Pressure Ulcers Clinical Trial
Official title:
Pressure Ulcer Multi-disciplinary Teams Via Telemedicine (PUMTT): A Cluster Pragmatic Randomised Controlled Trial in Long Term Care
The purpose of this study is to evaluate the effectiveness of 'enhanced' multi-disciplinary
wound care teams (MDTs) vs. 'usual' care teams in Long Term Care (LTC) facilities in Ontario
for the treatment of pressure ulcers. LTC facilities with more than 100 beds that are within
a 100 km distance from St. Mikes and have a problem with pressure ulcers will be asked to
participate. A total of 10 LTC facilities will be randomly selected (i.e. selected by
chance) from those that agree to participate.
The 'enhanced' MDT will be an Advance Practice Nurse(APN) with expertise in wound care who
has direct access to the wound care team at St. Mikes. This APN will develop treatment plans
in consultation with facility staff, providing targeted pressure ulcer treatment education
on an ongoing, case by case basis. Care is supported by telemedicine with the use of digital
photography and online communication between members of the care team.
This study is a stepped wedge randomized trial, meaning LTC facilities are assigned to a
start date for this study totally by chance. Changes in healing rates, wound related pain,
cost, number of new pressure ulcers, and number of wounds healed will be measured before,
and after the APN is introduced to facilities. In order to gain more insight into how people
felt about this model of care, interviews will be held with individuals and groups of staff
at 5 randomly selected facilities before, during, and after the study has been completed.
n/a
Allocation: Randomized, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Health Services Research
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