Evaluate the Feasibility and Effectiveness of a Community-based Care Bundle in Managing and Preventing Pressure Injuries

Recruiting now · Not applicable

Conditions studied: Pressure Injuries, Caregiver, Community Dwelling Older Adult

In brief

Community-acquired pressure injuries are pressure injuries that developed outside of hospital, typically in the patient's own home environment. Pressure injuries (PI) used to be commonly known as bedsores or pressure ulcers. The goal of this clinical trial is to evaluate if a community-based pressure injury (PI) care bundle is effective in treating and preventing pressure injuries in home settings. It will also assess how feasible it is to implement this care bundle in Singapore's community care context. The main questions it aims to answer are: 1. Does the PI care bundle help improve pressure injury healing (shown by at least a 3-point reduction on the PUSH score)? 2. Can the care bundle prevent the development of new pressure injuries? 3. How well do caregivers learn and apply PI care knowledge after receiving the educational intervention? 4. How practical and acceptable is this care bundle for use in home settings? The investigators will compare the PI care bundle to routine care (control group) to see if the care bundle works better for managing pressure injuries at home. Success will be measured using the PUSH tool, which scores pressure injuries from 0 (completely healed) to 17 (most severe). A reduction of at least 3 points on this scale will indicate meaningful improvement. Participants and their caregivers will: Be split into two groups - one group will use the new care plan (receive the PI care bundle), and the other will continue with their routine care. Have their pressure injuries checked regularly for 6 weeks. Have their caregivers learn about pressure injury care. Answer questions about how well the care plan works for them. The investigator hopes this study will help find better ways to treat or prevent pressure injuries at home and support the caregivers at home.

Key facts

Study ID

NCT07074743

Run by

Singapore General Hospital

People needed

216

Starts

2025-12-26

Expected to finish

2028-06-30

Last updated by the study team

2026-04-29

Who can join

Age: 21 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• 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

You may not qualify if…

• 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 it is running

• Singapore General Hospital — Singapore, Singapore (enrolling)
• Singapore General Hospital — Singapore, Singapore

Full record on ClinicalTrials.gov

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