This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Sackley, C. M Articles by van Wely, L. Search for Related Content PubMed PubMed Citation Articles by Sackley, C. M Articles by van Wely, L. Social Bookmarking                         What's this?

A phase II exploratory cluster randomized controlled trial of a group mobility training and staff education intervention to promote urinary continence in UK care homes

Primary Care and General Practice, University of Birmingham, c.m.sackley{at}bham.ac.uk

Natalie A Rodriguez

Primary Care and General Practice, University of Birmingham

Maayken van den Berg

Primary Care and General Practice, University of Birmingham

Frances Badger

School of Health Sciences, University of Birmingham, UK

Christine Wright

School of Health Sciences, University of Birmingham, UK

Jelske Besemer

Department of Physiotherapy, University of Professional Education Leiden, The Netherlands

Katarina TV van Reeuwijk

Department of Physiotherapy, University of Professional Education Leiden, The Netherlands

Leontine van Wely

Department of Physiotherapy, University of Professional Education Leiden, The Netherlands

Objectives: To assess feasibility, acceptability and potential efficacy of group exercise and staff education intervention to promote continence in older people residing in care homes. To establish measures and information to inform a larger trial.

Design: Phase II pilot exploratory cluster randomized controlled trial.

Setting: Six purposively selected care homes in the West Midlands, UK.

Subjects: Thirty-four care home residents (mean age 86, 29 female), 23 with cognitive impairments.

Intervention: Physiotherapy-led group exercise and staff continence and mobility facilitation training.

Main outcome measures: Reported continence status, Rivermead Mobility Index. Feasibility was assessed by uptake and compliance, and acceptability by verbal feedback. A staff knowledge questionnaire was used.

Results: Thirty-three residents, cluster sizes from 3 to 7. The number of residents agreeing with the statement `Do you ever leak any urine when you don't mean to?' in the intervention group decreased from 12/17 at baseline to 7/17 at six weeks in the intervention group and increased from 9/16 at baseline to 9/15 at six weeks. The Rivermead Mobility Index scores were better in the intervention group (n = 17; baseline: 6.1, six weeks: 6.2) compared with controls (n = 16; baseline: 5.9, six weeks: 4.75). The intervention was feasible, well received and had good compliance.

Conclusions: Group mobility training and staff education to promote continence is feasible and acceptable for use with care home residents, including those with cognitive impairment.

Clinical Rehabilitation, Vol. 22, No. 8, 714-721 (2008)
DOI: 10.1177/0269215508089058


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				C. M Sackley, M. E van den Berg, K. Lett, S. Patel, K. Hollands, C. C Wright, and T. J Hoppitt Effects of a physiotherapy and occupational therapy intervention on mobility and activity in care home residents: a cluster randomised controlled trial BMJ, September 1, 2009; 339(sep01_2): b3123 - b3123. [Abstract] [Full Text] [PDF]