Actively Recruiting
Evaluate the Feasibility and Effectiveness of a Community-based Care Bundle in Managing and Preventing Pressure Injuries
Led by Singapore General Hospital ยท Updated on 2026-04-29
216
Participants Needed
2
Research Sites
39 weeks
Total Duration
On this page
Sponsors
S
Singapore General Hospital
Lead Sponsor
D
Duke-NUS Graduate Medical School
Collaborating Sponsor
AI-Summary
What this Trial Is About
This research aims to evaluate if a community-based care bundle can help treat and prevent pressure injuries that develop outside hospitals, mainly in patients' homes. The study compares this new care plan to routine care to understand its effectiveness in healing pressure injuries, preventing new ones, and how feasible it is to use in home settings. It also looks at how well caregivers learn and apply pressure injury care after education. Participants are randomly divided into two groups: one receives the community-based pressure injury care bundle along with routine care for six weeks, while the other group receives routine care first and then the care bundle if needed. The care bundle includes assessment, caregiver education, weekly follow-ups, and use of specialized devices like repositioning cushions and pressure-relieving overlays. The wait-list group may start the care bundle during the study if their injury worsens. During the six-week study, participants' pressure injuries are regularly checked using the Pressure Ulcer Scale for Healing (PUSH), and caregivers complete knowledge and practice questionnaires. Researchers track new pressure injuries, caregiver learning, and how well the care plan is followed. They also monitor how practical and acceptable the care bundle is for home use. The total involvement includes initial assessment, weekly monitoring, and feedback from patients and caregivers.
CONDITIONS
Brief Title
Evaluate the Feasibility and Effectiveness of a Community-based Care Bundle in Managing and Preventing Pressure Injuries
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Adult patients discharged from Singapore General Hospital with existing pressure injuries of any stage
- Have a family caregiver or foreign domestic helper who will manage the pressure injury at home
- Patients will be discharged to their own home
- Living within the Singapore General Hospital nursing community zones
You will not qualify if you...
- Previous or current participation in this trial
- Patients receiving palliative or end-of-life care
- Planned discharge to a nursing home or another hospital
- Receiving mobile inpatient care at home service
- Patient or next-of-kin refusal to participate
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 6 weeks
Participants receive either the community-based pressure injury (PI) care bundle in addition to routine care or routine care alone during the initial 6 weeks. The care bundle includes structured caregiver education, weekly check-ins by the study team or community nurses, and use of electronic wound imaging tools. Participants in the wait-list group receive routine care with weekly monitoring and may start the care bundle if PI worsens.
Weekly visits for up to 6 weeks
Duration - Up to 6 weeks
After the initial 6-week period, participants in the wait-list group who still have pressure injuries receive the care bundle for an additional 6 weeks. Weekly monitoring continues to assess wound healing and safety. This phase ensures all participants receive appropriate care and continued assessment.
Weekly visits for up to 6 weeks
Trial Site Locations
Total: 2 locations
1
Singapore General Hospital
Singapore, Singapore, 168582
Actively Recruiting
2
Singapore General Hospital
Singapore, Singapore
Not Yet Recruiting
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
HEALTH_SERVICES_RESEARCH
Number of Arms
2
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