Improving Self-Efficacy and Self-Care in Adult Patients With a Urinary Diversion: A Pilot Study.

Overview

PURPOSE/OBJECTIVES: To evaluate the feasibility and acceptability of a multimodality educational intervention for improving self-efficacy (SE) and self-care in patients with a new urinary diversion (UD). . DESIGN: Two-arm randomized, controlled trial. . SETTING: Academic medical center in New York. . SAMPLE: 8 adults diagnosed with bladder cancer requiring UD. . METHODS: A multimodality educational intervention consisting of video, Microsoft PowerPoint® slides, and medical illustrations was developed. SE was assessed pre- and postintervention related to care of the UD. Education scale scores provided evidence for intervention acceptability and assessment of UD self-care skills. . MAIN RESEARCH VARIABLES: Feasibility, acceptability, results of SE, and self-care scales. . FINDINGS: Enrollment and retention was 100%. All participants took part in every aspect of the study. No issues were apparent with administration of the study; however, a lack of self-care independence was noted between the study arms. The control group was younger in age than the intervention group. . CONCLUSIONS: A supplemental multimethod educational intervention is acceptable in this population and feasible to integrate into hospital care or into an appropriately powered study. . IMPLICATIONS FOR NURSING: A need exists for ongoing postdischarge support and education in this population. Additional studies are needed to determine the best approach for this.