two hours. Prompting: This process includes prompting the person to use the toilet at regular intervals, and encourages the maintenance of bladder control between prompted voiding sessions. Praising: This important step is the positive reinforcement of dryness and appropriate toileting, and is the response from the care provider to the individual's success with maintaining bladder control.

urinary incontinence

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• onset of Urinary Incontinence less than 1 year (information extracted from the Patient's Medical History, or provided by the patient or family caregiver)
• sign the informed consent.

You may not qualify if:

• patient with indwelling urinary catheters at admission
• irreversible urinary incontinence by disease itself
• moderate-severe cognitive impairment (Pfeiffer's questionnaire \> 4)
• patients with indication of water restriction.
• patients who do not collaborate in Prompted Voiding therapy.

Sponsors & Collaborators

• Guadarrama Hospital: lead

Study Sites (1)

Laura Martín Losada

Guadarrama, Madrid, 28440, Spain

Location

Related Publications (24)

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  PMID: 21600674 BACKGROUND

• Promoting Continence Using Prompted Voiding Guideline. [Internet] RNAO, 2011. Available in https://rnao.ca/bpg/guidelines/promoting-continence-using-prompted-voiding

  BACKGROUND

• Terzoni S, Montanari E, Mora C, Destrebecq A. Urinary incontinence in adults: nurses' beliefs, education and role in continence promotion. A narrative review. Arch Ital Urol Androl. 2011 Dec;83(4):213-6.

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• Holtzer-Goor KM, Gaultney JG, van Houten P, Wagg AS, Huygens SA, Nielen MM, Albers-Heitner CP, Redekop WK, Rutten-van Molken MP, Al MJ. Cost-Effectiveness of Including a Nurse Specialist in the Treatment of Urinary Incontinence in Primary Care in the Netherlands. PLoS One. 2015 Oct 1;10(10):e0138225. doi: 10.1371/journal.pone.0138225. eCollection 2015.

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  PMID: 29517816 BACKGROUND

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  PMID: 14982915 BACKGROUND

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  BACKGROUND

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  BACKGROUND

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  BACKGROUND

• Martinez Agullo E, Ruiz Cerda JL, Gomez Perez L, Ramirez Backhaus M, Delgado Oliva F, Rebollo P, Gonzalez-Segura Alsina D, Arumi D; Grupo de Estudio Cooperativo EPICC. [Prevalence of urinary incontinence and hyperactive bladder in the Spanish population: results of the EPICC study]. Actas Urol Esp. 2009 Feb;33(2):159-66. doi: 10.1016/s0210-4806(09)74117-8. Spanish.

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  BACKGROUND

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  BACKGROUND

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  BACKGROUND

Related Links

• Nursing Care Plan tool. NNNConsult. Elsevier; 2015.

MeSH Terms

Conditions

Urinary Incontinence

Condition Hierarchy (Ancestors)

Urination Disorders; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Lower Urinary Tract Symptoms; Urological Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Laura Martin Losada

  Hospital Guadarrama

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Registered Nurse, Doctoral student.

Study Record Dates

• First Submitted: August 17, 2019
• First Posted: October 7, 2019
• Study Start: October 15, 2019
• Primary Completion: January 11, 2023
• Study Completion: July 15, 2023
• Last Updated: September 13, 2023

Record last verified: 2023-09

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)