Evidence map›Paper›PMID 41107956›Full record

ArticlePilot and feasibility studies2025

IDC-IMPROVE: protocol for a cluster randomised feasibility trial of a care bundle to improve indwelling catheter care (IDC) in residential aged care homes in Australia.

Joan Ostaszkiewicz, Andrew Simon Gilbert, Caitlin Tay, Elizabeth Watt, David Barry, Wendy Taylor, Jessica Cecil, Rowan Cockerell, Helen Crowe, Liza Lau and 12 more

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Article in Pilot and feasibility studies, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

22 authors.

Joan OstaszkiewiczNational Ageing Research Institute, Royal Melbourne Hospital, Parkville, PO Box 2127, VIC, 3050, Australia. J.Ostaszkiewicz@nari.edu.au.ORCID http://orcid.org/0000-0003-4159-4493
Andrew Simon GilbertNational Ageing Research Institute, Royal Melbourne Hospital, Parkville, PO Box 2127, VIC, 3050, Australia.
Caitlin TayNational Ageing Research Institute, Royal Melbourne Hospital, Parkville, PO Box 2127, VIC, 3050, Australia.
Elizabeth WattNational Ageing Research Institute, Royal Melbourne Hospital, Parkville, PO Box 2127, VIC, 3050, Australia.
David BarryNational Ageing Research Institute, Royal Melbourne Hospital, Parkville, PO Box 2127, VIC, 3050, Australia.
Wendy TaylorNational Ageing Research Institute, Royal Melbourne Hospital, Parkville, PO Box 2127, VIC, 3050, Australia.
Jessica CecilNational Ageing Research Institute, Royal Melbourne Hospital, Parkville, PO Box 2127, VIC, 3050, Australia.
Rowan CockerellContinence Health Australia, Surrey Hills, VIC, Australia.
Helen CroweAustralian Prostate Centre, North Melbourne, VIC, Australia.
Liza LauAustin Health, Heidelberg, VIC, Australia.
Michael MurrayNational Ageing Research Institute, Royal Melbourne Hospital, Parkville, PO Box 2127, VIC, 3050, Australia.
Sigrid NakremNorwegian University of Science and Technology, Torgarden, Trondheim, Norway.
Catherine PatersonCaring Futures Institute, Flinders University, Adelaide, SA, Australia.
Micah PetersRosemary Bryant AO Research Centre, Clinical and Health Sciences, University of South Australia, Adelaide, SA, Australia.
Ashlyn SahaySchool of Nursing, Midwifery and Social Sciences, Central Queensland University, Toowoomba, QLD, Australia.
Alyson SweeneyNational Ageing Research Institute, Royal Melbourne Hospital, Parkville, PO Box 2127, VIC, 3050, Australia.
Janie ThompsonContinence Health Australia, Surrey Hills, VIC, Australia.
Julie WestawayDarling Downs Hospital and Health Service, Toowoomba, QLD, Australia.
Wendy BowerContinence Health Australia, Surrey Hills, VIC, Australia.
Juliana ChristinaCaring Futures Institute, Flinders University, Adelaide, SA, Australia.
Alan ZanaSchool of Nursing, Midwifery and Social Sciences, Central Queensland University, Toowoomba, QLD, Australia.
Frances BatchelorNational Ageing Research Institute, Royal Melbourne Hospital, Parkville, PO Box 2127, VIC, 3050, Australia.

Funding

Medical Research Future Fund (MRFF) MRFF2023825
6 · The paper itself

Abstract

backgroundIndwelling urinary catheters (IDCs) are used by approximately 8% of Australian aged care residents. IDC use is often warranted but entails numerous risks, particularly if used longterm. Risks include catheter-associated urinary tract infections, catheter blockage, catheter leakage, bladder spasm, pain, urethral trauma and haematuria, and increased risk of hospitalisation. The Royal Commission into Aged Care Quality and Safety identified poor quality, unsafe practices related to IDCs in aged care homes. Enhancing the knowledge, confidence, and skills of aged care staff to deliver catheter care for residents with IDCs is fundamentally important. The IDC-IMPROVE project is supporting aged care providers to meet the care needs of people with IDCs in Australian aged care homes, by designing and validating a suite of resources titled the IDC-IMPROVE Catheter Care Bundle.

aimsThis study aims to establish the feasibility of conducting a definitive randomised control trial to evaluate the effects of the IDC-IMPROVE Catheter Care Bundle in aged care homes in Australia.

methodA multi-centre, facility-level clustered randomised control (cRCT) feasibility trial in 24 aged care homes across Victoria, Queensland, and South Australia. Twelve homes will receive the intervention and 12 will continue usual care. The IDC-IMPROVE Catheter Care Bundle intervention comprises principles for person-centred catheter care, online training for nurses and personal care workers, a practical skills workshop for nurses, a toolkit for managers, and an evidence-to-practice support model. The feasibility of the intervention will be assessed through a mix of qualitative and quantitative methods, including surveys, interviews, and audits. Feasibility outcomes are: (i) The acceptability of the Bundle, (ii) The fidelity of the implementation, (iii) The compatibility of the Bundle with standard aged care home IDC care. DISCUSSION: By enhancing the knowledge, confidence and skills of the aged care workforce, IDCIMPROVE aims to reduce IDC-related complications. This study will provide insights into the acceptability and implementation of the intervention, informing future large-scale trials and potential policy changes. ETHICS: The study has been approved by Austin Health Human Research Ethics Committee (reg: HREC/107165/Austin-2024) and is registered on the Australian New Zealand Clinical Trials Registry (reg: ACTRN12624001178538p).

Identifiers

PMID41107956
PMCPMC12532438

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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.