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

The Hong Kong Polytechnic University

Status: Completed

Conditions: Prevention of Pressure Ulcers

Treatments: Behavioral: PU prevention programme; Behavioral: Usual PU prevention care

Study type: Interventional

Funder types: Other

Identifiers

NCT02270385

HSEARS20140223001

Details and patient eligibility

About

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

Full 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.

Enrollment: 1,013 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion 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.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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1,013 participants in 2 patient groups

Experimental group

Experimental group

Description:

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.

Treatment:

Behavioral: PU prevention programme

control group

Other group

Description:

The control group will be provided with the usual PU prevention care

Treatment:

Behavioral: Usual PU prevention care