Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/27195
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dc.contributor.authorMcClurg, Doreenen_UK
dc.contributor.authorBugge, Carolen_UK
dc.contributor.authorElders, Andrewen_UK
dc.contributor.authorIrshad, Tasneemen_UK
dc.contributor.authorHagen, Suzanneen_UK
dc.contributor.authorMoore, Katherineen_UK
dc.contributor.authorBuckley, Brianen_UK
dc.contributor.authorFader, Mandyen_UK
dc.date.accessioned2018-05-16T23:15:05Z-
dc.date.available2018-05-16T23:15:05Z-
dc.date.issued2019-04-01en_UK
dc.identifier.urihttp://hdl.handle.net/1893/27195-
dc.description.abstractBackground:  Clean intermittent catheterisation (CIC) is often recommended for people with multiple sclerosis (MS).  Objective:  To determine the variables that affect continuation or discontinuation of the use of CIC.  Methods:  A three-part mixed-method study (prospective longitudinal cohort (n = 56), longitudinal qualitative interviews (n = 20) and retrospective survey (n = 456)) was undertaken, which identified the variables that influenced CIC continuation/discontinuation. The potential explanatory variables investigated in each study were the individual’s age, gender, social circumstances, number of urinary tract infections, bladder symptoms, presence of co-morbidity, stage of multiple sclerosis and years since diagnosis, as well as CIC teaching method and intensity.  Results:  For some people with MS the prospect of undertaking CIC is difficult and may take a period of time to accept before beginning the process of using CIC. Ongoing support from clinicians, support at home and a perceived improvement in symptoms such as nocturia were positive predictors of continuation. In many cases, the development of a urinary tract infection during the early stages of CIC use had a significant detrimental impact on continuation.  Conclusion:  Procedures for reducing the incidence of urinary tract infection during the learning period (i.e. when being taught and becoming competent) should be considered, as well as the development of a tool to aid identification of a person’s readiness to try CIC.en_UK
dc.language.isoenen_UK
dc.publisherSAGEen_UK
dc.relationMcClurg D, Bugge C, Elders A, Irshad T, Hagen S, Moore K, Buckley B & Fader M (2019) Factors affecting continuation of clean intermittent catheterisation in people with multiple sclerosis: Results of the COSMOS mixed-methods study. Multiple Sclerosis Journal, 25 (5), pp. 727-739. https://doi.org/10.1177/1352458518768722en_UK
dc.rightsMcClurg D, Bugge C, Elders A, Irshad T, Hagen S, Moore K, Buckley B & Fader M (2019) Factors affecting continuation of clean intermittent catheterisation in people with multiple sclerosis: Results of the COSMOS mixed-methods study, Multiple Sclerosis Journal, Volume 25, issue 5, pp. 727-739. Copyright © Authors 2018. Reprinted by permission of SAGE Publications.en_UK
dc.subjectQuality of lifeen_UK
dc.subjectrehabilitationen_UK
dc.subjectsymptomatic treatmenten_UK
dc.subjectCICen_UK
dc.titleFactors affecting continuation of clean intermittent catheterisation in people with multiple sclerosis: Results of the COSMOS mixed-methods studyen_UK
dc.typeJournal Articleen_UK
dc.identifier.doi10.1177/1352458518768722en_UK
dc.identifier.pmid29683042en_UK
dc.citation.jtitleMultiple Sclerosisen_UK
dc.citation.issn1477-0970en_UK
dc.citation.issn1352-4585en_UK
dc.citation.volume25en_UK
dc.citation.issue5en_UK
dc.citation.spage727en_UK
dc.citation.epage739en_UK
dc.citation.publicationstatusPublisheden_UK
dc.citation.peerreviewedRefereeden_UK
dc.type.statusAM - Accepted Manuscripten_UK
dc.citation.date23/04/2018en_UK
dc.contributor.affiliationGlasgow Caledonian Universityen_UK
dc.contributor.affiliationHealth Sciences Stirlingen_UK
dc.contributor.affiliationGlasgow Caledonian Universityen_UK
dc.contributor.affiliationGlasgow Caledonian Universityen_UK
dc.contributor.affiliationGlasgow Caledonian Universityen_UK
dc.contributor.affiliationUniversity of Albertaen_UK
dc.contributor.affiliationNational University of Ireland - Galwayen_UK
dc.contributor.affiliationUniversity of Southamptonen_UK
dc.identifier.isiWOS:000462663100014en_UK
dc.identifier.scopusid2-s2.0-85063649517en_UK
dc.identifier.wtid894573en_UK
dc.contributor.orcid0000-0002-4071-0803en_UK
dc.date.accepted2018-03-12en_UK
dc.description.refREF Compliant by Deposit in Stirling's Repositoryen_UK
dc.date.filedepositdate2018-05-02en_UK
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

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