Education and Training for Wheelchair Users and Caregivers for Pressure Relief Performance and Barrier Management
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 9
- 试验地点
- 2
- 主要终点
- Standard Staging for any Pressure Injuries
研究概览
简要总结
There can be barriers for clients with progressive disorders who are power wheelchair users and their caregivers that prohibit them from performing pressure relief. Clients may struggle with consistent performance of pressure relief and may not recall the importance, have methods to perform, or be able to perform due to weakness or other disease changes.
详细描述
Study the population of power wheelchair users with progressive disorders at the Neurology Specialty Care - Edgehill, Carolina Neuromuscular Amyotrophic Lateral Sclerosis (ALS)/ Muscular Dystrophy Association (MDA) Center to identify barriers, provide potential solutions, and provide education and training to both increase knowledge and understanding of pressure relief options and processes as well as to overcome these perceived barriers amongst the clinic population. Current adults of the Neurology Specialty Care practice who are complex power wheelchair users will be eligible for this project as an extension of usual care.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 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
- •Adult 18 years or older
- •Diagnosis of a progressive disorder (amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS), muscular dystrophy (MD), spinal muscular atrophy (SMA), Parkinson disease (PD)
- •Current clinic client at the Neurology Specialty Care Edgehill clinic
- •Currently using a complex (group 3) power wheelchair with power positioning of at least tilt/recline
- •Currently sitting in the chair at least 2 consecutive hours/day
排除标准
- •Dementia as noted by Medical Doctor / speech-language pathologists (SLP) in medical records
- •Inability/unwillingness to control wheelchair power features (client)
- •Unwillingness to be monitored, educated, trained by study staff
- •Uses other mobility devices indoors (scooter, basic power wheelchair) more than complex power wheelchair
- •Further exclusions may be added in future protocol versions
研究组 & 干预措施
education and training
After implementation of the pre-interview and determination/performance of necessity, education and training at a regularly scheduled occupational therapy clinic visit will be performed with handouts, verbal education, hands-on training, and video training.
干预措施: education and training (Behavioral)
结局指标
主要结局
Standard Staging for any Pressure Injuries
时间窗: Week 4
Stage 1 pressure injuries are not open wounds Stage 2 pressure injuries are open wounds Stage 3 pressure injuries extend through the skin into deeper tissue and fat but do not reach muscle, tendon, or bone Stage 4 pressure injuries extend to muscle, tendon, or bone Higher scores equaling worse condition
Likert Pain Scale Scores
时间窗: Week 4
0: Relaxed and comfortable. 1 to 3: Mild discomfort. 4 to 6: Moderate pain. 7 to 10: Severe discomfort/pain - higher scores equaling more discomfort/pain
次要结局
未报告次要终点