Implementation of Ankle Brachial Index Measurements and Wound, Ischemia, and Foot Infection Testing in Rural Health Clinics
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 135
- 试验地点
- 1
- 主要终点
- ABI/WIFI adoption
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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
研究组 & 干预措施
Intervention
Clinic participants will be taught how to do ABI testing and WIfI scoring to identify patients with PAD/DM disease for early vascular referral.
干预措施: ABI/WIFI scoring (Behavioral)
结局指标
主要结局
ABI/WIFI adoption
时间窗: 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
次要结局
- ABI/WIFI adaption and fidelity(6 months)
- ABI/WIFI sustainability(6 months)
研究者
Misty Humphries
Associate Professor of Surgery
University of California, Davis