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PROTECT-trial : a multicentre prospective pragmatic RCT and health economic analysis of the effect of tailored repositioning to prevent pressure ulcers : study protocol

Dorien De Meyer UGent, Nele Van Damme UGent, Karen Van den Bussche UGent, Ann Van Hecke UGent, Sofie Verhaeghe UGent and Dimitri Beeckman UGent (2017) JOURNAL OF ADVANCED NURSING. 73(2). p.495-503
abstract
Aim: The aims of this trial were as follows: (1) to compare the (cost-) effectiveness of a turning and repositioning system and an algorithm for a tailored repositioning vs. usual care to improve reposition frequency in patients at risk; and (2) to compare the (cost-) effectiveness of standardized incontinence care vs. usual care. Background: Pressure ulcers are a serious and common problem for hospitalized patients. In many countries, pressure ulcers are recognized as a national health issue and governments designate pressure ulcers as one of the most important sentinel events for health care. International guidelines recommend the use of pressure redistributing support surfaces, systematic patient repositioning and preventive skin care to prevent pressure ulcers. Interventions should be patient-tailored and based on a thorough assessment of both the patient and contextual risk factors. There is a lack of rigorous research addressing the effectiveness of a turning and repositioning system and it is unclear how to tailor the frequency and posture to specific patient needs. Design: Multicentre, cluster, three-arm, randomized, controlled pragmatic trial and a cost-effectiveness analysis. The ward is the unit of randomization. Methods: Tailored repositioning, the use of a device to facilitate patient repositioning and an optimal procedure for incontinence care will be combined. Participating wards will be intensive care units, geriatric and rehabilitation wards. A sample size calculation was performed (80% power, =005). This study is approved by the Ethics Committee (February 2016). Discussion: Data collection is currently ongoing. The results are expected to be obtained in March 2017.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
health economic analysis, incontinence care, incontinence-associated dermatitis, nursing, pressure ulcer, prevention, randomized controlled pragmatic trial, repositioning, tailored, INCONTINENCE-ASSOCIATED DERMATITIS, CLUSTER RANDOMIZED-TRIALS, QUALITY-OF-LIFE, CARE, PREVALENCE, HOSPITALS, KNOWLEDGE, ATTITUDES, PROGRAM, NURSES
journal title
JOURNAL OF ADVANCED NURSING
J. Adv. Nurs.
volume
73
issue
2
pages
495 - 503
Web of Science type
Article
Web of Science id
000393680000017
ISSN
0309-2402
DOI
10.1111/jan.13166
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
8103616
handle
http://hdl.handle.net/1854/LU-8103616
date created
2016-10-06 16:25:27
date last changed
2017-05-17 06:59:23
@article{8103616,
  abstract     = {Aim: The aims of this trial were as follows: (1) to compare the (cost-) effectiveness of a turning and repositioning system and an algorithm for a tailored repositioning vs. usual care to improve reposition frequency in patients at risk; and (2) to compare the (cost-) effectiveness of standardized incontinence care vs. usual care. 
Background: Pressure ulcers are a serious and common problem for hospitalized patients. In many countries, pressure ulcers are recognized as a national health issue and governments designate pressure ulcers as one of the most important sentinel events for health care. International guidelines recommend the use of pressure redistributing support surfaces, systematic patient repositioning and preventive skin care to prevent pressure ulcers. Interventions should be patient-tailored and based on a thorough assessment of both the patient and contextual risk factors. There is a lack of rigorous research addressing the effectiveness of a turning and repositioning system and it is unclear how to tailor the frequency and posture to specific patient needs. 
Design: Multicentre, cluster, three-arm, randomized, controlled pragmatic trial and a cost-effectiveness analysis. The ward is the unit of randomization. 
Methods: Tailored repositioning, the use of a device to facilitate patient repositioning and an optimal procedure for incontinence care will be combined. Participating wards will be intensive care units, geriatric and rehabilitation wards. A sample size calculation was performed (80\% power, =005). This study is approved by the Ethics Committee (February 2016). 
Discussion: Data collection is currently ongoing. The results are expected to be obtained in March 2017.},
  author       = {De Meyer, Dorien and Van Damme, Nele and Van den Bussche, Karen and Van Hecke, Ann and Verhaeghe, Sofie and Beeckman, Dimitri},
  issn         = {0309-2402},
  journal      = {JOURNAL OF ADVANCED NURSING},
  keyword      = {health economic analysis,incontinence care,incontinence-associated dermatitis,nursing,pressure ulcer,prevention,randomized controlled pragmatic trial,repositioning,tailored,INCONTINENCE-ASSOCIATED DERMATITIS,CLUSTER RANDOMIZED-TRIALS,QUALITY-OF-LIFE,CARE,PREVALENCE,HOSPITALS,KNOWLEDGE,ATTITUDES,PROGRAM,NURSES},
  language     = {eng},
  number       = {2},
  pages        = {495--503},
  title        = {PROTECT-trial : a multicentre prospective pragmatic RCT and health economic analysis of the effect of tailored repositioning to prevent pressure ulcers : study protocol},
  url          = {http://dx.doi.org/10.1111/jan.13166},
  volume       = {73},
  year         = {2017},
}

Chicago
De Meyer, Dorien, Nele Van Damme, Karen Van den Bussche, Ann Van Hecke, Sofie Verhaeghe, and Dimitri Beeckman. 2017. “PROTECT-trial : a Multicentre Prospective Pragmatic RCT and Health Economic Analysis of the Effect of Tailored Repositioning to Prevent Pressure Ulcers : Study Protocol.” Journal of Advanced Nursing 73 (2): 495–503.
APA
De Meyer, Dorien, Van Damme, N., Van den Bussche, K., Van Hecke, A., Verhaeghe, S., & Beeckman, D. (2017). PROTECT-trial : a multicentre prospective pragmatic RCT and health economic analysis of the effect of tailored repositioning to prevent pressure ulcers : study protocol. JOURNAL OF ADVANCED NURSING, 73(2), 495–503.
Vancouver
1.
De Meyer D, Van Damme N, Van den Bussche K, Van Hecke A, Verhaeghe S, Beeckman D. PROTECT-trial : a multicentre prospective pragmatic RCT and health economic analysis of the effect of tailored repositioning to prevent pressure ulcers : study protocol. JOURNAL OF ADVANCED NURSING. 2017;73(2):495–503.
MLA
De Meyer, Dorien, Nele Van Damme, Karen Van den Bussche, et al. “PROTECT-trial : a Multicentre Prospective Pragmatic RCT and Health Economic Analysis of the Effect of Tailored Repositioning to Prevent Pressure Ulcers : Study Protocol.” JOURNAL OF ADVANCED NURSING 73.2 (2017): 495–503. Print.