Developing a Home Telehealth Program to Manage Pressure Ulcers in SCI/D
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 18
- Locations
- 2
- Primary Endpoint
- Days of Data
Study Overview
Brief Summary
The Veteran's Health Administration (VHA) is a national leader in using distance technology to monitor patients' self-care via an in-home messaging device with disease management protocols (DMPs). No such DMPs exist for the community dwelling spinal cord injury/disorders (SCI/D) population. Our objective is to develop the tools necessary for implementing a new home telehealth program to manage community-dwelling veterans with SCI/D at high risk of developing pressure ulcers (PrUs).
Detailed Description
Background:
VHA is a national leader in using distance technology to monitor patients' self-care via an in-home messaging device with disease management protocols (DMPs). No such DMPs exist for the community dwelling spinal cord injury/disorders (SCI/D) population. Our objective is to develop the tools necessary for implementing a new home telehealth program to manage community-dwelling veterans with SCI/D at high risk of developing pressure ulcers (PrUs).
Objectives:
The goal of the study was to complete activities necessary in preparation for implementing a Home Telehealth program to manage veterans with SCI/D at risk of developing PrUs. Specifically this Rapid Response Project (RRP) included: 1) Convening an expert panel to validate Pressure Ulcer (PrU) PrU DMP items; 2) Developing a standardized protocol that specified how the nurse Care Coordinator who would manage patients who develop open skin wounds across the Hub and Spoke system of care; 3) Assessing individual telehealth DMP items by calling a sample of patients on a daily or weekly basis for up to 2 months to determine their validity and 4) Developing an instrument to assess staff satisfaction with this method of patient management.
Methods:
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- Single (Investigator)
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Veterans admitted to Cleveland VA SCI/D unit or treated in the outpatient clinic
Exclusion Criteria
- •Cognitive impairment
- •Hearing impairment
Arms & Interventions
Daily telephone calls
Patients randomized to this group receive daily phone calls to remind them what they should do to prevent ulcers
Intervention: Daily telephone calls (Behavioral)
Weekly telephone calls
Patients randomized to this group receive weekly phone calls to remind them what they should do to prevent ulcers.
Intervention: Weekly telephone calls (Behavioral)
Outcomes
Primary Outcomes
Days of Data
Time Frame: Enrollment to study end, 8 weeks
Data includes the number of triggered items and types of triggers.
Number of Days With Triggers at Certain Timeframe
Time Frame: Enrollment to study end, 8 weeks
Measured the number of days with triggers that occurred on the Baseline day, during the 8-week intervention, and on the End of Study day.
Percent of Participant Triggering DMP Items
Time Frame: Enrollment to study end, 8 weeks
Percent of participants who triggered Disease-Management Protocol items by group.
Secondary Outcomes
No secondary outcomes reported