Reducing skin tone inequities in chronic venous insufficiency care

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

The project has two parts: interviews to map patient journeys and experiences, and clinical photography and skin examinations to record how CVI presents on darker skin. In the first work package researchers will conduct qualitative interviews with people with dark skin tones (Ho & Robinson 2b–6b) and/or their close family to learn how they noticed skin changes and where care could be improved. In the second work package participants with confirmed CVI will undergo standardized skin examination and medical photography to define visual and tactile criteria for diagnosis on darker skin. Findings will inform clinical guidance, training materials, and co-designed interventions to reduce diagnostic delays and inequities in nurse-led assessment pathways.

Why it matters

Who can join: the full rules

Work-package 1 - Mapping patient journeys and patient experiences Participant inclusion criteria

* people with chronic venous insufficiency, or their close family member
* the person with chronic venous insufficiency has a dark skin tone (from Ho and Robinson skin tone range 2b-6b, table 1).
* ability to give informed consent Participant exclusion criteria
* person with chronic venous insufficiency has a light skin tone (from Ho and Robinson skin tone range 1a-2a, table 1).
* people unable to speak and understand English
* people unable to give informed consent.

Work package 2 - Informing skin assessment technique and medical photography Participant inclusion criteria

* people diagnosed with chronic venous insufficiency at NHS trust
* people with a dark skin tones (from Ho and Robinson skin tone range 2b-6b, table 1).
* ability to give informed consent
* either coming back to the hospital for surgery or being able to travel back to the hospital to undergo physical assessment and skin photography prior to any intervention.
* have duplex ultra-sound scan informing clinical diagnosis of venous disease. Participant exclusion criteria
* person with chronic venous insufficiency has a light skin tones (from Ho and Robinson skin tone range 1a-2a, table 1).
* people unable to speak and understand English
* people unable to give informed consent.

Where it's running

• King's College London
  London, United Kingdom Recruiting
• Guy's and St Thomas' NHS Foundation Trust
  London, London, United Kingdom Not yet recruiting

Study contacts

• Principal investigator: Victoria J Clemett, PhD, BNurs — King' College London
• Study coordinator: Victoria J Clemett, PhD, BNurs
• Email: victoria.clemett@kcl.ac.uk
• Phone: +44 20 7836 5454

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.