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Urinary incontinence in stroke survivors - Development of a program theory.

AIMS AND OBJECTIVES
The aim of this study was to develop, in an inpatient rehabilitation setting, a program theory that promotes continence in people who have suffered a stroke.


BACKGROUND
Urinary incontinence in stroke survivors impacts the quality of life, rehabilitation outcomes and ultimately incurred costs of the patient. Different approaches are available for developing and testing complex interventions.


DESIGN
Building a research-based program theory.


METHODS
To elaborate the intervention, a guidance for developing a complex intervention for nursing was chosen and the sources that should be considered were defined. Subsequently, a research-based program theory was generated that was represented via a theoretical approach logic model. This study was guided by the Checklist for reporting theory of change in Public Health Interventions.


RESULTS
The intervention consists of six parts with three outcome chains on interconnected levels, which are oriented towards patients and nurses. The important aspects of the program theory are communication, individually tailored measures and the definition of interdisciplinary objectives.


CONCLUSION
Developing a program theory and representing it via a logic model helps clarify the initial intervention and ensures that implementation strategies are well thought out.


RELEVANCE TO CLINICAL PRACTICE
By employing detailed reflection and using previous research, it is expected that the intervention can be implemented successfully and its effectiveness can be investigated in more depth.