Improving Self-Efficacy and Self-Care in Adult Patients With a Urinary Diversion: A Pilot Study.

The sample was very small: eight participants were enrolled and completed, so it cannot test whether the intervention works. It was a pilot study and not powered for hypothesis testing. Participants were mostly well-educated older adult men, and no women were enrolled. The sample lacked a substantial number of patients in one diversion category. Race was not recorded. The study lasted four months. The intervention was investigator-administered and not blinded. Self-efficacy was measured by self-report. No direct measure of feasibility was used. No validated self-care tool for continent diversion or validated self-efficacy scale for patients with a urinary diversion was available. No program evaluation tool or participant input in intervention development was used.

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Do not read this as evidence that a one-hour bedside education session improves self-efficacy or self-care. The trial was a very small pilot, and the intervention showed no evidence of change in self-efficacy (p = 0.125) or association with self-care independence (p = 0.4286).