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Updated: Dec 31, 2025

Design to Implementation Study for Development and Patient Validation of Paper-Based Toehold Switch Diagnostics
Published on: June 17, 2022
Development of a Toileting and Containment Decision Support Tool
Paul van Houten1,2,3,4,5,6, Diane Newman1,2,3,4,5,6, Helle Wijk1,2,3,4,5,6
1Paul van Houten, MD, PhD, Zonnehuisgroep Amstelland, Amstelveen, The Netherlands.
Abstract:
A multidisciplinary international expert panel was convened to provide input for a proposed decision support tool. This tool will assist health care professionals who are not specialized in incontinence care to assess individuals with urinary and/or fecal incontinence and recommend appropriate person-centered management options for the home care and ambulatory community settings. A targeted literature review was complemented by a series of interviews with experts in continence management, followed by a practitioner survey and rounds of expert opinion. A set of factors for assessment were defined, along with questions created to identify and quantify the factors. In addition, a range of lifestyle intervention, toileting and containment strategies were identified that were appropriate for the decision support tool. Future steps required to progress this work to a functioning tool are described.
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