CompletedNot Applicable

CMAP Refinement for Pressure Injury Prevention

United States26 participantsStarted 2020-06-01

Plain-language summary

For Veterans with spinal cord injury who use a wheelchair, pressure injuries related to sitting are a significant daily threat to well-being. Pressure injuries are costly to treat, negatively impact quality of life and community participation, and can be life threatening. Moving or shifting at regular intervals in the wheelchair redistributes harmful pressure and reduces risk for skin breakdown, yet these movements are a challenge to perform consistently. The challenge exists due to lack of sensation to let the individual know they need to shift their weight. Pressure mapping provides a detailed visual representation of pressure distribution and can compensate for impaired sensation. Pressure mapping feedback delivered on-demand on mobile platforms can potentially increase effectiveness in carrying out behaviors to reduce risk for pressure injury when used during clinician-delivered education to set goals and monitor progress and when used at home as a self-management strategy.

Who can participate

Age range18 Years – 80 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: For Aim 1a: * Veteran adults aged 18-80 * male and female * with a spinal cord injury (C4 and below) or spinal cord disorder with impaired sensory function and a wheelchair user for at least one year For Aim 2: Veteran adults aged 18-80, male and female, with a recent spinal cord injury (C4 and below) or a spinal cord disorder with impaired sensory function, who are currently in inpatient rehabilitation with at least 1 week prior to discharge. Participants must demonstrate ability to access the CMAP system application on a mobile phone or tablet independently. For Aim 3: * Veteran adults aged 18-80 * male and female * manual or power wheelchair users * at least one year post SCI onset * (C4 and below) or a spinal cord disorder with impaired sensory function * who are visiting the MVAHCS SCI/D Center for their annual visit or at end of a non-pressure injury stay in the hospital * at which time review of pressure injury prevention and assessment of wheelchair seating are routinely conducted by clinicians * Veterans using the CMAP system must demonstrate ability to access the CMAP app on a mobile phone or tablet independently Clinicians inclusion Criteria for Aim 1b; Aims 2 and 3: * Clinicians (SCI/D Physical and Occupational Therapists and Nurses and Ancillary Clinician) who, in their normal scope of work, provide patient education for pressure injury prevention Exclusion Criteria: For Aim 1a: * Any Veteran with SCI/D who is unable to verbally and …

What they're measuring

Change in Usability as measured by System Usability Scale (SUS)

Timeframe: Year 1-2: Change from baseline to second and third focus group

Usability as measured by User Experience Questionaire (UEQ)

Timeframe: Year 1-2: Change from baseline to second and third focus group

Change in Usability as measured by System Usability Scale (SUS)

Timeframe: Year 1-2: Change from baseline to second and third focus group

Change in Usability as measured by User Experience Questionaire (UEQ)

Timeframe: Year 1-2: Change from baseline to second and third focus group

Change in Usability as measured by System Usability Scale (SUS)

Timeframe: Year 2-3: compare final focus group score to after using in rehabilitation

Change in Usability as measured by User Experience Questionaire (UEQ)

Timeframe: Year 2-3: compare final focus group score to after using in rehabilitation

Change in Usability as measured by System Usability Scale (SUS)

Timeframe: Year 2-3: compare final focus group score to after using in rehabilitation

Trial details

NCT IDNCT04309864

SponsorVA Office of Research and Development

Sponsor typeFED

Study typeINTERVENTIONAL

Primary completion2025-07-31

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