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ELECtric Tibial nerve stimulation to Reduce Incontinence in Care homes: ELECTRIC

What is ELECTRIC?

Urinary incontinence (UI) is a distressing and embarrassing condition that occurs in around 70% of older people who live in nursing or residential care homes. It is common in those who have dementia and has a major impact on dignity and quality of life.

There is evidence from small-scale studies that transcutaneous posterior tibial nerve stimulation (TPTNS) is a safe and acceptable way to improve bladder problems. TPTNS involves placing two sticky pads (surface electrodes) on a person’s ankle and connecting these to a small, pocket sized electrical simulator. This sends an electric pulse to the nerve near the ankle which also controls the bladder and reduces the feeling of sudden urgency, giving more time to find a toilet. TPTNS also increases the volume of urine the bladder can hold, so it does not need to be emptied as often. Better quality evidence regarding the effectiveness of TPTNS on UI is needed before it is used for everyday treatment.


This study will test TPTNS, compared to sham treatment, in 500 people living in care homes who have UI and wear absorbent pads. Twelve treatments will be given over a six week period, each treatment lasting 30 minutes. Amount of urine leaked into pads over a 24 hour period will be measured after the six weeks and again after three and five months, to see if leakage is reduced. Participants will be asked about perceived bladder control, toilet use skills and quality of life. The opinions of close family members and care home staff about the impact of TPTNS will also be sought.

The cost of providing this treatment will be compared to the costs of usual continence care and pads, and the best ways to provide TPTNS treatment, long-term, will be explored with care home staff.
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Study news

Recruitment

245/500

Trial sites

Latest addition to sites:

The Conifers Nursing Home
Kepplegate residential care home
Pilling Nursing Home
Orchard Grove Residential Care Home

Where can I take part?

Care home 1 - coming soon

Key people:

Investigator:

  • PI Fname PI SName

Address:

Aberdeen Royal Infirmary
Foresterhill
Aberdeen
AB25 2ZN
Lillyburn Care Home

Key people:

Investigator:

  • Ms Clare Selbie

Address:

Birdston Road
Kirkintilloch
G66 8BY
Mosswood Care Home

Key people:

Investigator:

  • Ms Lesley Murtey

Address:

Moss Road
Paisley
PA3 3FA
New Thursby Nursing Care Home

Key people:

Investigator:

  • Ms Deborah Thompson

Address:

604 Clifton Drive North
Lytham St Annes
FY8 2RN
Stanely Park Care Home

Key people:

Investigator:

  • Ms Sue Kedley

Address:

35a Stanely Road
Paisley
Renfrewshire
PA2 6HJ
Priory Court Nursing Care Home

Key people:

Investigator:

  • Ms Samantha Pollitt

Address:

51 Clifton Drive
Lytham St Annes
FY8 1AL
St Georges Nursing Care Home

Key people:

Investigator:

  • Ms Tammy Faulkner

Address:

2 Marine Drive
Fairhaven
Lytham St Annes
Lancashire
FY8 5RQ
The Hamptons

Key people:

Investigator:

  • Ms Lorraine Disley

Address:

Main Drive
off Heyhouses Lane
Lytham St Annes
Lancashire
FY8 3FF
Stella Matutina

Key people:

Investigator:

  • Ms Janet Chandler

Address:

16 Clifton Drive
Ansdell
Lytham St Annes
Lancashire
FY8 5RQ
Ranfurly Care Home

Key people:

Investigator:

  • Ms Fiona Devine

Address:

Quarrelton Road
Johnstone
PA5 8NH
Craigielea Care Centre

Key people:

Investigator:

  • Ms Sheila Inshaw

Address:

French Street
Renfrew
PA4 8DG
Balquhidder House Care Home

Key people:

Investigator:

  • Ms Victoria Reilly

Address:

1 Charleston Way
Alexandria
G83 0TD
Templeton House Care Home

Key people:

Investigator:

  • Ms Katrina Thompson

Address:

40 Racecourse Road
Ayr
KA7 2UY
Windy Hall Nursing Home

Key people:

Investigator:

  • Ms Pauline Perratt

Address:

3 Southpark Road
Ayr
KA7 2TL
Campbell Snowdon House

Key people:

Investigator:

  • Mr Jim Melville

Address:

Quarriers Village
Bridge of Weir
PA11 3SX
Doonbank House Care Home

Key people:

Investigator:

  • Gail McClure

Address:

Ayr Road
Patna
Ayr
KA6 7JW
Burnfoot Care Home

Key people:

Investigator:

  • Ms Linda Cunningham

Address:

Ayr Road
Patna
Ayr
KA6 7JW
Glebe House Care Home

Key people:

Investigator:

  • Dana Gilchrist

Address:

Cummnock Road
Ayr
KA6 7PS
Cross and Passion Convent

Key people:

Investigator:

  • Ms Anna England

Address:

19 East Beach
Lytham St Annes
FY8 5EU
Mariners Court Care Home

Key people:

Investigator:

  • Ms Carolanne Kyle

Address:

44/46 Laidleys Walk
Fleetwood
FY7 7JL
Strathleven Care Home

Key people:

Investigator:

  • Ainsley Clark

Address:

30 Strathleven Place
Dumbarton
G82 1BA
Castle View Care Home

Key people:

Investigator:

  • Ms Margaret Wilson

Address:

200 Castlegreen Street
Dumbarton
West Dunbartonshire
G82 1JU
Woodside Care Home

Key people:

Investigator:

  • John Davidson

Address:

Quarrier's Village
Bridge of Weir
Inverclyde
PA11 3SA
The Willows Care Home

Key people:

Investigator:

  • Ms Tracey Otterman

Address:

397 Midgeland Road
Marton Moss
Blackpool
FY4 5ED
Larkfield View Care Centre

Key people:

Investigator:

  • Ms Elsie McLennan

Address:

207 Burns Road
Greenock
PA16 0PR
Orchard Grove Residential Care Home

Key people:

Investigator:

  • Ms Fiona Wells

Address:

19 Prospecthill Circus
Glasgow
G42 0NA
Pilling Nursing Home

Key people:

Investigator:

  • Ms Kirsty Miller

Address:

Smallwood Hey Road
Pilling
Preston
PR3 6HJ
Kepplegate residential care home

Key people:

Investigator:

  • Mr Adam Purcell

Address:

Sandy Lane
Preesall
Poulton-le-Fylde
Lancashire
FY6 0EJ
The Conifers Nursing Home

Key people:

Investigator:

  • Ms Karen Burns

Address:

Off Riverside Drive
Hambleton
Poulton-le-Fylde
Lancashire
FY6 9EP

Key contacts

Click on cards to find out more

Key facts about the study and documents

What is this study about?

What is this Trial about?

Bladder problems, including urine leakage (incontinence), are common in older people who live in a care home. There are not many options to treat the cause, so most older people who have urinary incontinence wear absorbent pads to catch the leakage. Transcutaneous posterior tibial nerve stimulation, also called TPTNS, is a new type of treatment which has helped many men and women to reduce their urinary leakage and improve their bladder problems.

However, this treatment has not been tested with older people who live in care homes. We want to investigate if TPTNS helps older people who live in care homes.

Who is funding the Trial?

This research is funded by the NHS National Institute for Health Research Evaluation, Trials and Studies Coordinating Centre, Health Technology Assessment programme (NETSCC HTA) (ref: 15/130/73). It is sponsored by Glasgow Caledonian University and includes experienced healthcare researchers from 6 universities, the NHS and the independent care home sector.

Who is eligible to take part in this trial?

The trial is open to male and female residents in Care Homes (residential and nursing) for older adults of all ages in England and Scotland who are experiencing urinary incontinence, including those with cognitive impairment.

How long is the Trial?

The Trial started in July 2017 and will run until June 2020.

Who should I contact for more information?

Prof Jo Booth
Email: jo.booth@gcal.ac.uk
Tel. 0141 331 8635

Catriona O’Dolan
Email: Catriona.odolan@gcu.ac.uk
Tel. 0141 331 8012

Organisation

The ELECTRIC study is funded by the National Institute for Health Research (NIHR) Health Technology Assessment (HTA) programme (project: 15/130/73) (Funding dates: 01/07/2017 – 30/06/2020) . For more information please visit www.nets.nihr.ac.uk.