Clinical trial NCT02270385: The Effectiveness of a Pressure Ulcer Prevention Programme for Older People in For-profit Private Nursing Homes
Official title: The Effectiveness of a Pressure Ulcer (PU) Prevention Programme for Older People in For-profit Private Nursing Homes (NHs): a Cluster Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Prevention of Pressure Ulcers
Keywords: pressure ulcer
nursing home
Lead sponsor: The Hong Kong Polytechnic University
Sponsor class: OTHER
First posted: 2014-10-21
Enrollment: 1013
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

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.

Eligibility criteria: Inclusion Criteria :

* For-profit private nursing homes having been classified as the category A2 homes in the Enhanced Bought Place Scheme and are eager to improve current pressure ulcer prevention care;
* For for-profit private nursing homes having a capacity of around 130-150 beds;
* For for-profit private nursing homes having no structured PU prevention protocol, and/or programmes in place;- Residents aged 60 or above
* Care staff including personal care workers, health workers and nurses who provide direct care to residents.

Exclusion Criteria:

* Care staffs who are not speak in Chinese.

Primary outcomes:
measure: Pressure ulcer incidence
timeFrame: The PUs incidence will be summed up for three periods of time, from T0 to T1, T1 to T2 and T2 to T3.
Secondary outcomes:
Other outcomes:
Locations:
city: Hong Kong
country: China
facility: Tung Wah College
Study officials:
affiliation: Tung Wah College
name: Enid Kwong, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Kwong EW, Chen LY, Kwan RY, Lee PH. The effectiveness of a pressure injury prevention program for nursing assistants in private for-profit nursing homes: A cluster randomized controlled trial. J Adv Nurs. 2020 Jul;76(7):1780-1793. doi: 10.1111/jan.14391. Epub 2020 May 11.
citation: Kwong EW, Lee PH, Yeung KM. Study protocol of a cluster randomized controlled trial evaluating the efficacy of a comprehensive pressure ulcer prevention programme for private for-profit nursing homes. BMC Geriatr. 2016 Jan 18;16:20. doi: 10.1186/s12877-016-0189-2.