This research is a randomised controlled study conducted to evaluate the effects of training given to wheelchair users to prevent pressure injury on their level of knowledge, prevention of pressure injury and wound healing. This study will test the following hypotheses among trained and untrained wheelchair users: Hypothesis 1: Pressure injury education provided to wheelchair users has an impact on pressure injury prevention knowledge. Hypothesis 2: Pressure injury education provided to wheelchair users has an impact on pressure injury prevention interventions. Hypothesis 3: Pressure injury education provided to wheelchair users has an impact on pressure injury prevention. Hypothesis 4: Pressure injury education provided to wheelchair users has an impact on pressure injury recovery.
Detailed Description This randomized controlled trial was designed to evaluate the effectiveness of an online pressure injury education program developed for individuals who use wheelchairs. The intervention aimed to improve participants' knowledge related to pressure injury prevention, to support the implementation of preventive behaviors, and to contribute to the prevention and healing processes of pressure injuries through structured online education and follow-up. The study was conducted between 2021 and 2023 in Tokat province, Türkiye. Eligible participants were allocated to intervention and control groups using a stratified randomization method to ensure balance between groups. The study was carried out as a double-blind randomized controlled trial, in which both participants and the statistician responsible for data analysis were blinded to group assignments. The intervention consisted of a structured online training program focusing on pressure injury risk factors, prevention strategies, skin assessment, positioning, and wound care principles relevant to wheelchair users. Participants in the intervention group were divided into small training groups, and the education was delivered through multiple online sessions to enhance interaction and understanding. The control group received routine follow-up without the educational intervention during the study period. Following completion of the training program, both groups were monitored over a 12-week follow-up period. Weekly follow-ups were conducted to observe changes related to pressure injury prevention practices and healing status. Outcome assessments were performed at baseline and at the end of the follow-up period to evaluate the impact of the intervention. The study was approved by the Gazi University Ethics Committee, and official permission was obtained from the Tokat Governorship. All participants provided informed consent prior to participation. The findings of this study are expected to contribute evidence regarding the role of online education in pressure injury prevention and management among wheelchair users.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE
Enrollment
78
To provide interactive training sessions to the intervention group, four training groups were formed, each consisting of 9-10 people. Each training session, comprising three sessions, was completed over two weeks on the Zoom platform. Each 60-minute session included information on the definition, etiology, influencing factors, and prevention and care practices for cognitive impairment. Following the completion of the training sessions, individuals in the intervention group were followed up and provided with counseling for 12 weeks.
selcukU
Konya, Selcuklu, Turkey (Türkiye)
Selcuk University
Konya, Selçuklu, Turkey (Türkiye)
Comparison of mean scores from the "Pressure Injury Knowledge Test for Wheelchair Users" scale between the intervention and control groups.
Using the "Pressure Injury Knowledge Test for Individuals Using Wheelchairs" scale, a pretest was administered to the experimental and control groups before the training to assess pressure injury knowledge levels. Subsequently, three sessions of training were administered only to the experimental group.
Time frame: 3,5 months
Evaluation of individuals in the intervention group's implementation of pressure injury prevention practices using the "Pressure Ulcer Healing Assessment Form"
After receiving pressure ulcer training, individuals in the intervention group were assessed once a week during a 12-week follow-up period to determine whether they implemented pressure ulcer prevention practices, and their data were analyzed.
Time frame: 3,5 months
Statistical comparison of Pressure Ulcer Healing Assessment Scale (PRS) scores between the experimental and control groups
The wounds of all participants in the intervention and control groups who had existing wounds and those who developed new wounds during the 12-week follow-up period were monitored weekly with the Pressure Ulcer Healing PUSH scale, and the results were analyzed.
Time frame: 1 month
Evaluation of whether there is a statistically significant difference between the groups when comparing the first and last measurements of the number of individuals with CI and the number of current CI in the intervention and control groups
In the intervention group, the number of individuals with current CI was six during the pre-assessment.
Time frame: 1,5 month
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