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Implementing a Decision Support Tool to Prevent Community-Acquired Pressure Injury in Spinal Cord Injury (SCI) in the Spinal Cord Injury Clinic

Who can join

Ages 18 and older · All sexes

Inclusion Criteria:

Veteran participant eligibility criteria include:

* assigned provider in SCI clinic who is willing to participate in the study
* has a scheduled appointment in the SCI clinic
* ability to complete survey

Exclusion Criteria:

* active diagnosis of dementia

About the study

Spinal cord injury (SCI) is a permanent condition affecting every aspect of life including health, daily activities, and participation and quality of life. Persons with SCI are at high risk of pressure injury (PrI) throughout their lives due to loss of sensation, nerve damage and immobility. PrIs are local areas of damage to the skin and underlying soft tissue caused by pressure and shear commonly located over bony prominences. While most PrIs are hospital- or nursing home-acquired, in people with SCI, PrIs typically develop in the community. Community-acquired pressure injuries (CAPrIs) are common, devastating, and costly. This grant proposal will assess how well a decision support tool, called the Community Acquired Pressure Injury Prevention Field Implementation Tool (CAPP-FIT), is used in the clinic and how well it prevents CAPrIs. The CAPP-FIT will be implemented at seven sites across the country in a staggered fashion. The CAPP-FIT includes: 1) an automated Veteran survey to identify risks, actions, and resources needed to prevent CAPrIs and 2) a companion Provider Report immediately available in the electronic health record listing Veteran responses to survey items with recommended evidence-based provider actions. The Veteran survey can be completed via a secured email on the computer or phone. There are three aims in the proposal: Aim 1 is implementing the CAPP-FIT at the seven geographically diverse VA SCI clinics. After CAPP-FIT implementation, each site will determine how the CAPP-FIT will be maintained in clinical practice to support sustainability. Aim 2 assesses how well the CAPP-FIT prevents CAPrIs and CAPrI-associated hospitalizations and assesses provider and Veteran satisfaction. Aim 3 assesses how well the CAPP-FIT is implemented in the SCI clinic.

What is being tested

• Provider training (behavioral)
• CAPP-FIT intervention with RA facilitation (behavioral)
• CAPP-FIT implementation during maintenance phase (behavioral)

Sponsor: VA Office of Research and Development · Participants: 808 · Started: Nov 1, 2024

Contact the study team

• Elizabeth E Burkhart, PhD · Phone: (708) 202-5884
• Frances M Weaver, PhD MA BA · Phone: (708) 202-2414

Official record on ClinicalTrials.gov — NCT06529094

Locations in the U.S.

Conditions

• Spinal Cord Injuries
• Pressure Sores

From ClinicalTrials.gov, data retrieved Sep 29, 2026. Each study sets its own eligibility; the study team decides who can join.