The Effectiveness of a Pressure Ulcer Prevention Programme for Older People in For-profit Private Nursing Homes

Not Applicable

Completed

• Conditions: Prevention of Pressure Ulcers
• Interventions: Behavioral: Usual PU prevention care; Behavioral: PU prevention programme

• Registration Number: NCT02270385
• Lead Sponsor: The Hong Kong Polytechnic University

Brief Summary

This study aims to evaluate the effectiveness of a PU prevention programme for for-profit private nursing homes

Detailed Description

The study will be conducted as a two-arm cluster randomized controlled trial, which will compare the efficacy of a PU prevention programme versus usual PU prevention for older people in eight for-profit private nursing homes in Hong Kong. For-profit private NHs recruited will be randomly assigned as experimental or control groups. The nursing homes in the experimental group will be implemented a PU prevention programme. The programme includes a training course which was tailor-made for health workers(HWs) and persona care workers (PCWs) and also a 16-week PU prevention protocol. The outcome measures are incidence and prevalence rate of PUs as well as level of PU knowledge and skill among care staff in the nursing homes. In data analysis, survival analysis will be adopted for identifying PU incidence and prevalence rate. GEE will be used to analyze the time and effect differences of PU knowledge and skills among the care staff between two groups.

Study Timeline

• Study First Submitted: 2014-09-16
• Study First Submitted QC: 2014-10-18
• Study First Posted: 2014-10-21
• Study Start: 2015-11-02
• Primary Completion: 2016-09-10
• Study Completion: 2016-09-10
• Status Verified: 2017-05
• Last Update Submitted: 2017-05-23
• Last Update Posted: 2017-05-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1013

Inclusion Criteria

Not provided

Exclusion Criteria

• Care staffs who are not speak in Chinese.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
control group	Usual PU prevention care	The control group will be provided with the usual PU prevention care
Experimental group	PU prevention programme	The experimental group will be implemented a 16-week PU prevention programme. The PU prevention programme includes an intensive training on knowledge and skills ono PU prevention and also a PU prevention protocol. The purpose of the programme is to equip care staff with PU knowledge and skills and to guide especially health workers and personal care workers in PU prevention.

Primary Outcome Measures

Name	Time	Method
Pressure ulcer incidence	The PUs incidence will be summed up for three periods of time, from T0 to T1, T1 to T2 and T2 to T3.	The two RAs will inspect the skin of each residents three times a week to detect the first PUs ( those detected on residents without PUs) and the new PUs (those detected on residents already suffering from PUs), starting from one day before the staff training to the end of the protocol implementation (. The numbers, locations, and stages of the PUs detected will be recorded in the PU incidence form. The PU incidence will be then summed up for three periods of time as following. T0 to T1: one day before the commencement of the training course (T0) to the day immediately before the commencement of the protocol implementation (T1) .T1 to T2: the day immediately before the commencement of the protocol implementation (T1) to the eighth week after the commencement of the protocol implementation (T2).T2 to T3: the eighth week after the commencement of the protocol implementation (T2) to the sixteenth week of protocol implementation (T3).

Trial Locations

Locations (1)

Tung Wah College; 🇨🇳 Hong Kong, China