Skip to main navigationSkip to main content
The University of Southampton
Health SciencesOur research

Research project: HTA 13/75 Managing Faecal Incontinence in people with advanced dementia resident in Care Homes, a realist synthesis of the evidence (FINCH)

Currently Active: 

The study will explain the effectiveness of programmes that aim to improve faecal incontinence (FI) in people with advanced dementia in care homes.

The objectives are to:

  • Identify which (elements of) the interventions could potentially be effective, how do they work, on what range of outcomes (i.e. organisational, resource use and patient level of care) and for whom (or why don’t they work)
  • Identify the barriers and facilitators to the acceptability, uptake, and implementation of interventions designed to address FI in people with advanced dementia resident in care homes
  • Establish what evidence there is on the relative feasibility and (where appropriate) cost of interventions to manage FI

Faecal incontinence (FI) is common in people with advanced dementia resident in care homes. It affects a person’s wellbeing and can lead to significant health problems. We know that careful attention to residents’ medication, diet, mobility and the use of incontinence aids can help to manage or reduce FI. However, knowing what interventions to reduce FI are likely to work best, when and in what situation is difficult because FI often has multiple causes, some of which are linked to the individual’s situation and some to how their care is organised. To optimise understanding of what is likely to be effective, there is a need to combine what we know about FI with what is also known about the best ways to support people with dementia and improving health care in care homes.

NHS Journal Library FINCH study


Chief Investigator Professor Claire Goodman, University of Hertfordshire collaborating with the University of Southampton, St George’s University of London, King’s College London, Bangor University, Nottingham University Hospitals NHS Trust, Guy's & St Thomas's NHS Foundation Trust, Edge Hill University

Related research groups

Health Work and Systems
Share this research project Share this on Facebook Share this on Twitter Share this on Weibo
Privacy Settings