Indwelling catheter patient experiences and the potential usability and acceptance of the T-Control® prototype urinary catheter

Abstract

The aim of this study was to analyse the experience of users of indwelling bladder catheters and evaluate the anticipated usability of a prototype of the T-Control® urinary catheter (without being inserted) by patients who were able to compare the differences between the T-Control® prototype and other urinary catheters and urinary catheter accessories. A qualitative study was conducted with people who had lived with an indwelling urinary catheter for at least 1 week. Two user-centred design techniques were applied: patient experience trajectory map and Think Aloud, a method where the participants were able to express their previous experiences, expectations and preferences while manipulating the devices. The experiential trajectory was collected based on a semi-structured following interviews. Participants were able to manipulate the new T-Control® and, based on their previous experiences, compare the potential usability of T-control® with Foley-type catheter and its accessories All the participants stated that they had experienced negative emotions concerning bladder catheterisation during the trajectory of use, from the initial prescription and adaptation to the follow-up, and the forced life changes that a permanent catheterisation implies. The most frequent emotions were rejection and sadness. The new T-Control® device could potentially improve the patient experience, as all participants perceived advantages related to the closure system, ease of use, safety and discretion. Participants also noted its closure system as an advantage and highlighted its ease of use, although one-handed operation required some learning. Catheters currently on the market are functional, but some patients do not always have a satisfactory experience. This might negatively affect their quality of life, so there is a wide market opportunity for new devices that improve clinical and psychological care. Based on patient evaluation, the new T-Control® device with a built-in valve could provide benefits for patients.