Interactive Telehealth for Wheelchair Users
Status unconfirmed · Not applicable
Conditions studied: Spinal Cord Injuries, Paraplegia, Pressure Ulcer, Buttock
In brief
During typical daily activity, people with established spinal cord injury perform significantly fewer pressure-relief maneuvers than the recommended frequency while overestimating their adherence on recall surveys of pressure relief activity. The rate of pressure ulcer recurrence in individuals with a prior ulcer is 44% in those with surgical repair and as high as 75% in those with non-surgical healing indicating that increased attention to pressure relief is critical for these individuals.This study will evaluate the efficacy of a wheelchair sensor and app-based biofeedback for establishing healthy self-management behaviors (pressure relief maneuvers and daily physical activity). Investigators will enroll 50 participants with paraplegia from spinal cord injury who use a manual wheelchair for mobility and have a history of pressure ulcer that has healed or is six months post-surgical repair. Participants will be randomized into one of two groups: an intervention group that will receive an education intervention and the proposed technology to be used for one year, and a control group that will receive only the education intervention. The primary outcome will be pressure ulcer occurrence over one year. Investigators hypothesize that participants receiving the intervention of biofeedback on their pressure relief activity will have a lower recurrence of pressure ulcer than the education only control group. Secondary outcomes include depressive symptoms, self-efficacy, participation and satisfaction with life. Investigators hypothesize that increasing physical activity will reduce depressive symptoms and improve participation and satisfaction with life.
Key facts
- Study ID
- NCT04266808
- Run by
- Rancho Research Institute, Inc.
- People needed
- 50
- Starts
- 2020-03-01
- Expected to finish
- 2022-01-01
- Last updated by the study team
- 2020-02-12
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- paraplegia from Spinal Cord Injury
- a history of pressure ulcer that has healed or 6 months post surgical repair
- use a manual wheelchair for mobility
- able to perform pressure relief maneuvers independently
You may not qualify if…
- unable/unwilling to return to clinic for follow-up visits
Where it is running
- Rancho Los Amigos National Rehabilitaiton Center — Downey, California, United States
Full record on ClinicalTrials.gov
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