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NCT Number: NCT07438899

The Effect of Pressure Injury Training on Knowledge Levels and Wound Prevention in Wheelchair Users

This research is a randomised controlled study conducted to evaluate the effects of training given to wheelchair users to prevent pressure injury on their level of knowledge, prevention of pressure injury and wound healing.

This study will test the following hypotheses among trained and untrained wheelchair users:

Hypothesis 1: Pressure injury education provided to wheelchair users has an impact on pressure injury prevention knowledge.

Hypothesis 2: Pressure injury education provided to wheelchair users has an impact on pressure injury prevention interventions.

Hypothesis 3: Pressure injury education provided to wheelchair users has an impact on pressure injury prevention.

Hypothesis 4: Pressure injury education provided to wheelchair users has an impact on pressure injury recovery.

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Key information

Conditions

Wheelchair Users Adherence Interventions Behavior Health Behavior Health Education Medication Adherence Patient Acceptance of Health Care Patient Compliance Pressure Ulcer Pressure Ulcer (PU) Pressure Ulcer Prevention Skin Diseases Skin Ulcer Skin and Connective Tissue Diseases Treatment Adherence and Compliance

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

selcukU, Konya, Selcuklu, Turkey (Türkiye)

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About this study

Detailed Description

This randomized controlled trial was designed to evaluate the effectiveness of an online pressure injury education program developed for individuals who use wheelchairs. The intervention aimed to improve participants' knowledge related to pressure injury prevention, to support the implementation of preventive behaviors, and to contribute to the prevention and healing processes of pressure injuries through structured online education and follow-up.

The study was conducted between 2021 and 2023 in Tokat province, Türkiye. Eligible participants were allocated to intervention and control groups using a stratified randomization method to ensure balance between groups. The study was carried out as a double-blind randomized controlled trial, in which both participants and the statistician responsible for data analysis were blinded to group assignments.

The intervention consisted of a structured online training program focusing on pressure injury risk factors, prevention strategies, skin assessment, positioning, and wound care principles relevant to wheelchair users. Participants in the intervention group were divided into small training groups, and the education was delivered through multiple online sessions to enhance interaction and understanding. The control group received routine follow-up without the educational intervention during the study period.

Following completion of the training program, both groups were monitored over a 12-week follow-up period. Weekly follow-ups were conducted to observe changes related to pressure injury prevention practices and healing status. Outcome assessments were performed at baseline and at the end of the follow-up period to evaluate the impact of the intervention.

The study was approved by the Gazi University Ethics Committee, and official permission was obtained from the Tokat Governorship. All participants provided informed consent prior to participation. The findings of this study are expected to contribute evidence regarding the role of online education in pressure injury prevention and management among wheelchair users.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Aged between 18 and 65 years

Wheelchair user

No communication difficulties

Willing to participate voluntarily in the study

Healthy volunteer

Exclusion criteria

Younger than 18 years or older than 65 years

Presence of any communication difficulties

Unwilling to participate in the study

Treatment and study plan

Education

Behavioral

To provide interactive training sessions to the intervention group, four training groups were formed, each consisting of 9-10 people. Each training session, comprising three sessions, was completed over two weeks on the Zoom platform. Each 60-minute session included information on the definition, etiology, influencing factors, and prevention and care practices for cognitive impairment. Following the completion of the training sessions, individuals in the intervention group were followed up and provided with counseling for 12 weeks.

Other names: Online Pressure Injury Prevention Education, Pressure Injury Prevention Counseling, Pressure Injury Follow-up

Primary outcomes

  1. Comparison of mean scores from the "Pressure Injury Knowledge Test for Wheelchair Users" scale between the intervention and control groups.

    Time frame: 3,5 months

    Using the "Pressure Injury Knowledge Test for Individuals Using Wheelchairs" scale, a pretest was administered to the experimental and control groups before the training to assess pressure injury knowledge levels. Subsequently, three sessions of training were administered only to the experimental group.

Secondary outcomes

  1. Evaluation of individuals in the intervention group's implementation of pressure injury prevention practices using the "Pressure Ulcer Healing Assessment Form"

    Time frame: 3,5 months

    After receiving pressure ulcer training, individuals in the intervention group were assessed once a week during a 12-week follow-up period to determine whether they implemented pressure ulcer prevention practices, and their data were analyzed.

  2. Statistical comparison of Pressure Ulcer Healing Assessment Scale (PRS) scores between the experimental and control groups

    Time frame: 1 month

    The wounds of all participants in the intervention and control groups who had existing wounds and those who developed new wounds during the 12-week follow-up period were monitored weekly with the Pressure Ulcer Healing PUSH scale, and the results were analyzed.

  3. Evaluation of whether there is a statistically significant difference between the groups when comparing the first and last measurements of the number of individuals with CI and the number of current CI in the intervention and control groups

    Time frame: 1,5 month

    In the intervention group, the number of individuals with current CI was six during the pre-assessment.

Sponsors and collaborators

Lead sponsor

Selcuk University

Other

Collaborators

  • Gazi University

Registry information

Official study title

Evaluation of the Effects of Training Given to Wheelchair Users on Their Level of Knowledge, Prevention of Pressure Injury and Wound Healing

Important dates

Study start
2022
Primary completion
2023
Study completion
2023
First posted
Feb 27, 2026
Registry last updated
Feb 27, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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