The Effect of Pressure Injury Training on Knowledge Levels and Wound Prevention in Wheelchair Users

NCT07438899 | Completed

• 1 other identifier: SelcukUNeslihanİSTEK.01
• Study Type: interventional
• Target: 78
• Locations: 1 country
• Sites: 2

Brief Summary

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.

Conditions

Wheelchair Users; Pressure Ulcer Prevention; Pressure Ulcer (PU)

Keywords

Wheelchair; Nursing interventions; Health education; Individualized counselling; Pressure injury; Prevention

Outcome Measures

Primary Outcomes (1)

• 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.

  3,5 months

Secondary Outcomes (3)

• Evaluation of individuals in the intervention group's implementation of pressure injury prevention practices using the "Pressure Ulcer Healing Assessment Form"

  3,5 months

• Statistical comparison of Pressure Ulcer Healing Assessment Scale (PRS) scores between the experimental and control groups

  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

  1,5 month

Study Arms (2)

education, monitoring and counseling

EXPERIMENTAL

Participants in the experimental group who used wheelchairs received three-session training on preventing pressure sores. This was followed by a 12-week follow-up and counseling program.

Behavioral: education

monitoring

NO INTERVENTION

Participants in the control group who used wheelchairs received training and were only monitored for the development of pressure injury for 12 weeks.

Interventions

education BEHAVIORAL

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.

Also known as: Online Pressure Injury Prevention Education, Pressure Injury Prevention Counseling, Pressure Injury Follow-up

education, monitoring and counseling

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Aged between 18 and 65 years
• Wheelchair user
• No communication difficulties
• Willing to participate voluntarily in the study
• Healthy volunteer

You may not qualify if:

• Younger than 18 years or older than 65 years
• Presence of any communication difficulties
• Unwilling to participate in the study

Sponsors & Collaborators

• Selcuk University: lead
• Gazi University: collaborator

Study Sites (2)

selcukU

Konya, Selcuklu, Turkey (Türkiye)

Location

Selcuk University

Konya, Selçuklu, 42130, Turkey (Türkiye)

Location

Related Links

• Wound Ostomy Incontinence Nurses Association
• ULUSAL TEZ MERKEZİ (YÖKTEZ)

MeSH Terms

Conditions

Pressure Ulcer; Health Education

Interventions

Educational Status

Condition Hierarchy (Ancestors)

Skin Ulcer; Skin Diseases; Skin and Connective Tissue Diseases; Adherence Interventions; Medication Adherence; Patient Compliance; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Intervention Hierarchy (Ancestors)

Socioeconomic Factors; Population Characteristics

Study Officials

• NESLİHAN İSTEK

  https://www.selcuk.edu.tr/

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: In the study, a double-blind design was used, with both participants and the statistician blinded. Participants were informed that training to ensure blinding would be given in groups and sequentially, and their assigned group (intervention or control) was not disclosed. Training for the control group was administered after the final test data was collected. In the statistical phase of the study, the intervention and control groups were coded with the numbers 1 and 2, respectively, to ensure statistician blinding.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: To control selection bias, the study employed randomized selection and random assignment. Seventy-nine individuals who met the inclusion criteria were included in the study. Individuals were assigned to intervention (n= 40) and control (n= 39) groups using a stratified randomization method based on age, scores on the Braden Pressure Ulcer Risk Assessment Scale (BBURD), the Pressure Injury Information Form for Wheelchair Users, and the Pressure Ulcer Healing Assessment Scale (PUSH). The study was double-blinded, with both the participant and the statistician blinded. Participants were informed that the training would be delivered in groups and sequentially to ensure blinding, and their placement in the intervention or control groups was not disclosed. During the follow-up period, 1 participant withdrew from the study and the study was completed with 78 participants.

Study Record Dates

• First Submitted: August 14, 2025
• First Posted: February 27, 2026
• Study Start: February 10, 2022
• Primary Completion: July 24, 2023
• Study Completion: July 25, 2023
• Last Updated: February 27, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (2)