Hypothesis / aims of study
Delivery of high-quality continence care to of continuing residents remains challenging. Check and change regimens may lead to inappropriate pad checks and changes & sleep disruption. The application of technology devices, like urine saturation sensors in pads, may aid appropriate pad use and ensure timely change, but there are few data on the utility of such devices. As part of a clinical trial, this qualitative substudy examined staff impressions of the use of a digital health device for residents with urine incontinence.
Study design, materials and methods
Staff who were trained on the digital health technology and used it during the study intervention were invited to participate in a qualitative interview to share their experiences. Written informed consent was obtained. Interviews were conducted using a semi-structured interview which assessed initial impressions of the device, training offered, experiences and challenges in using the device, and benefits and limitations of the device in delivery of continence care. Interviews were conducted over Zoom or in person. Each was recorded, transcribed and deidentified for analysis. Data were analysed using a conventional content analysis approach (1). Two researchers independently coded two transcripts to develop a coding framework, then met to compare codes and develop the initial coding framework. Remaining transcripts were coded by a single researcher with joint review of any new codes. Codes were collapsed into categories and then into themes.
Interpretation of results
Overall, staff felt the device had more advantages than disadvantages. They found utility in care delivery and felt that use improved resident outcomes but required change in work practices for successful implementation.