Research poster
Can Technology-Assisted Toilets Improve Quality of Life for Rehabilitating Stroke Patients? A Pilot Cohort Study

https://doi.org/10.1016/j.apmr.2015.08.101Get rights and content

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Objective(s)

To investigate whether technology-assisted toilets (TATs, toilets that clean the user with a stream of water) clean effectively and improve the quality of life of rehabilitating stroke patients.

Design

Cohort study.

Setting

Stroke rehabilitation in- and outpatient units at a university-affiliated hospital in Ontario, Canada.

Participants

Fifteen inpatients, 2 outpatients and 12 stroke rehabilitation health care professionals (HCPs).

Interventions

Participants used a TAT for a bowel movement on up to 3 occasions. After each session they completed the Psychosocial Impact of Assistive Devices Scale (PIADS, a valid published instrument) to evaluate their experiences and were visually inspected for cleanliness by a registered nurse. Participants who did not have a bowel movement tried the cleaning functions and completed the questionnaires but were not inspected for cleanliness. Participants also rated their regular toileting routine with

Main Outcome Measure(s)

Participants’ subjective experiences, evaluated with the PIADS with additional toileting-specific questions; skin hygiene after TAT use, assessed with a cleanliness scale (0–3) designed for the study.

Results

Participants' PIADS scores were higher with the TAT than with their regular toileting routine (p < 0.04). HCPs’ PIADS scores were high but were lower than participants’ scores. TATs cleaned effectively in almost all cases.

Conclusions

In this population, TATs provided adequate toileting hygiene and enhanced participants’ quality of life compared with standard toileting. Health care decision-makers should consider providing TATs to rehabilitating stroke patients.

Key Words

Assistive devices, Rehabilitation, Stroke, Technology, Toileting

Disclosure(s)

None Disclosed.

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