CMAP Refinement for Pressure Injury Prevention
Pressure Ulcer
About this trial
This is an interventional prevention trial for Pressure Ulcer focused on measuring skin ulcer, wounds and injuries, decubitus ulcer, wheel chairs, spinal cord injury, seating, pressure injury prevention
Eligibility Criteria
Inclusion Criteria:
For Aim 1a:
- Veteran adults aged 18-80
- male and female
- with a spinal cord injury (C4 and below) or spinal cord disorder with impaired sensory function and a wheelchair user for at least one year
For Aim 2: Veteran adults aged 18-80, male and female, with a recent spinal cord injury (C4 and below) or a spinal cord disorder with impaired sensory function, who are currently in inpatient rehabilitation with at least 1 week prior to discharge. Participants must demonstrate ability to access the CMAP system application on a mobile phone or tablet independently.
For Aim 3:
- Veteran adults aged 18-80
- male and female
- manual or power wheelchair users
- at least one year post SCI onset
- (C4 and below) or a spinal cord disorder with impaired sensory function
- who are visiting the MVAHCS SCI/D Center for their annual visit or at end of a non-pressure injury stay in the hospital
- at which time review of pressure injury prevention and assessment of wheelchair seating are routinely conducted by clinicians
- Veterans using the CMAP system must demonstrate ability to access the CMAP app on a mobile phone or tablet independently
Clinicians inclusion Criteria for Aim 1b; Aims 2 and 3:
- Clinicians (SCI/D Physical and Occupational Therapists and Nurses and Ancillary Clinician) who, in their normal scope of work, provide patient education for pressure injury prevention
Exclusion Criteria:
For Aim 1a:
- Any Veteran with SCI/D who is unable to verbally and cognitively communicate with the study team
For Aims 2, and 3:
- Any Veteran with SCI/D who has an active pressure injury that contacts their seating system or within six months of a flap surgery
- Any Veteran with SCI/D who is unable to verbally and cognitively communicate with the study team
- Any Veteran whose seat cushion is a customized immersion style
Sites / Locations
- Minneapolis VA Health Care System, Minneapolis, MNRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
No Intervention
No Intervention
Other
Other
Focus group-Veteran
Focus group-Clinicians
Usability-inpatients
Usability-in-home
Veterans will inform study staff regarding desired device design refinements
Clinicians will inform study staff regarding desired app design changes
Clinicians will use the updated CMAP system during patient education for prevention of pressure injuries with Veterans with SCI who are completing their initial rehabilitation.
The Veteran will use the CMAP system at home for two weeks to use in their daily routines, along with wearing the acti-graph one week prior, two weeks during and one week after CMAP usage.