Implementation of Ankle Brachial Index Measurements and Wound, Ischemia, and Foot Infection Testing in Rural Health Clinics
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 135
- Locations
- 2
- Primary Endpoint
- ABI/WIFI adoption
Study Overview
Brief Summary
The objective of this project is to assess the fidelity and sustainability of in improving provider performance with Ankle Brachial Index (ABI) assessment and ulcer staging with the would ischemia foot infection (WIfI) tool for new patients with lower extremity ulcers due to peripheral artery disease (PAD) and diabetes mellitus (DM) at RHCs in the telemedicine network through a rural provider education program that is aligned with preexisting continuing medical education activities.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •To be eligible for the educational program, an RHC must:
- •already have telemedicine capabilities with the UC Davis CHT,
- •be within 3 hours driving time form UC Davis Medical Center,
- •have a lead practitioner willing to act as the clinic's point person for the proposed educational project, and
- •have seen at least 10 patients in the prior 3 months with foot ulcers due to DM, PAD or combined disease.
Exclusion Criteria
- •To be eligible for the project, a RHC must NOT:
- •have a dedicated foot ulcer assessment program with on-site measurement of arterial perfusion, and
- •be located within a 45 minute drive of a vascular surgeon
Outcomes
Primary Outcomes
ABI/WIFI adoption
Time Frame: 6 months
This outcome is a binary (yes/no) outcome of whether a clinic is performing ABI and WIfI testing 6 months after the original training and implementation assistance
Secondary Outcomes
- ABI/WIFI adaption and fidelity(6 months)
- ABI/WIFI sustainability(6 months)
Investigators
Misty Humphries
Associate Professor of Surgery
University of California, Davis