Clean Intermittent Catheterisation: factors for successful management

• Research type

  Research Study

• Full title

  Clean Intermittent Catheterisation: Exploration of factors that impact on successful CIC management for developing a new model of care to support Children and Families.

• IRAS ID

  223872

• Contact name

  Massimo Garriboli

• Contact email

  Massimo.Garriboli@gstt.nhs.uk

• Sponsor organisation

  Guy's & St Thomas' Foundation NHS Trust, R&D Department

• Duration of Study in the UK

  1 years, 5 months, 24 days

• Research summary

  Children born with conditions such as spina bifida and Posterior urethral valves (PUV) can have severe bladder dysfunction and develop kidney failure as a consequence. Part of the problem is that their bladders do not empty properly. The gold standard recommended treatment is Clean Intermittent Catheterisation (CIC) which involves the parent or child introducing a small plastic catheter into the urethra (or wee pipe) and bladder, allowing the bladder to drain and then removing it. In infants and small children this is performed by the parent and then usually by the child from school age.

  Introduction of CIC to parents, their children and families may generate anxiety, fear, discomfort, distaste and resistance and, ultimately, may reduce their overall quality of life. We aim to conduct a study inviting all parents of children who require CIC in our department, to evaluate the impact that catheterisation has on parents, children and their families, in order to identify their lived experience of CIC including the challenges and positive experiences.

  Through semi-structured interviews we will explore and evaluate CIC outcomes (including adherence) and using quality of life measures to evaluate the impact of CIC on family life. We will also ascertain whether there is a difference between different clinical groups:
  1. Children with spina bifida who usually do not have sensation of catheterisation and usually start when they are infants so grow up with the procedure
  2. Children with Posterior urethral valves who do have sensation and may start CIC at different ages
  3. Children with functional bladder problems who do have sensation and may use CIC for issues of continence

  Our goal is to develop a standardised model of care for the introduction and maintenance of CIC, developing effective guidelines to support families and ultimately improve their health and quality of life.

• REC name

  London - Fulham Research Ethics Committee

• REC reference

  17/LO/2086

• Date of REC Opinion

  29 Jan 2018

• REC opinion

  Further Information Favourable Opinion