OTOtherJournal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society2018

Rationale and Design of a Novel Method to Assess the Usability of Body-Worn Absorbent Incontinence Care Products by Caregivers.

Sophie Kanerva Rice, Leslie Pendrill, Niclas Petersson and 2 others

PMID 30188394

WHAT IT FOUND

A caregiver usability method scored pull-up products highest for standing changes (90%) and T-shaped briefs highest for lying changes (81%).

It used simulated patients and measured product changes, not real-patient outcomes.

Key findings

01The method was able to discriminate between the usability of different product types.

02In standing changes, the disposable pull-up product overall usability score was 90% (CI 83%-97%), better than the disposable T-shaped brief at 83% (CI 77%-89%), the disposable brief at 53% (CI 45%-61%), and the body-worn pads plus mesh briefs at 61% (CI 56%-66%).

03In lying changes, the disposable T-shaped brief overall usability score was 81% (CI 73%-89%), better than the disposable brief at 65% (CI 59%-71%) and the body-worn pads plus mesh briefs at 62% (CI 55%-69%).

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

The setting was a simulated laboratory, not a real home or nursing home, and the authors say the method needs validation in different care environments. Caregivers were experienced professional nursing-home caregivers familiar with the products, so results may not apply to family caregivers or less experienced staff. Simulated patients were passive and did not receive real skin care or product changes on real patients. Only one manufacturer's product types were tested, and no other manufacturer's products were included. Analysis included only changes performed in line with intended use, and the number of caregivers varied from 25 to 34 per product-posture combination. The method was a first application, and assumptions such as independence between metrics need further testing.

Declared interests

The supplied text says a cross-disciplinary group recruited by the product manufacturer SCA Hygiene Products AB and testing institute RISE Research Institutes of Sweden AB helped identify usability characteristics. Facilities were provided by Scandinfo Marketing Research AB. It does not give a separate funding or conflict-of-interest declaration.

The easy way to misread this

Do not read the 90% or 81% scores as proof that one product is better for patients. The study used simulated patients in a laboratory and measured caregiver product-change tasks, not real-patient clinical outcomes.

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The study

Participants
Between 25 and 34 caregivers per product-posture combination; 61 caregivers were asked to watch the video, and 43 did.
Certainty of evidence
Low

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Sophie Kanerva Rice, Leslie Pendrill, Niclas Petersson, et al. Rationale and Design of a Novel Method to Assess the Usability of Body-Worn Absorbent Incontinence Care Products by Caregivers. Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society. 2018.

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