A phase II exploratory cluster randomized controlled trial of a group mobility training and staff education intervention to promote urinary continence in UK care homes

Catherine M Sackley, Natalie A Rodriguez, Maayken van den Berg, Frances Badger, Christine Wright, Jelske Besemer, Katarina T V van Reeuwijk, Leontine van Wely

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Objectives: To assess feasibility, acceptability and potential efficacy of group exercise and staff education intervention to promote continence in older people residing in care homes. To establish measures and information to inform a larger trial.
Design: Phase II pilot exploratory cluster randomized controlled trial.
Setting: Six purposively selected care homes in the West Midlands, UK.
Subjects: Thirty-four care home residents (mean age 86, 29 female), 23 with cognitive impairments.
Intervention: Physiotherapy-led group exercise and staff continence and mobility facilitation training.
Main outcome measures: Reported continence status, Rivermead Mobility Index. Feasibility was assessed by uptake and compliance, and acceptability by verbal feedback. A staff knowledge questionnaire was used.
Results: Thirty-three residents, cluster sizes from 3 to 7. The number of residents agreeing with the statement `Do you ever leak any urine when you don't mean to?' in the intervention group decreased from 12/17 at baseline to 7/17 at six weeks in the intervention group and increased from 9/16 at baseline to 9/15 at six weeks. The Rivermead Mobility Index scores were better in the intervention group (n = 17; baseline: 6.1, six weeks: 6.2) compared with controls (n = 16; baseline: 5.9, six weeks: 4.75). The intervention was feasible, well received and had good compliance.
Conclusions: Group mobility training and staff education to promote continence is feasible and acceptable for use with care home residents, including those with cognitive impairment.
Original languageEnglish
Pages (from-to)714-721
Number of pages8
JournalClinical Rehabilitation
Issue number8
Publication statusPublished - Aug 2008


  • Mobility Limitation
  • Nurses' Aides
  • Exercise Therapy
  • Humans
  • Activities of Daily Living
  • Aged
  • Great Britain
  • Homes for the Aged
  • Urinary Incontinence, Stress
  • Inservice Training
  • Aged, 80 and over
  • Urinary Incontinence, Urge
  • Cluster Analysis
  • Nursing Homes
  • Female
  • Male

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