I'm quadriplegic so I spend a lot of time in bed. Just laying on a overnight bed pad works fine most days. I only need the adult diaper briefs when I'm in My wheelchair. With complete loss of bladder and bowel control. Cloth backed briefs. Just don't really work. I was in a long term care center for about 6 months. They used cheap cloth backed briefs and even the better cloth backed over night briefs. As well as bed pads. Too many times I lost My bowel in My chair or bed. And thank goodness for the bed pad. Because the briefs did not do their job.