title: Feasibility of a Web-Based Self-management Intervention for Intermittent Urinary Catheter Users With Spinal Cord Injury.
abstract: OBJECTIVE
  The purpose of this study was to evaluate the feasibility of a new Web-based intermittent catheter self-management intervention.
  
  
  METHODS
  We tested the acceptability and usability of intervention components, which included multiple Web-based materials (an online urinary diary adapted for mobile phone use and an educational booklet), 3 phone calls with a nurse, and a peer-led discussion forum.
  
  
  METHODS
  Thirty adults with spinal cord injury using intermittent catheterization for bladder drainage were enrolled; 26 participants received the nurses' phone-based consultations.
  
  
  METHODS
  Preliminary effectiveness of new self-efficacy and self-management scales were evaluated using baseline and 3-month online surveys. Participants' perceived value of the intervention components, self-management changes, and suggestions were assessed with data from the 3-month surveys, followed by brief tape-recorded interviews.
  
  
  RESULTS
  Several catheter practices improved somewhat over 3 months. The frequency of catheterizations every 4 to 6 hours increased from 71% to 77%. Self-management of neurogenic bladder dysfunction increased significantly (P = .032); participant comments indicated that fluid intake was the biggest change. Catheter-related self-efficacy and quality-of-life scores increased but not significantly. The frequency of urinary tract infection and pain did not change significantly. For feasibility, intervention components, with the exception of the forum, were rated highly by the majority of participants for usefulness, satisfaction (desired information), and Web-based usability.
  
  
  CONCLUSIONS
  Further testing of this intervention is recommended in a multisite randomized clinical trial.
authors.affiliation: Mary H. Wilde, PhD, RN, School of Nursing, University of Rochester, Rochester, New York. James M. McMahon, PhD, School of Nursing, University of Rochester, Rochester, New York. Eileen Fairbanks, MS, PNP, RN, School of Nursing, University of Rochester, Rochester, New York. Judith Brasch, MS, RN, School of Nursing, University of Rochester, Rochester, New York. Robert Parshall, BS, School of Nursing, University of Rochester, Rochester, New York. Feng Zhang, MS, ANP, RN, School of Nursing, University of Rochester, Rochester, New York. Sarah Miner, MS, RN, School of Nursing, University of Rochester, Rochester, New York. Deborah Thayer, School of Nursing, University of Rochester, Rochester, New York. Dan Schneiderman, BS, School of Nursing, University of Rochester, Rochester, New York. Brian Harrington, MBA, BS, School of Nursing, University of Rochester, Rochester, New York.
authors.forename: Mary H
authors.initials: MH
authors.lastname: Wilde
authors.forename: James M
authors.initials: JM
authors.lastname: McMahon
authors.forename: Eileen
authors.initials: E
authors.lastname: Fairbanks
authors.forename: Judith
authors.initials: J
authors.lastname: Brasch
authors.forename: Robert
authors.initials: R
authors.lastname: Parshall
authors.forename: Feng
authors.initials: F
authors.lastname: Zhang
authors.forename: Sarah
authors.initials: S
authors.lastname: Miner
authors.forename: Deborah
authors.initials: D
authors.lastname: Thayer
authors.forename: Dan
authors.initials: D
authors.lastname: Schneiderman
authors.forename: Brian
authors.initials: B
authors.lastname: Harrington
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D057928:Intermittent Urethral Catheterization / Q000379:methods* / Q000592:standards / Q000706:statistics & numerical data; D020407:Internet; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods / Q000592:standards* / Q000706:statistics & numerical data; D036301:Qualitative Research; D012648:Self Care; D013119:Spinal Cord Injuries / Q000150:complications* / Q000628:therapy; D011795:Surveys and Questionnaires; D013663:Teaching / Q000592:standards; D014552:Urinary Tract Infections / Q000517:prevention & control