TY - JOUR
T1 - Feasibility of an automated bidet intervention to decrease caregiver Burden
AU - Bollinger, Rebecca
AU - Somerville, Emily
AU - Keglovits, Marian
AU - Hu, Yi Ling
AU - Stark, Susan
N1 - Funding Information:
We thank the caregivers and care recipients for participating in this study. This work was supported by TOTO USA, Inc. Information from this study was presented at the 2018 AOTA Annual Conference & Expo on April 20, 2018, in Salt Lake City, UT. This study is registered with ClinicalTrials.gov (NCT04283123).
Publisher Copyright:
© 2021 American Occupational Therapy Association, Inc. All rights reserved.
PY - 2021/10
Y1 - 2021/10
N2 - Importance: Informal caregivers often receive limited training and support, especially in providing assistance with toileting, a physically and emotionally demanding activity of daily living. This increases caregivers' risk for physical injury and burnout and jeopardizes older adults' ability to age in place. Objective: To assess the feasibility, acceptability, and preliminary efficacy of a toileting intervention using an automated bidet to reduce the amount of physical assistance required from caregivers. Design: Randomized wait-list control feasibility study. Setting: Caregiver's home. Participants: Ten informal caregivers. Intervention: An occupational therapy intervention to educate and train caregiving dyads to use an automated bidet system. Outcomes and Measures: Feasibility was measured in terms of recruitment and retention, bidet installation, ability to operate the bidet, acceptability (a process evaluation), preliminary efficacy (physical barriers and impact on caregiver outcomes of performance, satisfaction, and self-efficacy), and adverse events. Results: All bidets were installed successfully. All caregivers reported that the intervention made toileting easier and increased their confidence. Physical barriers decreased for the treatment group. The bidet had a large effect on self-efficacy for the treatment group. Conclusions and Relevance: The results suggest that the automated bidet intervention is feasible and acceptable and can have a positive impact on caregiver outcomes when assisting with toileting. What This Article Adds: A toileting intervention using an automated bidet is feasible and acceptable for caregivers of older adults and can reduce the amount of physical assistance required from caregivers.
AB - Importance: Informal caregivers often receive limited training and support, especially in providing assistance with toileting, a physically and emotionally demanding activity of daily living. This increases caregivers' risk for physical injury and burnout and jeopardizes older adults' ability to age in place. Objective: To assess the feasibility, acceptability, and preliminary efficacy of a toileting intervention using an automated bidet to reduce the amount of physical assistance required from caregivers. Design: Randomized wait-list control feasibility study. Setting: Caregiver's home. Participants: Ten informal caregivers. Intervention: An occupational therapy intervention to educate and train caregiving dyads to use an automated bidet system. Outcomes and Measures: Feasibility was measured in terms of recruitment and retention, bidet installation, ability to operate the bidet, acceptability (a process evaluation), preliminary efficacy (physical barriers and impact on caregiver outcomes of performance, satisfaction, and self-efficacy), and adverse events. Results: All bidets were installed successfully. All caregivers reported that the intervention made toileting easier and increased their confidence. Physical barriers decreased for the treatment group. The bidet had a large effect on self-efficacy for the treatment group. Conclusions and Relevance: The results suggest that the automated bidet intervention is feasible and acceptable and can have a positive impact on caregiver outcomes when assisting with toileting. What This Article Adds: A toileting intervention using an automated bidet is feasible and acceptable for caregivers of older adults and can reduce the amount of physical assistance required from caregivers.
UR - http://www.scopus.com/inward/record.url?scp=85114110999&partnerID=8YFLogxK
U2 - 10.5014/AJOT.2021.043919
DO - 10.5014/AJOT.2021.043919
M3 - Article
C2 - 34780632
AN - SCOPUS:85114110999
SN - 0272-9490
VL - 75
JO - American Journal of Occupational Therapy
JF - American Journal of Occupational Therapy
IS - 5
M1 - 7505345020
ER -