TY - JOUR
T1 - Prompted Voiding Treatment of Urinary Incontinence in Nursing Home Patients
T2 - A Behavior Management Approach for Nursing Home Staff
AU - Schnelle, John F.
AU - Traughber, Belinda
AU - Sowell, V. A.
AU - Newman, Daniel R.
AU - Petrilli, Cheryl O.
AU - Ory, Marcia
PY - 1989/11
Y1 - 1989/11
N2 - This study evaluated a treatment procedure in which 126 incontinent nursing home patients were checked on an hourly basis, asked if they needed toileting assistance (prompted), and socially reinforced for appropriate toileting. Urodynamic analysis (including cystometrogram), provocative stress test, and behavioral assessment revealed that the nursing home patients were severely debilitated, with 65% demonstrating bladder abnormalities, 87% incapable of independent toileting, and 25% failing to score on the Mini‐Mental Status Exam (average score, 8.0). The treatment procedures were evaluated with a multiple baseline design in which subjects were randomly divided into immediate or delayed treatment groups after a baseline observation period. During treatment, the frequency of incontinence per 12 hours changed from a baseline average of 3.85 to a treatment average of 1.91. Three behavioral measures that can be easily collected by nursing staff significantly predicted continence levels during treatment (multiple R, 0.79) and change in incontinence during treatment (multiple R, 0.64). These prognostic criteria offer nursing staff a cost‐effective method for selecting the most responsive patients for prompted‐voiding treatment. 1989 The American Geriatrics Society
AB - This study evaluated a treatment procedure in which 126 incontinent nursing home patients were checked on an hourly basis, asked if they needed toileting assistance (prompted), and socially reinforced for appropriate toileting. Urodynamic analysis (including cystometrogram), provocative stress test, and behavioral assessment revealed that the nursing home patients were severely debilitated, with 65% demonstrating bladder abnormalities, 87% incapable of independent toileting, and 25% failing to score on the Mini‐Mental Status Exam (average score, 8.0). The treatment procedures were evaluated with a multiple baseline design in which subjects were randomly divided into immediate or delayed treatment groups after a baseline observation period. During treatment, the frequency of incontinence per 12 hours changed from a baseline average of 3.85 to a treatment average of 1.91. Three behavioral measures that can be easily collected by nursing staff significantly predicted continence levels during treatment (multiple R, 0.79) and change in incontinence during treatment (multiple R, 0.64). These prognostic criteria offer nursing staff a cost‐effective method for selecting the most responsive patients for prompted‐voiding treatment. 1989 The American Geriatrics Society
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U2 - 10.1111/j.1532-5415.1989.tb06919.x
DO - 10.1111/j.1532-5415.1989.tb06919.x
M3 - Article
C2 - 2809052
AN - SCOPUS:0024437818
SN - 0002-8614
VL - 37
SP - 1051
EP - 1057
JO - Journal of the American Geriatrics Society
JF - Journal of the American Geriatrics Society
IS - 11
ER -