Feasibility of Tele-Prompt: A tablet-based prompted voiding intervention to support informal caregivers of older adults with urinary incontinence

Nicole J. Davis; Patricia C. Clark; Theodore M. Johnson; Jean F. Wyman

doi:10.1016/j.gerinurse.2020.01.002

Feasibility of Tele-Prompt: A tablet-based prompted voiding intervention to support informal caregivers of older adults with urinary incontinence

Nicole J. Davis, Patricia C. Clark, Theodore M. Johnson, Jean F. Wyman

Academics (Nursing)

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

Urinary incontinence (UI) is a highly prevalent condition, burdening older adults and their informal caregivers. This study explored the development and feasibility of a 6-week evidence-based, educational/skill building program delivered via tablet-personal computer aimed at developing informal caregiver UI knowledge; and enhancing informal caregiver skill set in prompted voiding and toileting strategies. Caregivers also received individualized weekly coaching sessions from a nurse expert. Feasibility and preliminary efficacy were tested in three caregiver/care-recipient dyads. Recruitment of eligible participants through community-based resources was a challenge to feasibility. Most caregivers found the technology acceptable, but adherence to prompted voiding was inconsistent. All caregivers rated the intervention highly, reported improvements in their care-recipient's urine leakage, found access to a UI expert beneficial, and would recommend it to a friend. The results suggest that the tablet-facilitated intervention was feasible and acceptable to informal caregivers and showed promise for improving both caregiver and care recipient outcomes.

Original language	English (US)
Pages (from-to)	411-420
Number of pages	10
Journal	Geriatric Nursing
Volume	41
Issue number	4
DOIs	https://doi.org/10.1016/j.gerinurse.2020.01.002
State	Published - Jul 1 2020

Bibliographical note

Funding Information:
This work was supported by grants from the John A. Hartford Foundation's National Hartford Centers of Gerontological Nursing Excellence Award Program and Georgia State University.

Funding Information:
The authors wish to thank the family caregivers who participated in this study for graciously welcoming us into their lives. The first author would like to give additional thanks to Dr. Sylvia Lee, Connie McCammond and staff, and the Alzheimer's Association for making this study possible. This work was supported by grants from the John A. Hartford Foundation's National Hartford Centers of Gerontological Nursing Excellence Award Program and Georgia State University.

Publisher Copyright:
© 2020 Elsevier Inc.

Keywords

Caregiver
Incontinence
Mobile health
Prompted voiding
Telehealth

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10.1016/j.gerinurse.2020.01.002

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abstract = "Urinary incontinence (UI) is a highly prevalent condition, burdening older adults and their informal caregivers. This study explored the development and feasibility of a 6-week evidence-based, educational/skill building program delivered via tablet-personal computer aimed at developing informal caregiver UI knowledge; and enhancing informal caregiver skill set in prompted voiding and toileting strategies. Caregivers also received individualized weekly coaching sessions from a nurse expert. Feasibility and preliminary efficacy were tested in three caregiver/care-recipient dyads. Recruitment of eligible participants through community-based resources was a challenge to feasibility. Most caregivers found the technology acceptable, but adherence to prompted voiding was inconsistent. All caregivers rated the intervention highly, reported improvements in their care-recipient's urine leakage, found access to a UI expert beneficial, and would recommend it to a friend. The results suggest that the tablet-facilitated intervention was feasible and acceptable to informal caregivers and showed promise for improving both caregiver and care recipient outcomes.",

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N2 - Urinary incontinence (UI) is a highly prevalent condition, burdening older adults and their informal caregivers. This study explored the development and feasibility of a 6-week evidence-based, educational/skill building program delivered via tablet-personal computer aimed at developing informal caregiver UI knowledge; and enhancing informal caregiver skill set in prompted voiding and toileting strategies. Caregivers also received individualized weekly coaching sessions from a nurse expert. Feasibility and preliminary efficacy were tested in three caregiver/care-recipient dyads. Recruitment of eligible participants through community-based resources was a challenge to feasibility. Most caregivers found the technology acceptable, but adherence to prompted voiding was inconsistent. All caregivers rated the intervention highly, reported improvements in their care-recipient's urine leakage, found access to a UI expert beneficial, and would recommend it to a friend. The results suggest that the tablet-facilitated intervention was feasible and acceptable to informal caregivers and showed promise for improving both caregiver and care recipient outcomes.

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Feasibility of Tele-Prompt: A tablet-based prompted voiding intervention to support informal caregivers of older adults with urinary incontinence

Abstract

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