Actively Recruiting
Implementing a Decision Support Tool to Prevent Community-Acquired Pressure Injury in Spinal Cord Injury in the Spinal Cord Injury Clinic
Led by VA Office of Research and Development · Updated on 2025-11-14
808
Participants Needed
7
Research Sites
61 weeks
Total Duration
On this page
Sponsors
V
VA Office of Research and Development
Lead Sponsor
V
VA Palo Alto Health Care System
Collaborating Sponsor
AI-Summary
What this Trial Is About
Spinal cord injury (SCI) is a lifelong condition that affects health, daily activities, and quality of life. People with SCI face a high risk of developing pressure injuries, which are areas of skin and tissue damage caused by pressure and shear, typically occurring over bony areas. Unlike most pressure injuries acquired in hospitals or nursing homes, those in people with SCI often develop in the community, leading to serious, costly problems. This research evaluates how well a decision support tool called the Community Acquired Pressure Injury Prevention Field Implementation Tool (CAPP-FIT) works in preventing community-acquired pressure injuries (CAPrIs) and how well it is used in clinical practice. The study involves implementing the CAPP-FIT at seven Veterans Affairs (VA) spinal cord injury clinics across the country in a staggered way. The tool includes a Veteran survey to identify risks and needed actions, and a Provider Report available in the electronic health record that recommends evidence-based actions. Veterans complete the survey via secure email or an iPad in the clinic. The study includes training providers, redesigning clinic workflows, and evaluating how the tool is adopted and maintained. After initial implementation, each site decides how to keep using the CAPP-FIT to support long-term use. Participants will complete the Veteran survey and attend scheduled clinic visits where providers use the Provider Report. Researchers will monitor new pressure injuries, hospitalizations related to these injuries, and satisfaction of both Veterans and providers over six months following implementation. They will also track how many providers and Veterans use the tool, how risks are managed, and barriers or facilitators to its use. The study lasts through implementation and maintenance phases, with ongoing evaluation of how the CAPP-FIT fits into regular care.
CONDITIONS
Brief Title
Implementing a Decision Support Tool to Prevent Community-Acquired Pressure Injury in Spinal Cord Injury (SCI) in the Spinal Cord Injury Clinic
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Assigned provider in spinal cord injury clinic willing to participate in the study
- Scheduled appointment in the spinal cord injury clinic
- Ability to complete survey
- Age 18 years or older
You will not qualify if you...
- Active diagnosis of dementia
AI-Screening
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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 - Up to several weeks prior to implementation
Clinic workflow designs and provider training are completed to integrate the CAPP-FIT into clinic workflow. Providers complete training, demonstration, and simulation using the CAPP-FIT.
Provider training sessions before intervention
Duration - 6 months post initial CAPP-FIT implementation
Participants complete the Veteran Survey before or during an established clinic visit, with research assistant facilitation. Providers use the Provider Report to guide care. After the clinic visit, participants complete a satisfaction survey with assistance.
1 baseline clinic visit and follow-up survey visit with RA support
Duration - Up to 10 months during maintenance phase
Sites determine how to integrate the CAPP-FIT into clinic workflow without research assistant facilitation during routine care.
Visits as part of routine clinic care
Duration - Up to 10 months following implementation
Providers continue to use the CAPP-FIT in clinic workflow based on sustainability plans developed in focus groups. Provider participation and use of the tool are monitored.
Ongoing provider visits and focus groups
Trial Site Locations
Total: 7 locations
1
VA Long Beach Healthcare System, Long Beach, CA
Long Beach, California, United States, 90822
Not Yet Recruiting
2
VA Palo Alto Health Care System, Palo Alto, CA
Palo Alto, California, United States, 94304-1207
Actively Recruiting
3
James A. Haley Veterans' Hospital, Tampa, FL
Tampa, Florida, United States, 33612
Not Yet Recruiting
4
Edward Hines Jr. VA Hospital, Hines, IL
Hines, Illinois, United States, 60141-3030
Actively Recruiting
5
St. Louis VA Medical Center John Cochran Division, St. Louis, MO
St Louis, Missouri, United States, 63106-1621
Not Yet Recruiting
6
Louis Stokes VA Medical Center, Cleveland, OH
Cleveland, Ohio, United States, 44106-1702
Actively Recruiting
7
Michael E. DeBakey VA Medical Center, Houston, TX
Houston, Texas, United States, 77030-4211
Actively Recruiting
Research Team
E
Elizabeth E Burkhart, PhD
F
Frances M Weaver, PhD MA BA
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
SEQUENTIAL
Primary Purpose
PREVENTION
Number of Arms
3
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