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document
Cost effectiveness of training incontinent elderly in nursing homes : a randomized clinical trial . This study used a randomized clinical trial with 133 incontinent elderly in seven nursing homes to evaluate the effectiveness of a behavioral training therapy and its cost implications . The training program lasted three months , and a 22-week follow-up period examined the durability of the treatment effect . The therapy became effective after six weeks of training . By the final months of training , the treatment participants ' wet episodes had been reduced by 0.6 episode per day , or a 26 percent reduction over baseline , and improvement was maintained during the follow-up period . Trainees with a high frequency of incontinence during baseline , relatively more cognitive residents , and residents with a normal bladder capacity responded better to this behavioral program . The cost of training was the equivalent of about one hour of nursing aide time per patient day . The reduction in incontinence during the follow-up period resulted in some small savings in laundry costs and supplies used , and some quantitatively unmeasurable but detectable improvement in psychosocial well-being among the trainees . Since the central figure in implementing this training protocol is the nursing aide , it is important to find an organizational management scheme that will stimulate nursing aides to reduce incontinence among nursing home residents .
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Intervention_Psychological
behavioral training therapy
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Intervention_Educational
behavioral program
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Outcome_Other
effectiveness
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Outcome_Physical
wet episodes
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Outcome_Other
cost of training
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Outcome_Physical
incontinence
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Outcome_Other
small savings in laundry costs and supplies used
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Outcome_Mental
improvement in psychosocial well-being
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Participant_Condition
incontinent
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Participant_Age
elderly
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Participant_Condition
in nursing homes :
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Participant_Condition
incontinent
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Participant_Age
elderly
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Participant_Condition
incontinence