Impact of Combining Incontinence-associated Dermatitis Prevention and Management Course and Directive Wheel Chart

Not Applicable

Completed

• Conditions: Dermatitis; Knowledge, Attitudes, Practice

• Registration Number: NCT06835192
• Lead Sponsor: Kaohsiung Medical University Chung-Ho Memorial Hospital

Brief Summary

Background: Knowledge, attitudes, and behaviors regarding the prevention and care of incontinence-associated dermatitis (IAD) need to be enhanced through educational training. There is a lack of innovative courses and convenient tools to assist nursing staff in learning and teaching in clinical settings.

Purpose: This study aims to investigate the learning outcomes of nursing staff in adult wards regarding the prevention and care of IAD, comparing the effectiveness of a course combined with an Directive Wheel Chart versus a course alone. Additionally, the study examines the effectiveness of nursing staff applying the course and Directive Wheel Chart in peer teaching.

Detailed Description

Design: This study was a two-phase randomized controlled trial conducted at a regional teaching hospital in Taiwan.

Materials and Methods: The study involved eight wards, comprising a total of 106 nurses, who were initially randomly assigned to either an experimental group (EG) or a control group (CG). Subsequently, the nurses within each ward were randomly allocated to two phases. The researcher delivered a 50-minute lecture to both groups, providing the IAD directive wheel chart only to the nurses in the EG. After a two-weeks period, one or two nurses from each ward in the first phase utilized the same course and directive wheel chart to peer-teach the nurses in the second phase within the same wards. The Chinese version of the Knowledge, Attitudes and Practices of Incontinence-associated Dermatitis Questionnaire (KAP-IAD-Q-C) and the Chinese version of the attitude towards the prevention of incontinence-associated dermatitis instrument (APrIAD-C) were employed to evaluate effectiveness. The Generalized Estimating Equation (GEE) was utilized to analyze the effectiveness of the educational intervention for each phase.

Study Timeline

• Study Start: 2024-03-01
• Status Verified: 2024-10
• Study First Submitted: 2024-12-18
• Primary Completion: 2024-12-31
• Study Completion: 2024-12-31
• Study First Submitted QC: 2025-02-16
• Last Update Submitted: 2025-02-16
• Study First Posted: 2025-02-19
• Last Update Posted: 2025-02-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 144

Inclusion Criteria

(1)Nurses in the eight adult wards.

Exclusion criteria:

1. New nurses had not completed the three-month probation period;
2. Nurses are holding administrative management positions
3. Nurse practitioners;
4. Nurses who expected to be employed within six months due to job transitions.

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
The incontinence associated dermatitis knowledge, attitude and practice questionnaire (KAP-IAD-Q)	Four weeks prior to the course, after the teaching courses, four weeks after the course	The total score ranges from 22 to 110 with higher scores indicating better the knowledge, attitude, and practical behaviors concerning IAD.
The attitude towards the prevention of incontinence-associated dermatitis instrument (APrIAD)	Four weeks prior to the course, after the teaching courses, four weeks after the course	The questionnaire consists of 14 questions, each scored on a 4-point Likert scale., with a total score ranging from 0 to 42.

Trial Locations

Locations (1)

Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University; 🇨🇳 Kaohsiung, Taiwan