Persons with mild or moderate Alzheimer's disease learn to use urine alarms and prompts to avoid large urinary accidents
► Patients with Alzheimer's disease avoided large urinary accidents using urine alarms and caregivers’ prompts. ► Self-initiated toileting varied from one-third to three-thirds of the patients’ actions during intervention. ► Caregivers rated a toileting program relying on urine alarms preferabl...
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| Veröffentlicht in: | Research in developmental disabilities 2011-09, Vol.32 (5), p.1998-2004 |
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| container_title | Research in developmental disabilities |
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| creator | Lancioni, Giulio E. Singh, Nirbhay N. O’Reilly, Mark F. Sigafoos, Jeff Bosco, Andrea Zonno, Nadia Badagliacca, Francesco |
| description | ► Patients with Alzheimer's disease avoided large urinary accidents using urine alarms and caregivers’ prompts. ► Self-initiated toileting varied from one-third to three-thirds of the patients’ actions during intervention. ► Caregivers rated a toileting program relying on urine alarms preferable to the use of timed toileting.
This study assessed whether three patients with Alzheimer's disease could learn to use urine alarms and caregivers’ prompts to eliminate large urinary accidents. As soon as the patient began to release urine, the alarm system presented auditory and vibratory signals. In relation to those signals, the caregiver would prompt/encourage the patient to stop urinating and accompany him or her to the toilet to void. After urination, the caregiver provided the patient positive social attention. The results of the intervention showed that the use of the alarm system and caregivers’ prompts was effective in helping the three patients reduce their large urinary accidents to zero or near zero levels. Self-initiated toileting, which was minimal during baseline, accounted for nearly 35%, 50% and 75% of the patients’ toileting occasions during the intervention. Fifty-two caregivers, who participated in a social validation assessment of toileting approaches relying on alarm systems or timed toileting, seemed to find the former preferable for the patients, for the context, as well as for themselves. The implications of the findings for daily programs of patients with Alzheimer's disease and other dementias are discussed. |
| doi_str_mv | 10.1016/j.ridd.2011.04.011 |
| format | Article |
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This study assessed whether three patients with Alzheimer's disease could learn to use urine alarms and caregivers’ prompts to eliminate large urinary accidents. As soon as the patient began to release urine, the alarm system presented auditory and vibratory signals. In relation to those signals, the caregiver would prompt/encourage the patient to stop urinating and accompany him or her to the toilet to void. After urination, the caregiver provided the patient positive social attention. The results of the intervention showed that the use of the alarm system and caregivers’ prompts was effective in helping the three patients reduce their large urinary accidents to zero or near zero levels. Self-initiated toileting, which was minimal during baseline, accounted for nearly 35%, 50% and 75% of the patients’ toileting occasions during the intervention. Fifty-two caregivers, who participated in a social validation assessment of toileting approaches relying on alarm systems or timed toileting, seemed to find the former preferable for the patients, for the context, as well as for themselves. The implications of the findings for daily programs of patients with Alzheimer's disease and other dementias are discussed.</description><identifier>ISSN: 0891-4222</identifier><identifier>EISSN: 1873-3379</identifier><identifier>DOI: 10.1016/j.ridd.2011.04.011</identifier><identifier>PMID: 21571500</identifier><identifier>CODEN: RDDIEF</identifier><language>eng</language><publisher>Amsterdam: Elsevier Ltd</publisher><subject>Accidents ; Aged, 80 and over ; Alarms ; Alzheimer Disease - rehabilitation ; Alzheimer's disease ; Alzheimers Disease ; Behavior Therapy - methods ; Biological and medical sciences ; Caregivers ; Carers ; Clinical Alarms ; Cues ; Female ; Humans ; Learning ; Male ; Medical sciences ; Patients ; Positive Reinforcement ; Prompting ; Prompts ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Reeducation. Readaptation. Sociotherapy ; Self Efficacy ; Self-initiated toileting ; Sensory Aids ; Severity of Illness Index ; Signals ; Toilet Training ; Treatments ; Urinary accidents ; Urinary alarms ; Urinary Incontinence - prevention & control ; Urinary Incontinence - rehabilitation ; Urine</subject><ispartof>Research in developmental disabilities, 2011-09, Vol.32 (5), p.1998-2004</ispartof><rights>2011 Elsevier Ltd</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-3873acda401381a4c16e4a9f775ef77ffa6d903b32956363264bc7db8ec7368e3</citedby><cites>FETCH-LOGICAL-c439t-3873acda401381a4c16e4a9f775ef77ffa6d903b32956363264bc7db8ec7368e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ridd.2011.04.011$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,30999,45994</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ928763$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24420768$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21571500$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lancioni, Giulio E.</creatorcontrib><creatorcontrib>Singh, Nirbhay N.</creatorcontrib><creatorcontrib>O’Reilly, Mark F.</creatorcontrib><creatorcontrib>Sigafoos, Jeff</creatorcontrib><creatorcontrib>Bosco, Andrea</creatorcontrib><creatorcontrib>Zonno, Nadia</creatorcontrib><creatorcontrib>Badagliacca, Francesco</creatorcontrib><title>Persons with mild or moderate Alzheimer's disease learn to use urine alarms and prompts to avoid large urinary accidents</title><title>Research in developmental disabilities</title><addtitle>Res Dev Disabil</addtitle><description>► Patients with Alzheimer's disease avoided large urinary accidents using urine alarms and caregivers’ prompts. ► Self-initiated toileting varied from one-third to three-thirds of the patients’ actions during intervention. ► Caregivers rated a toileting program relying on urine alarms preferable to the use of timed toileting.
This study assessed whether three patients with Alzheimer's disease could learn to use urine alarms and caregivers’ prompts to eliminate large urinary accidents. As soon as the patient began to release urine, the alarm system presented auditory and vibratory signals. In relation to those signals, the caregiver would prompt/encourage the patient to stop urinating and accompany him or her to the toilet to void. After urination, the caregiver provided the patient positive social attention. The results of the intervention showed that the use of the alarm system and caregivers’ prompts was effective in helping the three patients reduce their large urinary accidents to zero or near zero levels. Self-initiated toileting, which was minimal during baseline, accounted for nearly 35%, 50% and 75% of the patients’ toileting occasions during the intervention. Fifty-two caregivers, who participated in a social validation assessment of toileting approaches relying on alarm systems or timed toileting, seemed to find the former preferable for the patients, for the context, as well as for themselves. The implications of the findings for daily programs of patients with Alzheimer's disease and other dementias are discussed.</description><subject>Accidents</subject><subject>Aged, 80 and over</subject><subject>Alarms</subject><subject>Alzheimer Disease - rehabilitation</subject><subject>Alzheimer's disease</subject><subject>Alzheimers Disease</subject><subject>Behavior Therapy - methods</subject><subject>Biological and medical sciences</subject><subject>Caregivers</subject><subject>Carers</subject><subject>Clinical Alarms</subject><subject>Cues</subject><subject>Female</subject><subject>Humans</subject><subject>Learning</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Patients</subject><subject>Positive Reinforcement</subject><subject>Prompting</subject><subject>Prompts</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Reeducation. Readaptation. Sociotherapy</subject><subject>Self Efficacy</subject><subject>Self-initiated toileting</subject><subject>Sensory Aids</subject><subject>Severity of Illness Index</subject><subject>Signals</subject><subject>Toilet Training</subject><subject>Treatments</subject><subject>Urinary accidents</subject><subject>Urinary alarms</subject><subject>Urinary Incontinence - prevention & control</subject><subject>Urinary Incontinence - rehabilitation</subject><subject>Urine</subject><issn>0891-4222</issn><issn>1873-3379</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp9kU1v1DAQhi0EokvhDyCEfEHlkuCv2InEparKlyrBAc6W155Qr5J48SSF9tfjaJdyqyx5NHqfGc3MS8hLzmrOuH63q3MMoRaM85qpuoRHZMNbIyspTfeYbFjb8UoJIU7IM8QdY9yU95ScCN4Y3jC2IX--QcY0If0d52s6xiHQlOmYAmQ3Az0f7q4hjpDPkIaI4BDoAC5PdE50KcmS4wTUDS6PSN0U6D6ncT_jqrubFAMt0s8D5_Itdd7HANOMz8mT3g0IL47xlPz4cPn94lN19fXj54vzq8or2c2VLOs4H5xiXLbcKc81KNf1xjRQvr53OnRMbqXoGi21FFptvQnbFryRugV5Ss4OfctgvxbA2Y4RPQyDmyAtaFsjGqHLpQr59kGSMyFZx42RBRUH1OeEmKG3-xzHsl-B7OqN3dnVG7t6Y5myJZSi18f-y3aEcF_yz4wCvDkCDr0b-uwmH_E_p5RgRreFe3XgIEd_L19-6URr9Drc-6NcznoTIVv0ESYPIWbwsw0pPjTmX6aitp4</recordid><startdate>20110901</startdate><enddate>20110901</enddate><creator>Lancioni, Giulio E.</creator><creator>Singh, Nirbhay N.</creator><creator>O’Reilly, Mark F.</creator><creator>Sigafoos, Jeff</creator><creator>Bosco, Andrea</creator><creator>Zonno, Nadia</creator><creator>Badagliacca, Francesco</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>20110901</creationdate><title>Persons with mild or moderate Alzheimer's disease learn to use urine alarms and prompts to avoid large urinary accidents</title><author>Lancioni, Giulio E. ; Singh, Nirbhay N. ; O’Reilly, Mark F. ; Sigafoos, Jeff ; Bosco, Andrea ; Zonno, Nadia ; Badagliacca, Francesco</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-3873acda401381a4c16e4a9f775ef77ffa6d903b32956363264bc7db8ec7368e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Accidents</topic><topic>Aged, 80 and over</topic><topic>Alarms</topic><topic>Alzheimer Disease - rehabilitation</topic><topic>Alzheimer's disease</topic><topic>Alzheimers Disease</topic><topic>Behavior Therapy - methods</topic><topic>Biological and medical sciences</topic><topic>Caregivers</topic><topic>Carers</topic><topic>Clinical Alarms</topic><topic>Cues</topic><topic>Female</topic><topic>Humans</topic><topic>Learning</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Patients</topic><topic>Positive Reinforcement</topic><topic>Prompting</topic><topic>Prompts</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Reeducation. Readaptation. Sociotherapy</topic><topic>Self Efficacy</topic><topic>Self-initiated toileting</topic><topic>Sensory Aids</topic><topic>Severity of Illness Index</topic><topic>Signals</topic><topic>Toilet Training</topic><topic>Treatments</topic><topic>Urinary accidents</topic><topic>Urinary alarms</topic><topic>Urinary Incontinence - prevention & control</topic><topic>Urinary Incontinence - rehabilitation</topic><topic>Urine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lancioni, Giulio E.</creatorcontrib><creatorcontrib>Singh, Nirbhay N.</creatorcontrib><creatorcontrib>O’Reilly, Mark F.</creatorcontrib><creatorcontrib>Sigafoos, Jeff</creatorcontrib><creatorcontrib>Bosco, Andrea</creatorcontrib><creatorcontrib>Zonno, Nadia</creatorcontrib><creatorcontrib>Badagliacca, Francesco</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Research in developmental disabilities</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lancioni, Giulio E.</au><au>Singh, Nirbhay N.</au><au>O’Reilly, Mark F.</au><au>Sigafoos, Jeff</au><au>Bosco, Andrea</au><au>Zonno, Nadia</au><au>Badagliacca, Francesco</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ928763</ericid><atitle>Persons with mild or moderate Alzheimer's disease learn to use urine alarms and prompts to avoid large urinary accidents</atitle><jtitle>Research in developmental disabilities</jtitle><addtitle>Res Dev Disabil</addtitle><date>2011-09-01</date><risdate>2011</risdate><volume>32</volume><issue>5</issue><spage>1998</spage><epage>2004</epage><pages>1998-2004</pages><issn>0891-4222</issn><eissn>1873-3379</eissn><coden>RDDIEF</coden><abstract>► Patients with Alzheimer's disease avoided large urinary accidents using urine alarms and caregivers’ prompts. ► Self-initiated toileting varied from one-third to three-thirds of the patients’ actions during intervention. ► Caregivers rated a toileting program relying on urine alarms preferable to the use of timed toileting.
This study assessed whether three patients with Alzheimer's disease could learn to use urine alarms and caregivers’ prompts to eliminate large urinary accidents. As soon as the patient began to release urine, the alarm system presented auditory and vibratory signals. In relation to those signals, the caregiver would prompt/encourage the patient to stop urinating and accompany him or her to the toilet to void. After urination, the caregiver provided the patient positive social attention. The results of the intervention showed that the use of the alarm system and caregivers’ prompts was effective in helping the three patients reduce their large urinary accidents to zero or near zero levels. Self-initiated toileting, which was minimal during baseline, accounted for nearly 35%, 50% and 75% of the patients’ toileting occasions during the intervention. Fifty-two caregivers, who participated in a social validation assessment of toileting approaches relying on alarm systems or timed toileting, seemed to find the former preferable for the patients, for the context, as well as for themselves. The implications of the findings for daily programs of patients with Alzheimer's disease and other dementias are discussed.</abstract><cop>Amsterdam</cop><pub>Elsevier Ltd</pub><pmid>21571500</pmid><doi>10.1016/j.ridd.2011.04.011</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Research in developmental disabilities, 2011-09, Vol.32 (5), p.1998-2004 |
| issn | 0891-4222 1873-3379 |
| language | eng |
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| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); ScienceDirect Journals (5 years ago - present) |
| subjects | Accidents Aged, 80 and over Alarms Alzheimer Disease - rehabilitation Alzheimer's disease Alzheimers Disease Behavior Therapy - methods Biological and medical sciences Caregivers Carers Clinical Alarms Cues Female Humans Learning Male Medical sciences Patients Positive Reinforcement Prompting Prompts Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Reeducation. Readaptation. Sociotherapy Self Efficacy Self-initiated toileting Sensory Aids Severity of Illness Index Signals Toilet Training Treatments Urinary accidents Urinary alarms Urinary Incontinence - prevention & control Urinary Incontinence - rehabilitation Urine |
| title | Persons with mild or moderate Alzheimer's disease learn to use urine alarms and prompts to avoid large urinary accidents |
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