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  4. Feasibility of a Web-Based Self-Management Intervention for Intermittent Urinary Catheter Users with Spinal Cord Injury

Feasibility of a Web-Based Self-Management Intervention for Intermittent Urinary Catheter Users with Spinal Cord Injury

J Wound Ostomy Continence Nurs, 2016 · DOI: 10.1097/WON.0000000000000256 · Published: September 1, 2016

Spinal Cord InjuryUrologyPatient Experience

Simple Explanation

This study evaluates if a web-based program can help people with spinal cord injuries who use intermittent catheters to manage their bladder better. The program included online materials, phone calls with a nurse, and a discussion forum. The researchers looked at whether the participants found the program useful and easy to use, and whether it improved their self-management skills and quality of life.

Study Duration
3 Months
Participants
30 adults with spinal cord injury using an intermittent catheter
Evidence Level
Pilot study

Key Findings

  • 1
    Catheter practices improved, with more frequent catheterizations every 4–6 hours.
  • 2
    Self-management of neurogenic bladder dysfunction increased significantly; fluid intake was the biggest change reported by participants.
  • 3
    Most intervention components, except the forum, were rated highly for usefulness, satisfaction, and usability.

Research Summary

The purpose of this study was to evaluate the feasibility of a new web-based intermittent catheter self-management intervention. Several catheter practices improved somewhat over three months including. The frequency of catheterizations every 4–6 hours increased from 71% to 77%. Further testing of this intervention is recommended in a multi-site randomized clinical trial.

Practical Implications

Improved Self-Management

Web-based interventions can help individuals with SCI better manage their bladder function and fluid intake.

Enhanced Catheter Practices

The study suggests that such interventions can lead to more consistent and appropriate catheterization schedules.

Future Research

A multi-site randomized controlled trial is recommended to further validate the intervention's effectiveness.

Study Limitations

  • 1
    Small sample size
  • 2
    Pre-post design
  • 3
    Not all participants answered every question on the survey

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