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Clinical evaluation of a prototype underwear designed to detect urine leakage from continence pads

Long, Adele; Edwards, Julia; Worthington, Joanna; Cotterill, Nikki; Weir, Iain; Drake, Marcus J.; Van Den Heuvel, Eleanor

Authors

Adele Long

Julia Edwards

Joanna Worthington

Nikki Cotterill Nikki.Cotterill@uwe.ac.uk
Associate Professor on Long Term Conditions (Continence Care)

Marcus J. Drake

Eleanor Van Den Heuvel



Abstract

Copyright © 2015 by the Wound, Ostomy and Continence Nurses Society. PURPOSE: We evaluated the performance of prototype underwear designed to detect urine leakage from continence pads, their acceptability to users, and their effect on health-related quality of life and psychosocial factors. DESIGN: Prototype product evaluation. SUBJECTS AND SETTING: Participants were 81 women with an average age of 67 years (range, 32-98 years) recruited between October 2010 and February 2012 from outpatient clinics, general practice surgeries, community continence services, and through charities and networks. METHODS: The TACT3 project developed and manufactured a prototype undergarment designed to alert the wearer to a pad leak before it reaches outer clothing or furniture. The study was conducted in 2 stages: a pilot/ feasibility study to assess general performance and a larger study to measure performance, acceptability to users, health-related quality of life, and psychosocial impact. Participants were asked to wear the prototype underwear for a period of 2 weeks, keeping a daily diary of leakage events for the fi rst 7 days. They also completed validated instruments measuring lower urinary tract symptoms, health-related quality of life, and psychosocial impact. RESULTS: On average, 86% of the time participants were alerted to pad leakage events. More than 90% thought the prototype underwear was "good" or "OK" and that it would or could give them more confi dence. Mean scores for the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form indicated no change in the level of symptoms reported before or after the intervention, and no signifi cant changes in health-related quality of life status occurred, except improvement in for travel restrictions. Evaluation via the Psychosocial Impact of Assistive Devices Scale also indicated a positive impact. CONCLUSION: The prototype underwear evaluated in this study was effective and acceptable for 5 out of every 10 wearers. Findings also suggest that the prototype underwear is suitable for women of all ages, dress sizes, and continence severity.

Journal Article Type Article
Publication Date Jan 1, 2015
Journal Journal of Wound, Ostomy and Continence Nursing
Print ISSN 1071-5754
Publisher Lippincott, Williams & Wilkins
Peer Reviewed Peer Reviewed
Volume 42
Issue 6
Pages 632-639
Institution Citation Long, A., Edwards, J., Worthington, J., Cotterill, N., Weir, I., Drake, M. J., & Van Den Heuvel, E. (2015). Clinical evaluation of a prototype underwear designed to detect urine leakage from continence pads. Journal of Wound, Ostomy and Continence Nursing, 42(6), 632-639. https://doi.org/10.1097/WON.0000000000000178
DOI https://doi.org/10.1097/WON.0000000000000178
Keywords absorptive products, adults, urinary incontinence
Publisher URL http://dx.doi.org/10.1097/WON.0000000000000178