Optimal continence care in long-term care settings is challenged by limited insight into individual voiding patterns. TENA Identifi is a digital, three day assessment tool that measures urine leakage and voiding volumes through sensor technology embedded in absorbent products. This study evaluates the impact of pre  and post assessment product fitting and care routines supported by TENA Identifi across multiple care settings in the Netherlands.

Between July 2022 and January 2026, data was collected from 801 residents across 42 Dutch long-term care and disability care organizations. Caregivers completed a pre assessment questionnaire on current continence routines and product use. After three days of TENA Identifi monitoring, an automated individualized report advised optimized product selection and care routines. Afterwards, new products and routines were implemented, followed by a four week post assessment evaluation. Quantitative outcomes and qualitative feedback were entered by caregivers into a digital dashboard.

Among care recipients, average weekly leakages decreased by 52%, successful toilet visits increased by 32%, unnecessary toilet visits decreased by 22%, and 39% of residents showed improved sleep quality. Caregivers reported a 21% reduction in unnecessary product changes, saving 14 minutes per resident per day, and 43% experienced reduced workload. Facilities observed 28% lower product costs, 18% less time spent on continence care, and a 29% reduction in CO₂ impact due to optimized product use and reduced waste.

The results indicate that digital continence assessment with TENA Identifi can substantially improve continence outcomes by providing objective insight into individual voiding patterns. Reductions in leakage, unnecessary toilet visits, and nighttime disturbances suggest that more accurate product selection and tailored care routines translate directly into better resident comfort and quality of life. At the same time, fewer product changes, reduced workload, and lower material use demonstrate that data‑driven continence management supports more sustainable and resource‑efficient care delivery. Variation across sites highlights that the magnitude of benefit is influenced by staff adherence to recommended routines and organizational readiness for digital implementation.

Digital continence assessment using TENA Identifi supports more individualized, efficient, and sustainable continence care. Outcomes depend on caregiver engagement and consistent data input, highlighting the importance of implementation quality.