Publication: Effectiveness of a computer-based system to deliver a continence health promotion intervention
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Issued Date
2005
Resource Type
File Type
application/pdf
ISSN
10715754
Other identifier(s)
2-s2.0-23244439962
Rights Holder(s)
Scopus
Bibliographic Citation
Journal of Wound, Ostomy and Continence Nursing. Vol 32, No.4 (2005), p.246-254
Suggested Citation
Boyington A.R., Dougherty M.C., Phetrasuwan S. Effectiveness of a computer-based system to deliver a continence health promotion intervention. Journal of Wound, Ostomy and Continence Nursing. Vol 32, No.4 (2005), p.246-254. doi:10.1097/00152192-200507000-00009 Retrieved from: https://hdl.handle.net/20.500.14740/6334
Author(s)
Abstract
OBJECTIVE: The objective of this study was to test a computer-based system for continence health promotion that included self-management techniques for women with symptoms of involuntary urine loss, urinary frequency or urgency, or nocturia. DESIGN: A quasi-experimental trial design with repeated measures was used. SETTING AND SUBJECTS: Older women (n = 71) with continence problems were recruited and completed a computer session. INSTRUMENTS: Outcomes were measured with the Urogenital Distress Inventory-Short Form, the Incontinence Impact on Life Questionnaire-Short Form, and a bladder diary. A modified Questionnaire for User Interface Satisfaction was used to measure satisfaction with the system. METHODS: Participants assigned to the intervention group (n = 36) used the computer-based system for continence health promotion, and those in the wait list control group (n = 35) used an alternate system. Data were collected at baseline and 8 weeks after the computer session. RESULTS: Analysis of covariance results on symptom distress and quality of life scores showed no significant treatment effect, although a trend toward improvement was observed. The intervention group improved significantly on urogenital distress (P = .01) and quality of life (P = .003) outcomes, but the control group did not. Women had little difficulty using the system and expressed satisfaction with the individualized information provided. CONCLUSIONS: Although the computer-based system did not result in significantly improved outcomes when comparing women in the 2 groups, the computer-based group improved significantly from baseline to follow-up. Further research on a computer-based system that women could access independently or that nurses could use to supplement traditional care is warranted. Copyright © 2005 by the Wound, Ostomy and Continence Nurses Society.