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A digitally enabled home-based wound care program using the PEDALs model: a mixed-methods study protocol.

Lili Chen^1,2, Xuefang Zhuo^1,3, Hong Cai^1,2

¹Shengli Clinical College of Fujian Medical University, Fuzhou, China.

Frontiers in Public Health

|June 23, 2025

Summary

This summary is machine-generated.

This study introduces a Digitally Enabled Home-Based Wound Care (DE-HBWC) program to improve chronic wound management. The PEDALs model guides the development of scalable, effective home-based wound care solutions.

Keywords:

PEDALs model chronic wounds digital health home care services home-based implementation research telehealth wound care

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Area of Science:

Implementation Science
Digital Health
Wound Care Management

Background:

Chronic wounds present significant patient burdens, including pain, infection, prolonged healing, and socioeconomic costs.
Aging populations and resource-limited settings exacerbate these challenges.
Current home-based wound care lacks robust scientific guidance and high-quality research, particularly in China.

Purpose of the Study:

To develop and evaluate a Digitally Enabled Home-Based Wound Care (DE-HBWC) program for chronic wound patients in China.
To address the lack of scientific theoretical guidance and high-quality research in DE-HBWC program construction.
To utilize the PEDALs model for a rational framework emphasizing iterative adaptation and long-term scalability.

Main Methods:

A combined quantitative and qualitative study following the PEDALs model across five phases and one monitoring step.
Phase I: Problem definition (wound management challenges). Phase II: Evidence synthesis (literature review).
Phase III: Barrier/facilitator identification (interviews). Phase IV: Intervention development and RCT. Phase V: Sustainable implementation plan.

Main Results:

The study is designed to evaluate the impact of the DE-HBWC program on wound healing and patient quality of life.
Economic benefits of the DE-HBWC program will also be assessed.
Findings are anticipated to offer solutions for challenges in hospital-based chronic wound care.

Conclusions:

The DE-HBWC program, guided by the PEDALs model, aims to provide effective, scalable, and sustainable chronic wound care.
This approach facilitates home-based treatment, improving patient comfort and potentially reducing healthcare burdens.
The study is expected to contribute valuable insights into implementing digital health solutions for chronic wound management.