CMAP Refinement for Pressure Injury Prevention

Launched by VA OFFICE OF RESEARCH AND DEVELOPMENT · Mar 13, 2020

Keywords

ClinConnect Summary

The clinical trial titled "CMAP Refinement for Pressure Injury Prevention" is studying how to help veterans with spinal cord injuries who use wheelchairs avoid pressure injuries, which can be painful and serious. These injuries often happen because sitting in one position for too long can create harmful pressure on the skin. The trial will explore a tool called pressure mapping, which shows where the pressure is on the body, helping individuals understand when they need to shift their weight to prevent injuries. The goal is to see if using this tool on mobile devices can improve the ability of veterans to manage their own care, especially after receiving guidance from healthcare providers.

To participate, veterans must be between the ages of 18 and 80, have a spinal cord injury at the C4 level or below, and be wheelchair users for at least a year. They should be able to use a mobile phone or tablet independently. Participants will work with healthcare professionals who will help them set goals and monitor their progress in using the pressure mapping tool. It's important to note that veterans currently dealing with an active pressure injury or certain recent surgeries cannot participate. This trial aims to enhance the quality of life for those affected by spinal cord injuries by empowering them with the right tools for self-care.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• For Aim 1a:
• • Veteran adults aged 18-80
• • male and female
• • with a spinal cord injury (C4 and below) or spinal cord disorder with impaired sensory function and a wheelchair user for at least one year
• • For Aim 2: Veteran adults aged 18-80, male and female, with a recent spinal cord injury (C4 and below) or a spinal cord disorder with impaired sensory function, who are currently in inpatient rehabilitation with at least 1 week prior to discharge. Participants must demonstrate ability to access the CMAP system application on a mobile phone or tablet independently.
• For Aim 3:
• • Veteran adults aged 18-80
• • male and female
• • manual or power wheelchair users
• • at least one year post SCI onset
• • (C4 and below) or a spinal cord disorder with impaired sensory function
• • who are visiting the MVAHCS SCI/D Center for their annual visit or at end of a non-pressure injury stay in the hospital
• • at which time review of pressure injury prevention and assessment of wheelchair seating are routinely conducted by clinicians
• • Veterans using the CMAP system must demonstrate ability to access the CMAP app on a mobile phone or tablet independently
• Clinicians inclusion Criteria for Aim 1b; Aims 2 and 3:
• • Clinicians (SCI/D Physical and Occupational Therapists and Nurses and Ancillary Clinician) who, in their normal scope of work, provide patient education for pressure injury prevention
• Exclusion Criteria:
• For Aim 1a:
• • Any Veteran with SCI/D who is unable to verbally and cognitively communicate with the study team
• For Aims 2, and 3:
• • Any Veteran with SCI/D who has an active pressure injury that contacts their seating system or within six months of a flap surgery
• • Any Veteran with SCI/D who is unable to verbally and cognitively communicate with the study team
• • Any Veteran whose seat cushion is a customized immersion style