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Clinical Remote Monitoring of Individuals With Spinal Cord Injury at Risk for Pressure Injury Recurrence Using
Melissa M Morrow1, Lynne C Hughes1, Diane M Collins1
1Department of Physical Therapy & Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX, United States.
JMIR Research Protocols
|April 10, 2024
Summary
This study pilots a telehealth model and mHealth device to remotely monitor skin health for individuals with spinal cord injuries (SCI). The goal is to improve pressure injury prevention and care through enhanced monitoring and individualized plans.
Area of Science:
- Rehabilitation Medicine
- Digital Health
- Biomedical Engineering
Background:
- Pressure injuries are a significant challenge for individuals with spinal cord injuries (SCI) due to impaired sensation and mobility.
- Current monitoring relies on self-reporting, which is prone to inaccuracies and recall bias.
- Understanding individual wheelchair user patterns is crucial for effective pressure injury prevention.
Purpose of the Study:
- To pilot-test a telehealth model combined with a mobile health (mHealth) Assisted Weight-Shift device for remote monitoring.
- To assess the clinical effectiveness of this model in maintaining skin health and optimizing wheelchair setup for adults with SCI.
- To develop an effective implementation plan for a connected care model focused on pressure management.
Main Methods:
- A mixed-methods design using an exploratory, sequential approach.
- Iterative collection of qualitative data from therapists, patients with SCI, and stakeholders.
- A hybrid effectiveness-implementation randomized controlled trial to pilot-test the intervention.
Main Results:
- Currently, 6 participants have been recruited for the initial qualitative study (Aim-1).
- The study anticipates an iteratively developed implementation plan with high acceptability, feasibility, and appropriateness.
- Positive trends in reduced pressure injury incidence, recurrence, and improved healing are expected.
Conclusions:
- The study aims to integrate the Assisted Weight-Shift system into routine clinical care for improved individualized pressure injury prevention plans.
- Results will inform a full hybrid trial to enhance care for preventing pressure injuries in SCI populations.
- This research supports the desire of adults with SCI for better personalized care strategies.
