Evidence map›Paper›PMID 38941119›Full record

SynthesisAge and ageing2024

Effectiveness of non-pharmacological interventions delivered at home for urinary and faecal incontinence with homebound older people: systematic review of randomised controlled trials.

Jackie Buck, Julia Fromings Hill, Rachael Collins, Joanne Booth, Jane Fleming

Abstract readSystematic Review
In one paragraph

Synthesis in Age and ageing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Review
  5. Review
  6. 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

5 authors.

Jackie BuckSchool of Health Sciences, Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK.
Julia Fromings HillSchool of Health Sciences, Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK.
Rachael CollinsSchool of Health Sciences, Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK.
Joanne BoothResearch Centre for Health, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.
Jane FlemingCambridge Public Health Interdisciplinary Research Centre, University of Cambridge, Cambridge, UK.ORCID 0000-0002-8127-2061

Funding

General Nursing Council for England and Wales Trust 288068
6 · The paper itself

Abstract

introductionIncontinence is a common, distressing condition, most prevalent in older people. There is an unmet need for effective interventions to support continence. This review focuses on non-pharmacological interventions to reduce incontinence among homebound older people. Aim: to identify interventions with potential to be delivered by care workers, nurses or family members in a person's home.

methodsMultiple databases were searched until 15 September 2023 for randomised controlled trials reporting home-based interventions for incontinence for older people (≥65 years) living at home. Two reviewers independently screened titles, abstracts and papers against inclusion criteria, then assessed for the Risk of Bias (RoB2). A third reviewer resolved the discrepancies. Primary data were extracted and synthesised.

resultsA full-text review of 81 papers identified seven eligible papers (1996-2022, all USA), including n = 636 participants (561 women and 75 men). Two studies focusing on multicomponent behavioural interventions showed benefit, as did one study of transcutaneous tibial nerve stimulation self-administered through electrode-embedded socks. Three, which included cognitively impaired people, reported improvement with toileting assistance programmes, but the effects were not all significant. Results were inconclusive from a study examining the effects of fluid intake adjustments. Interventions were delivered by nurses, three in collaboration with family caregivers. No faecal incontinence interventions met the criteria.

conclusionThere is scant evidence for continence supporting interventions delivered in older people's own homes. With an ageing population often reliant on family or social care workers well-placed to support continence promotion and policy drives for services to support older people remaining at home, this evidence gap needs addressing.

Indexed as

Fecal IncontinenceHomebound PersonsHome Care ServicesRandomized Controlled Trials as TopicUrinary IncontinenceAgedAged, 80 and overFemaleHumansMaleTreatment Outcomefaecal incontinencehomeboundolder peoplesystematic reviewurinary incontinence

Identifiers

PMID38941119
PMCPMC11212545

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.