Evidence map›Paper›PMID 22390825›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2014

Individual budgets for people with incontinence: results from a 'shopping' experiment within the British National Health Service.

Mandy J Fader, Alan M Cottenden, Heather M Gage, Peter Williams, Katharine Getliffe, Sinead Clarke-O'Neill, Katharine M Jamieson, Nicholas J Green

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Patient-centred care and patient and public involvement.Health expectations : an international journal of public participation in health care and health policy · 2014
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Mandy J FaderProfessor, Faculty of Health Sciences, University of Southampton, SouthamptonProfessor, Department of Medical Physics, University College London, Archway Campus, Highgate Hill, LondonReader, Department of Economics, University of Surrey, Guildford, UKStatistical Consultant, Department of Mathematics, University of Surrey, Guildford, UKProfessor (Retired), Faculty of Health Sciences, University of Southampton, SouthamptonResearch Fellow, Department of Medical Physics, University College London, Archway Campus, Highgate Hill, London, UK.
Alan M Cottenden
Heather M Gage
Peter Williams
Katharine Getliffe
Sinead Clarke-O'Neill
Katharine M Jamieson
Nicholas J Green

Funding

Chief Scientist Office NMAHP1Chief Scientist Office NMAHP2Department of Health 01/11/02
6 · The paper itself

Abstract

background and contextMost people with urinary incontinence are given limited choice when provided with absorbent products through the British National Health Service (NHS), even though the available range is large.

objectiveTo investigate users' preferences for four disposable designs (inserts, all-in-ones, belted/T-shaped and pull-ups) and towelling washable/reusable products, day and night.

designShopping experiment. SETTING AND

participantsCommunity-dwelling women and men in England with moderate-to-heavy urinary incontinence recruited to a larger trial.

interventionParticipants tested each design and selected products they would prefer with a range of different budgets.

main outcome measuresDesign preferences (rankings); 'purchasing' decisions from designated budgets. Results  Eighty-five participants (49 men) tested products, 75 completed the shopping experiment. Inserts, most frequently supplied by the NHS, were ranked second to pull-ups by women and lowest by men. When faced with budget constraints, up to 40% of participants opted to 'mix-and-match' designs. Over 15 different combinations of products were selected by participants in the shopping experiment. Most (91%) stated a willingness to 'top-up' assigned budgets from income to secure preferred designs. DISCUSSION: Participants displayed diverse preferences. Enabling user choice of absorbent product design through individual budgets could improve satisfaction of consumers and efficiency of allocation of limited NHS resources.

conclusionRecent policy for the NHS seeks to provide consumers with more control in their care. Extension of the concept of individual budgets to continence supplies could be feasible and beneficial for patients and provide better value-for-money within the NHS. Further research is warranted.

Indexed as

Patient PreferenceAdultEnglandFemaleHumansIncontinence PadsMaleMiddle AgedSocioeconomic FactorsState MedicineUrinary Incontinenceabsorbent productschoiceincontinenceindividual budgets

Identifiers

PMID22390825
PMCPMC5060721

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.