Quality of Life in Adults Impaired Functioning - A Randomized Controlled Trial of Bidet vs Usual Toileting
| Status: | Terminated |
|---|---|
| Conditions: | Urology |
| Therapuetic Areas: | Nephrology / Urology |
| Healthy: | No |
| Age Range: | 21 - 95 |
| Updated: | 10/21/2017 |
| Start Date: | January 1, 2015 |
| End Date: | December 31, 2016 |
Our expectations (hypotheses) are:
Primary outcome
1. Regular bidet use will improve quality of life around elimination in adults with
impaired functional status. Functional status will be measured by activities of daily
living (ADL).
2. Regular bidet use by adults with impaired functional status will improve the quality of
life around toileting for their caregivers.
Secondary
3. Regular bidet use will reduce the incidence, frequency and severity of constipation (as
measured by self-report) in adults with impaired functional status.
4. Regular bidet use will reduce the incidence of urinary tract infection (UTI) in adult
women with impaired functional status.
Primary outcome
1. Regular bidet use will improve quality of life around elimination in adults with
impaired functional status. Functional status will be measured by activities of daily
living (ADL).
2. Regular bidet use by adults with impaired functional status will improve the quality of
life around toileting for their caregivers.
Secondary
3. Regular bidet use will reduce the incidence, frequency and severity of constipation (as
measured by self-report) in adults with impaired functional status.
4. Regular bidet use will reduce the incidence of urinary tract infection (UTI) in adult
women with impaired functional status.
The study will assess the use of a bidet (a device that is attached to the toilet which
allows a person to wash their genitalia after elimination) in improving toilet related
quality of life for functionally impaired individuals as measured by ADLs and caregivers of
functionally impaired adults. We also want to see if bidet use is effective in lowering the
incidence of urinary tract infections in this high risk population.
Functional impairment around toileting has been shown to negatively impact quality of life
(QOL) for both patients and their caregivers. We hope to learn if the use of bidet will
improve QOL in this population.
Urinary tract infections increase the risk of morbidity and mortality in women with impaired
functional status. Specifically the risk of hospitalization, sepsis, kidney failure and other
complications. There are not currently effective forms of non-pharmaceutical prevention.
Bidets are safe, inexpensive and hygienic. Individuals with functional impairment often have
difficulty maintaining their hygiene due to frailty and functional limitations. It is our
hope that addressing these issues will lead to a reduced incidence of UTI.
Constipation is a common problem in elderly adults and in adults with impaired functional
status. It is our hope that the bidet will reduce the frequency and severity of constipation
(as measured by self report).
allows a person to wash their genitalia after elimination) in improving toilet related
quality of life for functionally impaired individuals as measured by ADLs and caregivers of
functionally impaired adults. We also want to see if bidet use is effective in lowering the
incidence of urinary tract infections in this high risk population.
Functional impairment around toileting has been shown to negatively impact quality of life
(QOL) for both patients and their caregivers. We hope to learn if the use of bidet will
improve QOL in this population.
Urinary tract infections increase the risk of morbidity and mortality in women with impaired
functional status. Specifically the risk of hospitalization, sepsis, kidney failure and other
complications. There are not currently effective forms of non-pharmaceutical prevention.
Bidets are safe, inexpensive and hygienic. Individuals with functional impairment often have
difficulty maintaining their hygiene due to frailty and functional limitations. It is our
hope that addressing these issues will lead to a reduced incidence of UTI.
Constipation is a common problem in elderly adults and in adults with impaired functional
status. It is our hope that the bidet will reduce the frequency and severity of constipation
(as measured by self report).
Inclusion Criteria:
Sample 1 (adults with impaired functional status):
Age: 55-95 Sex: Female Ethic background: Reflecting the population at Stanford Hospital and
Clinics who meet the inclusion criteria and who agree to participate.
Sample 2 (caregivers of participants in Sample 1) Adults over the age of 21 caring for an
adult with impaired functional status who has enrolled in this randomized controlled trial.
Sex and ethnic background will reflect the demographic of the caregivers for the population
in Sample 1.
Exclusion Criteria:
Participants not meeting the inclusion criteria.
Additional exclusion criteria:
1. Life expectancy less than 2 years
2. The inability to read and write English.
3. Patients with indwelling urinary (e.g. Foley) catheters
4. Use of any water based cleaning system after toileting at home in the past 12 months
(bidet, water pot, douche etc).
5. Fully incontinent (eg diaper use)
6. Moderate to severe cognitive impairment (15 or lower on the MOCA)
We found this trial at
1
site
291 Campus Dr
Stanford, California 94305
Stanford, California 94305
(650) 725-3900
Principal Investigator: Merdad Ayati, MD
Phone: 650-723-2513
Stanford University School of Medicine Vast in both its physical scale and its impact on...
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