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

University of Alberta

Status: Completed

Conditions: Urinary Incontinence

Treatments: Device: TENA Identifi

Study type: Interventional

Funder types: Other

Identifiers

NCT02511314

ARC-NH-1205

Details and patient eligibility

About

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.

Full description

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

Enrollment: 89 patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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89 participants in 2 patient groups

Intervention

Experimental group

Description:

Tena Identifi is an integrated electronic monitoring system based upon a wearable continence pad which allows registration of resident's micturition patterns over a 72 hour period, allowing caregivers to construct an individualised continence care plan, including use of appropriate products. To create a voiding report, a resident wears the Identifi Sensor Wear with an attached Identifi Logger for three consecutive days (72 hours). The logger continuously logs the moisture status of the brief. The resulting data is sent to a server via 3 G signal where it is mapped onto a graph indicating voiding times and volumes.

Treatment:

Device: TENA Identifi

Control Intervention

No Intervention group

Description:

The control portion of the study is "usual care", defined as the routine practices and procedures, including continence assessment approach, prescribed in the nursing home unit or facility.