Can Technology-Assisted Toilets Improve Hygiene and Independence in Geriatric Rehabilitation? A Cohort Study

NCT ID: NCT02518321

Last Updated: 2015-08-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-08-31

Study Completion Date

2016-03-31

Brief Summary

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Toileting is a private activity of daily living. Geriatric rehabilitation patients are often unable to toilet themselves independently, leading to embarrassment and loss of self-esteem. Relationships with their caregivers may also become strained. Furthermore, improper toileting hygiene can lead to skin irritation, breakdown and infection.

Technology-assisted toilets (TATs) clean and dry the anal and vaginal regions using a stream of water and a fan. They can therefore potentially eliminate the need for patients to be able to wipe themselves. TATs are operated using wall-mounted remote controls. This study will examine the potential benefits of TAT use in geriatric rehabilitation patients.

Forty patients aged ≥65 years referred for treatment of physical impairments to the Geriatric Rehabilitation Unit (GRU) of the Elisabeth Bruyère Hospital (EBH) will be recruited for this study. Participants will have a bowel movement on two occasions, once using toilet paper and once using the TAT. The Psychosocial Impact of Assistive Devices Scale (PIADS), a validated questionnaire, will be used to analyze participants' toileting experience. Participants will be visually evaluated for cleanliness before and after each testing session.

The investigators hypothesize that participants will report that, in comparison with use of a standard toilet, toileting using the TAT: 1) is easier to use, 2) improves psychological well-being and 3) is more effective at cleaning than regular wiping techniques.

Detailed Description

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Conditions

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Geriatric Rehabilitation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Standard Toileting First

This group will complete the standard toileting trial before the TAT toileting trial.

Group Type EXPERIMENTAL

Technology-Assisted Toileting

Intervention Type DEVICE

TAT Toileting First

This group will complete the TAT toileting trial before the standard toileting trial.

Group Type EXPERIMENTAL

Technology-Assisted Toileting

Intervention Type DEVICE

Interventions

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Technology-Assisted Toileting

Intervention Type DEVICE

Other Intervention Names

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bidet toilets smart toilets TOTO Washlet

Eligibility Criteria

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Inclusion Criteria

1. over the age of 65
2. inpatients at the EBH GRU
3. can communicate effectively in English or French
4. are able to remain balanced while sitting on a toilet
5. are able to physically use the remote control
6. are able to wipe themselves, but they do not need to be able to wipe themselves effectively

Exclusion Criteria

1. are cognitively unable to provide informed consent
2. are severely aphasic
3. are undergoing treatment that interferes with toileting
4. have any conditions that increase perineal sensitivity such as ulcers, wounds, or infections
5. require two people to assist them in transferring to and from the toilet
6. are under isolation precautions
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Ottawa

OTHER

Sponsor Role collaborator

Bruyère Academic Medical Organization

UNKNOWN

Sponsor Role collaborator

TOTO USA

UNKNOWN

Sponsor Role collaborator

Bruyère Health Research Institute.

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Hillel Finestone, MD

Role: PRINCIPAL_INVESTIGATOR

Bruyère Continuing Care, Bruyère Research Institute, Elisabeth Bruyère Hospital, University of Ottawa.

Central Contacts

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Hillel Finestone, MD

Role: CONTACT

(613) 562-6094

David Yachnin, BA

Role: CONTACT

6133149017

Other Identifiers

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M16-15-022

Identifier Type: -

Identifier Source: org_study_id

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