Trial reportJournal of the American Geriatrics Society2010
A controlled trial of an intervention to improve urinary and fecal incontinence and constipation.
Trial report in Journal of the American Geriatrics Society, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 7 syntheses or guidelines pooled it, 113 citations in OpenAlex.
- Pooled it
- Guideline for the diagnosis and treatment of Faecal Incontinence-A UEG/ESCP/ESNM/ESPCG collaboration.United European gastroenterology journal · 2022Guideline
- Interventions to Improve Hydration in Older Adults: A Systematic Review and Meta-Analysis.Nutrients · 2021Pooled it
- Evidence of the Impact of Diet, Fluid Intake, Caffeine, Alcohol and Tobacco on Lower Urinary Tract Symptoms: A Systematic Review.The Journal of urology · 2017Pooled it
- Role of diet in fecal incontinence: a systematic review of the literature.International urogynecology journal · 2016Pooled it
- Electrical stimulation and biofeedback for the treatment of fecal incontinence: a systematic review.International journal of colorectal disease · 2013Pooled it
- [Urine incontinence referral criteria for primary care].Atencion primaria · 2013Guideline
- Effects of a giant exercising board game intervention on ambulatory physical activity among nursing home residents: a preliminary study.Clinical interventions in aging · 2017Trial
- The Japan Society of Coloproctology Practice Guidelines for Fecal Incontinence 2024 (Revised Second Edition).Journal of the anus, rectum and colon · 2026Review
- Best Practice to Prevent Constipation in People Living With Dementia: A Scoping Review.International journal of older people nursing · 2025Article
- Increasing physical activity levels in care homes for older people: a quantitative scoping review of intervention studies to guide future research.Disability and rehabilitation · 2023Article
- Urinary and Double Incontinence in Cognitively Impaired Patients: Impacts on Those Affected and Their Professional Caregivers.Journal of clinical medicine · 2023Article
- Ethical analysis of vulnerabilities in cluster randomized trials involving people living with dementia in long-term care homes.Journal of the American Geriatrics Society · 2023Article
- Fecal Incontinence in the Elderly.Clinics in geriatric medicine · 2021Review
- Diagnosis and Non-Surgical Management of Urinary Incontinence - A Literature Review with Recommendations for Practice.International journal of general medicine · 2021Review
- Management of constipation in long-term care hospitals and its ward manager and organization factors.BMC nursing · 2020Article
- Regenerative potential of human dental pulp stem cells in the treatment of stress urinary incontinence: In vitro and in vivo study.Cell proliferation · 2019Article
- Time to and predictors of dual incontinence in older nursing home admissions.Neurourology and urodynamics · 2018Article
- Fecal Incontinence: Epidemiology, Impact, and Treatment.Clinics in colon and rectal surgery · 2016Article
- Analysis of Racial and Ethnic Disparities as Possible Risk Factors for Development of Incontinence by Nursing Home Residents.Research in nursing & health · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 5 institutions in 1 country.
Funding
Abstract
objectivesTo evaluate effects of a multicomponent intervention on fecal incontinence (FI) and urinary incontinence (UI) outcomes.
designRandomized controlled trial.
settingSix nursing homes (NHs).
participantsOne hundred twelve NH residents.
interventionIntervention subjects were offered toileting assistance, exercise, and choice of food and fluid snacks every 2 hours for 8 hours per day over 3 months. MEASUREMENTS: Frequency of UI and FI and rate of appropriate toileting as determined by direct checks from research staff. Anorectal assessments were completed on a subset of 29 residents.
resultsThe intervention significantly increased physical activity, frequency of toileting, and food and fluid intake. UI improved (P=.049), as did frequency of bowel movements (P<.001) and percentage of bowel movements (P<.001) in the toilet. The frequency of FI did not change. Eighty-nine percent of subjects who underwent anorectal testing showed a dyssynergic voiding pattern, which could explain the lack of efficacy of this intervention program alone on FI.
conclusionThis multicomponent intervention significantly changed multiple risk factors associated with FI and increased bowel movements without decreasing FI. The dyssynergic voiding pattern and rectal hyposensitivity suggest that future interventions may have to be supplemented with bulking agents (fiber), biofeedback therapy, or both to improve bowel function.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.