Good quality heavy cotton snap shirt. I have no complaints with the shirt or the price.

With that said, unfortunately, (through NO fault of the item) my elderly demented mother was able to "get out" of it and pull off her adult diaper. She's a Houdini! We were looking for some way for her to keep her diaper on. (Caring for a dementia sufferer is a real challenge.)  Too bad this wasn't it.

Maybe if the snaps were located in the back of the item, it may have worked (?) No way to turn it around, as the neck area would have been too high.