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In this randomized controlled trial we tested the efficacy of an intervention program (CARE: Creating Avenues for Relative Empowerment) for improving outcomes of hospitalized older adults and their family caregivers (FCGs). FCG�patient dyads (n ¼ 407) were randomized into two groups. The CARE group received a two-session empowerment-educational program 1�2 days post-admission and 1�3 days pre-discharge. The attention control group received a generic information program during the same timeframe. Follow-up was at 2 weeks and 2 months post-discharge. There were no statistically significant differences in patient or FCG outcomes. However, inconsistent evidence of role outcome differences suggests that CARE may benefit certain FCG subgroups instead of being a one-size-fits-all intervention strategy. Closer examination of CARE�s mechanisms and effects is needed.

Aims To develop and assess the measurement properties of a catheter-related quality of life (C-IQoL) instrument designed to support research with persons using long-term urinary catheter users who use indwelling urethral or suprapubic catheters permanently. Methods Testing was conducted in two small studies for psychometric qualities of reliability (internal consistency and test-retest) and factor analysis. The initial instrument, which was modified after each study, was based on an International Continence Society (ICS) validated generic incontinence quality of life tool. ICS guidelines were used to develop content, including using descriptive and qualitative literature as well as and subjective/objective measures. Literature included content areas related to sexuality, embarrassment, and everyday catheter management. Results A three-factor solution of subscales (management, interpersonal, and psychosocial) was created. The final instrument contains 22 items. Reliabilities were all satisfactory. Conclusions Quality of life continence instruments need to be device-specific to address appropriate and critical issues in randomized trials. For further development of a valid and reliable measure, continued collaboration is needed among researchers working with this population. Neurourol. Urodynam. 29:1282–1285, 2010. © 2010 Wiley-Liss, Inc.