Community-based care bundle to treat and prevent pressure injuries at home
Evaluate the Feasibility and Effectiveness of a Community-based Care Bundle in Managing and Preventing Pressure Injuries
NA · Singapore General Hospital · NCT07074743
This program will try a home-based pressure injury care bundle to help older adults discharged home and their caregivers heal existing sores and prevent new ones.
Quick facts
| Phase | NA |
|---|---|
| Study type | Interventional |
| Enrollment | 216 (estimated) |
| Ages | 21 Years and up |
| Sex | All |
| Sponsor | Singapore General Hospital (other) |
| Locations | 2 sites (Singapore and 1 other locations) |
| Trial ID | NCT07074743 on ClinicalTrials.gov |
What this trial studies
This randomized, waitlist-controlled trial compares a community-based pressure injury (PI) care bundle to routine care over a six-week intervention period. The bundle uses the aSSKINg framework and includes tailored caregiver education, weekly check-ins by community nurses, and electronic wound imaging for documentation and tracking. The primary outcome is clinical improvement defined as at least a 3-point reduction on the PUSH tool, with secondary outcomes including incidence of new PIs, caregiver knowledge-attitudes-practices (KAP), and feasibility metrics such as acceptability, fidelity, and retention. Participants are adults discharged from Singapore General Hospital to home within SGH community nursing zones who have a caregiver or foreign domestic helper managing the PI.
Who should consider this trial
Good fit: Ideal candidates are adults discharged from Singapore General Hospital to home with an existing pressure injury who live within SGH community nursing zones and have a family caregiver or foreign domestic helper to provide PI care.
Not a fit: Patients receiving palliative or end-of-life care, those discharged to nursing homes or other hospitals, those already using mobile inpatient-at-home services, or those who refuse participation are unlikely to benefit from this intervention.
Why it matters
Potential benefit: If successful, the care bundle could speed healing, reduce the chance of new pressure injuries at home, and boost caregiver skills and confidence.
How similar studies have performed: Hospital-based pressure-injury care bundles and caregiver education have shown benefit, but evidence for community-based bundles is limited, making this specific home-based aSSKINg-framed intervention with e-imaging relatively novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria * adult patients discharged from SGH with existing PI (any stages according to NPIAP and on any part of the body) * have a family caregiver or FDH who will be managing the PI upon discharge * patients will be discharged to home * living within the SGH nursing community zones Exclusion Criteria * previous or existing participation in this trial * palliative or dying patients * planned discharge to a nursing home or other hospital * mobile inpatient care@home service * patient or next-of-kin who refused to participate.
Where this trial is running
Singapore and 1 other locations
- Singapore General Hospital — Singapore, Singapore (RECRUITING)
- Singapore General Hospital — Singapore, Singapore (NOT_YET_RECRUITING)
Study contacts
- Principal investigator: Fazila Aloweni, MSci — Singapore General Hospital
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Pressure Injuries, Caregiver, Community Dwelling Older Adult, pressure injuries, community nursing, care bundle