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Urinary incontinence in stroke survivors – Development of a programme theory

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  • Myrta Kohler
  • Hanna Mayer
  • Jürg Kesselring
  • Susi Saxer

Abstract

Aims and objectives To develop, in an inpatient rehabilitation setting, a programme 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 programme 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 programme 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 programme theory are communication, individually tailored measures and the definition of interdisciplinary objectives. Conclusion Developing a programme theory and representing it via a logic model help clarify the initial intervention and ensure 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.

Suggested Citation

  • Myrta Kohler & Hanna Mayer & Jürg Kesselring & Susi Saxer, 2020. "Urinary incontinence in stroke survivors – Development of a programme theory," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(15-16), pages 3089-3096, August.
    • Handle: RePEc:wly:jocnur:v:29:y:2020:i:15-16:p:3089-3096
    DOI: 10.1111/jocn.15345
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    References listed on IDEAS

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    1. Chien-Ning Tseng & Guey-Shiun Huang & Po-Jui Yu & Meei-Fang Lou, 2015. "A Qualitative Study of Family Caregiver Experiences of Managing Incontinence in Stroke Survivors," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-12, June.
    2. Sridharan, Sanjeev & Jones, Bobby & Caudill, Barry & Nakaima, April, 2016. "Steps towards incorporating heterogeneities into program theory: A case study of a data-driven approach," Evaluation and Program Planning, Elsevier, vol. 58(C), pages 88-97.
    3. Margarita Corry & Mike Clarke & Alison E While & Joan Lalor, 2013. "Developing complex interventions for nursing: a critical review of key guidelines," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(17-18), pages 2366-2386, September.
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