Evidence map›Paper›PMID 25502058›Full record

Trial reportNursing research

Self-management intervention for long-term indwelling urinary catheter users: randomized clinical trial.

Mary H Wilde, James M McMahon, Margaret V McDonald, Wan Tang, Wenjuan Wang, Judith Brasch, Eileen Fairbanks, Shivani Shah, Feng Zhang, Ding-Geng Din Chen

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nursing research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 12% of its field
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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Policies for replacing long-term indwelling urinary catheters in adults.The Cochrane database of systematic reviews · 2016
    Pooled it
  3. Measurement Reactivity in a Randomized Clinical Trial Using Self-Reported Data.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2017
    Trial
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Perspectives on urological care in multiple sclerosis patients.Intractable & rare diseases research · 2021
    Review
  11. Catheter-Associated Urinary Tract Infections in Adult Patients.Deutsches Arzteblatt international · 2020
    Review
  12. Article
  13. A test of inflated zeros for Poisson regression models.Statistical methods in medical research · 2019
    Article
  14. Article
  15. Article
  16. Article
  17. Feasibility of a Web-Based Self-management Intervention for Intermittent Urinary Catheter Users With Spinal Cord Injury.Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society
    Article
  18. 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

10 authors at 2 institutions in 1 country.

Mary H WildeMary H. Wilde, PhD, RN, is Associate Professor; and James M. McMahon, PhD, is Associate Professor, University of Rochester School of Nursing, New York. Margaret V. McDonald, MSW, is Associate Director of Research Studies, Center for Home Care Policy and Research, Visiting Nurse Service of New York. Wan Tang, PhD, is Research Associate Professor; and Wenjuan Wang, PhD, is Postdoctoral Fellow, Department of Biostatistics and Computational Biology, University of Rochester, New York. Judith Brasch, RN, MS, is Project Nurse; and Eileen Fairbanks, RN,MS, PNP, is Health Project Coordinator, University of Rochester School of Nursing, New York. Shivani Shah, MPH, is Research Analyst, Center for Home Care Policy and Research, Visiting Nurse Service of New York. Feng Zhang, RN, BS, is MS/PhD Student, University of Rochester School of Nursing, New York. Ding-Geng (Din) Chen, PhD, is Professor, University of Rochester School of Nursing and Department of Biostatistics and Computational Biology, University of Rochester, New York.
James M McMahon
Margaret V McDonald
Wan Tang
Wenjuan Wang
Judith Brasch
Eileen Fairbanks
Shivani Shah
Feng Zhang
Ding-Geng Din Chen
University of Rochester · USVisiting Nurse Service of New York · US

Funding

Self-Management of Urine Flow in Long-term Urinary Catheter UsersR01NR010553 · NINR · UNIVERSITY OF ROCHESTER · PI WILDE, MARY H · 2008 to 2011
$1.6M
NINR NIH HHS R01 NR010553NINR NIH HHS R01 NR01553
6 · The paper itself

Abstract

backgroundPeople using long-term indwelling urinary catheters experience multiple recurrent catheter problems. Self-management approaches are needed to avoid catheter-related problems.

objectivesThe aim was to determine effectiveness of a self-management intervention in prevention of adverse outcomes (catheter-related urinary tract infection, blockage, and accidental dislodgement). Healthcare treatment associated with the adverse outcomes and catheter-related quality of life was also studied.

methodsA randomized clinical trial was conducted. The intervention involved learning catheter-related self-monitoring and self-management skills during home visits by a study nurse (twice during the first month and at 4 months-with a phone call at 2 months). The control group received usual care. Data were collected during an initial face-to-face home interview followed by bimonthly phone interviews. A total of 202 adult long-term urinary catheter users participated. Participants were randomized to treatment or control groups following collection of baseline data. Generalized estimating equations were used for the analysis of treatment effect.

resultsIn the intervention group, there was a significant decrease in reported blockage in the first 6 months (p = .02), but the effect did not persist. There were no significant effects for catheter-related urinary tract infection or dislodgment. Comparison of baseline rates of adverse outcomes with subsequent periods suggested that both groups improved over 12 months. DISCUSSION: A simple-to-use catheter problems calendar and the bimonthly interviews might have functioned as a modest self-monitoring intervention for persons in both groups. A simplified intervention using a self-monitoring calendar is suggested-with optimal and consistent fluid intake likely to add value.

Indexed as

Catheters, IndwellingSelf CareUrinary CatheterizationUrinary CathetersAdultAgedAged, 80 and overCatheter-Related InfectionsEquipment FailureFemaleHealth ServicesHospitalizationHumansMaleMiddle AgedPatient Education as Topic

Identifiers

PMID25502058
PMCPMC4268883
OpenAlexW2026444967

What OpenQuestion holds

Textmetadata
LicenceTDM
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.