Geriatric Rehabilitation Clinical Trial
Official title:
Can Technology-Assisted Toilets Improve Hygiene and Independence in Geriatric Rehabilitation? A Cohort Study
Toileting is a private activity of daily living. Geriatric rehabilitation patients are often
unable to toilet themselves independently, leading to embarrassment and loss of self-esteem.
Relationships with their caregivers may also become strained. Furthermore, improper
toileting hygiene can lead to skin irritation, breakdown and infection.
Technology-assisted toilets (TATs) clean and dry the anal and vaginal regions using a stream
of water and a fan. They can therefore potentially eliminate the need for patients to be
able to wipe themselves. TATs are operated using wall-mounted remote controls. This study
will examine the potential benefits of TAT use in geriatric rehabilitation patients.
Forty patients aged ≥65 years referred for treatment of physical impairments to the
Geriatric Rehabilitation Unit (GRU) of the Elisabeth Bruyère Hospital (EBH) will be
recruited for this study. Participants will have a bowel movement on two occasions, once
using toilet paper and once using the TAT. The Psychosocial Impact of Assistive Devices
Scale (PIADS), a validated questionnaire, will be used to analyze participants' toileting
experience. Participants will be visually evaluated for cleanliness before and after each
testing session.
The investigators hypothesize that participants will report that, in comparison with use of
a standard toilet, toileting using the TAT: 1) is easier to use, 2) improves psychological
well-being and 3) is more effective at cleaning than regular wiping techniques.
| Status | Not yet recruiting |
| Enrollment | 40 |
| Est. completion date | March 2016 |
| Est. primary completion date | December 2015 |
| Accepts healthy volunteers | No |
| Gender | Both |
| Age group | 65 Years and older |
| Eligibility |
Inclusion Criteria: 1. over the age of 65 2. inpatients at the EBH GRU 3. can communicate effectively in English or French 4. are able to remain balanced while sitting on a toilet 5. are able to physically use the remote control 6. are able to wipe themselves, but they do not need to be able to wipe themselves effectively Exclusion Criteria: 1. are cognitively unable to provide informed consent 2. are severely aphasic 3. are undergoing treatment that interferes with toileting 4. have any conditions that increase perineal sensitivity such as ulcers, wounds, or infections 5. require two people to assist them in transferring to and from the toilet 6. are under isolation precautions |
Allocation: Randomized, Intervention Model: Crossover Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Supportive Care
| Country | Name | City | State |
|---|---|---|---|
| n/a | |||
| Lead Sponsor | Collaborator |
|---|---|
| Bruyere Research Institute | Bruyère Academic Medical Organization, TOTO USA, University of Ottawa |
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | Psychosocial Impact of Assistive Devices Scale (PIADS) | Scale used to assess participants' subjective feelings of adaptability, competence, and self-esteem | up to 12 weeks | No |
| Primary | Cleanliness Scale | A new scale being piloted to measure cleanliness of the anal/genital regions | up to 12 weeks | No |
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Recruiting |
NCT05893303 -
Effect of Proprioceptive Neuromuscular Facilitation Techniques on Elderly People With Scapular Disposition
|
N/A |