Evidence map›Paper›PMID 26938358›Full record

Trial reportNursing research

Testing a Model of Self-Management of Fluid Intake in Community-Residing Long-term Indwelling Urinary Catheter Users.

Mary H Wilde, Hugh F Crean, James M McMahon, Margaret V McDonald, Wan Tang, Judith Brasch, Eileen Fairbanks, Shivani Shah, Feng Zhang

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
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 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Review
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

9 authors at 1 institution in 1 country.

Mary H WildeMary H. Wilde, PhD, RN, is Professor; Hugh F. Crean, PhD, is Assistant Professor Clinical Nursing; and James M. McMahon, PhD, is Associate Professor, School of Nursing, University of Rochester, New York. Margaret V. McDonald, MSW, is Associate Director of Research Studies, The Center for Home Care Policy and Research, Visiting Nurse Service of New York. Wan Tang, PhD, is Research Associate Professor, 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, School of Nursing, University of Rochester, New York. Shivani Shah, MPH, is Research Analyst II, The Center for Home Care Policy and Research, Visiting Nurse Service of New York. Feng Zhang, RN, BS, MS, is PhD Student, School of Nursing, University of Rochester, New York.
Hugh F Crean
James M McMahon
Margaret V McDonald
Wan Tang
Judith Brasch
Eileen Fairbanks
Shivani Shah
Feng Zhang
NovaBay Pharmaceuticals (United States) · 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

backgroundUrinary tract infection and blockage are serious and recurrent challenges for people with long-term indwelling catheters, and these catheter problems cause worry and anxiety when they disrupt normal daily activities.

objectiveThe goal was to determine whether urinary catheter-related self-management behaviors focusing on fluid intake would mediate fluid intake-related self-efficacy toward decreasing catheter-associated urinary tract infection (CAUTI) and/or catheter blockage.

methodsThe sample involved data collected from 180 adult community-living, long-term indwelling urinary catheter users. The authors tested a model of fluid intake self-management related to fluid intake self-efficacy for key outcomes of CAUTI and blockage. To account for the large number of zeros in both outcomes, a zero-inflated negative binomial (ZINB) structural equation model was tested.

resultsStructurally, fluid intake self-efficacy was positively associated with fluid intake self-management, suggesting that higher fluid intake self-efficacy predicts more (higher) fluid intake self-management; however, fluid intake self-management was not associated with either the frequency of CAUTIs or the presence or absence of CAUTI. Fluid intake self-efficacy was positively related to fluid intake self-management, and fluid intake self-management predicted less frequency of catheter blockage, but neither fluid intake self-efficacy nor fluid intake self-management predicted the presence or absence of blockage. DISCUSSION: Further research is needed to better understand determinants of CAUTI in long-term catheter users and factors which might influence or prevent its occurrence. Increased confidence (self-efficacy) and self-management behaviors to promote fluid intake could be of value to long-term urinary catheter users to decrease catheter blockage.

Indexed as

Drinking BehaviorSelf CareUrinary CatheterizationAdultAgedAged, 80 and overCatheter-Related InfectionsCatheters, IndwellingCohort StudiesFemaleHumansMaleMiddle AgedResidence CharacteristicsSelf EfficacyUrinary Catheters

Identifiers

PMID26938358
PMCPMC4780355
OpenAlexW2332924601

What OpenQuestion holds

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Registered trials

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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.