Table 6: Studies on Caregiver-dependent Techniques for Urinary Incontinence*.
| Study, Year | Intervention | Study Design and Methods | Results | Limitations |
|---|---|---|---|---|
| Jirovec et al., 2001 (35) | Timed voiding | RCT 118 memory-impaired seniors living in the community with UI and having the assistance of a caregiver 6 months duration Outcome: Change in incontinence calculated as the percentage of time the patient was incontinent |
Treatment group had significantly reduced incontinence from baseline (Z = −1.83, P < .05) but no significant difference between groups | No intention-to-treat analysis, allocation concealment unclear, no justification provided for sample size |
| Engberg et al., 2002 (36) | Prompted voiding | RCT (crossover) 19 cognitively impaired homebound seniors aged 60 years and older with UI and a full-time caregiver 8 weeks duration Outcome: change in incontinence frequency |
Treatment group reduced daily incontinent episodes by 47% (SD 39.2) compared with 27% (SD 26.1) in the control group, but this difference was not statistically significant (P = .19) | Study not adequately powered to detect a difference (risk of type II error), allocation concealment unclear |
| Colling et al., 2003 (37) | Habit retraining “Pattern Urge Response Toileting” (PURT) |
RCT (delayed control group) 106 community-dwelling, caregiver-dependent non-demented elderly persons ≥55 yrs with urge or mixed UI 6 weeks duration Outcome: change in incontinence frequency |
Treatment group had fewer daily incontinent episodes (4.0, SD 2.6) than control group (3.4 SD 2.6), but this difference was not statistically significant (P = .23) | Allocation concealment unclear, difficulty in recruiting an appropriate sample, patient/caregiver study retention problematic |
RCT refers to randomized controlled trial; SD, standard deviation; UI, urinary incontinence.