Tru-Vu Wrist Positioning Aid Multi-Center Implementation Within NLHS

Phase 3Not Yet RecruitingNCT07580976

Western University1,800 enrolled

Overview

This study has two primary aims: 1) to determine whether a novel wrist x-ray positioning aid can be implemented within 3 different healthcare centers in Newfoundland and Labrador, and 2) to determine the ability of the tool to improve patient positioning in wrist x-rays. It will also learn about the number of repeat x-rays required with or without the use of the tool and radiographer confidence. The main questions it aims to answer are: 1. Will the implementation of the Tru-Vu differ between an urban health center, rural clinic, and remote regional hospital? 2. Can the Tru-Vu improve the positioning procedure for radiographers performing wrist x-rays, resulting with more useful x-rays. Researchers will compare x-rays before and after the implementation of the tool as well as between centers. Technologist participants will: * Use the tool during the positioning procedure for wrist x-rays. * Provide feedback regarding tool use and perceived implementation barriers and facilitators.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

OTHER

Masking

SINGLE

Enrollment

1,800

Conditions

Trauma (Including Fractures)Arthritis

Interventions

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Must be 18 years of age or older * Must be proficient in English (reading/writing) * Must have been referred for wrist imaging at one of the following healthcare centers: Health Sciences Center (St. John's, NL), Bonne Bay Health Center (Norris Point, NL), or Labrador Health Center (Happy Valley-Goose Bay, NL). Exclusion Criteria: * Incapable of providing informed consent

Locations (3)

Labrador Health Centre

Happy Valley-Goose Bay, Labrador, Canada

Bonne Bay Health Centre

Norris Point, Newfoundland and Labrador, Canada

Health Sciences Centre

St. John's, Newfoundland and Labrador, Canada

Outcomes

Primary Outcomes

Radiograph grading score

Radiographs collected retrospectively and prospectively will be graded by a radiologist and radiographer

Time frame: Radiographs will be collected retrospectively 4 months prior to implementation and 6 months prospectively after the implementation of the tool.

Tool adoption (and associated implementation outcomes)

A survey will collect perceived tool use and other perceived implementation outcomes (including fidelity, appropriateness, acceptability, and adoption).

Time frame: The survey will be administered 6 months after the implementation of the tool and training.

Secondary Outcomes

Sustainability

Post-follow up survey will be conducted 6 months after the end of the implementation period and will collect perceived tool use.

Time frame: 6 months after the conclusion of the implementation period

Repeated radiographs

Document the number of repeat radiographs captured.

Time frame: Repeat radiographs will be collected and compared 4 months retrospectively prior to implementation and 6 months after the start of implementation.