219 - Impact of catheter packaging features on confidence and discretion in Intermittent Self-Catheterization: Findings from the Continence Care Registry (ConCaRe™)
Notice bibliographique
Résumé
Hypothesis / aims of study The real-life experiences and challenges individuals face performing intermittent self-catheterization (ISC) remain underexplored. A deeper understanding of daily habits, usage patterns, and user perspectives is essential to improving clinical guidance and product design. Longitudinal data on ISC users can offer meaningful insights into their daily usage, habits, and experiences. This analysis aims to examine user perceptions of ease of use and discreetness associated with intermittent catheter products. Study design, materials and methods A descriptive analysis was completed using baseline self-reported data from 225 participants enrolled in the Continence Care Registry (ConCaRe™), a multinational, longitudinal study of individuals performing ISC. Participants were based in the United States (62%), Canada (14%), and the United Kingdom (24%). Data were collected via electronic questionnaires, including the Intermittent Self-Catheterization Questionnaire (ISC-Q), EuroQoL-5D, and the RAND-modified Medical Outcomes Study Social Support Survey. This analysis focused on responses to selected ISC-Q items and registry-specific questions related to product experience. Results There were 225 participants: 140 males, 83 females, and 2 non-binary individuals. Among female respondents, 89% reported having full ability to grasp objects, an important functional consideration for ISC use. A subgroup analysis was conducted on 47 females who reported primarily using compact intermittent catheters. Within this subgroup, 13 (28%) used a female compact catheter packaged in a polypropylene case featuring an integrated O-ring gasket, designed to reduce leakage and odor and allow for single-handed reclosure. The remaining 34 (72%) used compact catheters without these specialized packaging features. Outcomes assessed included confidence when away from home, ease of opening the catheter packaging, satisfaction with the amount of loose liquid, and perceptions of discreetness during use and disposal (Table 1). Interpretation of results Confidence when catheterizing away from home was notably higher among users of the female compact catheter packaged in a polypropylene case with an integrated O-ring gasket and single-handed reclosure. Among this group, 92% strongly agreed their catheter helped them feel confident, compared to 44% of the other compact catheter users. These users also reported more favorable experiences across several domains. For example, 92% strongly agreed they could use their catheter discreetly in public settings, compared to just 44% of users of other compact catheters. Similarly, 92% indicated they could dispose of their catheter discreetly, whereas only 56% of other compact catheter users reported the same. This is particularly relevant given that many public and workplace restrooms lack appropriate disposal facilities. [1] A re-closable catheter case that minimizes leakage and odor may enable users to delay disposal until more convenient conditions are available. In addition, 77% of users of the re-closable compact catheter found the packaging very easy to open, compared to 62% of other compact catheter users. A high degree of satisfaction with the amount of loose liquid in the packaging was also greater among this group (84% vs. 76%). These findings suggest that features such as easy package opening, secure containment, and discreet disposal may enhance user satisfaction and confidence, particularly when catheterizing away from home. This supports guideline recommendations to consider packaging design for patients with reduced dexterity, as overall usability plays a critical role in the catheterization experience. [2] Concluding message Patient-reported outcome measures provide valuable insight into the lived experiences of individuals performing ISC and can guide meaningful patient-clinician discussions, especially about quality of life. [3] While preliminary, these findings suggest that catheter packaging features, such as integrated gasket seals and single-handed reclosure, may enhance ease of use, confidence, and discretion, particularly away from home. Further research with larger, longitudinal samples is needed to assess the impact of design on usability over time, especially as dexterity changes. Thoughtful design may support informed catheter selection and improve the overall ISC experience and quality of life. Download: Download high-res image (108KB) Download: Download full-size image Figure 1 . Catheter discreetness and package perceptions Funding Hollister Incorporated Clinical Trial Yes Registration Number ClinicalTrials.gov; Identifier NCT04924569 RCT No Subjects Human Ethics Committee WIRB; IRB Study # 1304189 Helsinki Yes Informed Consent Yes
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,004 | 0,019 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».