Use of Continence Care Protocol in UK Nursing Homes.
Use of Skin and Leakage Protocol and Its Impact on Continence Care at Nursing Homes in the UK.
This is a retrospective cohort study. In the investigation the clinical use of the Skin and leakage protocol (SLEP) is to be investigated. The SLEP is a generic digital diary form filled out to give information about the current status of continence care among care home residents. The SLEP tracks the number of leakage occurrences and daily skin health over a period of time with the purpose of assisting care staff in making decisions regarding continence care. The SLEP has been introduced at several United kingdom National Health Service care homes and with this investigation the investigators want to retrospectively analyse the data to determine the clinical usefulness of the form.
The primary objective of the study is to describe any changes in product leakage rate at the baseline and follow up time period.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
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Lincoln, United Kingdom, LN5 7JH
- Lincolnshire Community Health Services NHS Trust
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Subjects to be evaluated will be subjects of the selected Care homes who meet all the required Inclusion and Exclusion criteria and who's data is available on the appropriate databases. Subjects will be considered eligible to participate in the study if:
All eligible subjects, that data is available for, cared for at the selected care homes and subjected to the protocol are to be assessed. Typically, all residents that use containment products are assessed at the care home.
Description
Inclusion Criteria:
- Subject is diagnosed with urinary incontinence managed with an absorbing incontinence product.
- The skin and leakage protocol have been used in the care of the subject and there is data from at least two measurements.
- Subject is cared for in a Residential care home using the skin and leakage protocol.
- Subject is over 18 years of age.
Exclusion Criteria:
- Subject is not using an absorbing incontinence product to manage incontinence.
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Protocol arm
The skin and leakage protocol was used over a 5 day baseline period.
The follow up was done 25 days later by another 5 day period of protocol use to observe any changes in continence care.
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The skin and leakage protocol have been developed by the sponsor with the aim to offer a tool that can aid care providers in identifying problems in continence care and follow up the effect of any care interventions to remedy these problems.
The protocol is a digital diary tool that tracks both the instances of urine leaking out of an absorbing incontinence product onto clothes and bedsheets, and any apparent skin changes in the area covered by the product.
The protocol is in clinical use at the care homes were the subjects are residing.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Change in leakage rate
Time Frame: 28 days
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Change in absorbing product leakage rate between baseline and follow up period
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28 days
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Subject care profile
Time Frame: 28 days
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The care needs profiles of the subjects using the skin and leakage protocol.
According to specific criteria for degree of confusion and mobility subjects can be assigned one of 6 different profiles.
The profiles are arranged on a scale from 1-6 were 1 is lowest level of care need and 6 is the highest.
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28 days
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Change in skin health score
Time Frame: 28 days
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Change in skin health assessment score between the baseline and follow up period.
The skin assessment is conducted on a scale from 1-5 were 1 represents no presence of skin irritation and 5 represents severe skin problems.
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28 days
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Debbie Jeffrey, Lincolnshire Community Health Services National Health Services Trust
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Behavioral Symptoms
- Mental Disorders
- Urologic Diseases
- Lower Urinary Tract Symptoms
- Urological Manifestations
- Urination Disorders
- Elimination Disorders
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Urogenital Diseases
- Male Urogenital Diseases
- Urinary Incontinence
- Enuresis
Other Study ID Numbers
Other Study ID Numbers
- LASTER
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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