Effectiveness of diapers among people with chronic incontinence in Thailand

Teerawattananon, Yot, Anothaisintawee, Thunyarat, Tantivess, Sripen, Wattanadilokkul, Ubonwan, Krajaisri, Pranorn, Yotphumee, Sudarat, Wongviseskarn, Jaraspas, Tonmukayakul, Utsana and Khampang, Roongnapa 2015, Effectiveness of diapers among people with chronic incontinence in Thailand, International journal of technology assessment in health care, vol. 31, no. 4, pp. 249-255, doi: 10.1017/S0266462315000343.

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Title Effectiveness of diapers among people with chronic incontinence in Thailand
Author(s) Teerawattananon, Yot
Anothaisintawee, Thunyarat
Tantivess, Sripen
Wattanadilokkul, Ubonwan
Krajaisri, Pranorn
Yotphumee, Sudarat
Wongviseskarn, Jaraspas
Tonmukayakul, UtsanaORCID iD for Tonmukayakul, Utsana orcid.org/0000-0002-6464-744X
Khampang, Roongnapa
Journal name International journal of technology assessment in health care
Volume number 31
Issue number 4
Start page 249
End page 255
Total pages 7
Publisher Cambridge University Press
Place of publication Cambridge, Eng.
Publication date 2015-01
ISSN 0266-4623
Keyword(s) urinary incontinence
fecal incontinence
quality of life
Summary Objectives:
The aim of this study was to assess effect of adult diapers on health-related quality of life (HRQOL) and the independent level of performing activities of daily living (ADLs) in people with urinary or fecal incontinence. Psychological consequences of patients’ caregivers were also measured.
This quasi-experimental study was conducted at two rehabilitation centers in Thailand. People aged 15 years or greater with chronic urinary or fecal incontinence were
eligible. Study participants received adult diapers for 10 weeks after recruitment. Thai EuroQol Five Dimensions (EQ-5D) and the Barthel Index were measured at baseline and weeks
2, 6, and 10 to evaluate HRQOL and the independent level of performing ADLs, respectively. The Braden Scale was used to assess the risk of having pressure ulcers. Mean
differences in the Thai EQ-5D, the Barthel Index, and the Braden Scale, before and after receiving adult diapers, were estimated using a multilevel linear regression model.
There were ninety patients and forty-eight caregivers who took part in this study. HRQOL and independent level of performing ADLs had improved significantly by week 10
after receiving adult diapers with mean differences of 0.102 (95% confidence interval [CI], 0.046–0.158) and 4.40 (95% CI, 1.74–7.07), respectively. The risk of having
pressure ulcers had significantly decreased by 67 percent (95% CI, 16 percent–78 percent) by week 10 after receiving adult diapers.
The results indicate a significant improvement of HRQOL and the independent level of performing ADLs among incontinent patients after receiving adult diapers. These results were used to inform the development of the health benefits package under the Universal Health Coverage Scheme in Thailand.
Language eng
DOI 10.1017/S0266462315000343
Field of Research 1117 Public Health and Health Services
1402 Applied Economics
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Cambridge University Press
Persistent URL http://hdl.handle.net/10536/DRO/DU:30079364

Document type: Journal Article
Collections: Faculty of Health
School of Health and Social Development
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