Predictors of Patient Participation in Pressure Injury Prevention: An Observational Substudy.

Area of Science:

• Healthcare Research
• Patient Engagement
• Clinical Nursing

Background:

• Patient participation is linked to improved health outcomes.
• Predictors of patient participation in pressure injury prevention (PIP) are not well understood.
• Identifying these factors can optimize prevention strategies.

Purpose of the Study:

• To identify patient-related factors predicting participation in PIP (PPPIP) among hospitalized patients.
• To evaluate the psychometric properties of the PPPIP scale.
• To inform targeted patient engagement strategies for PIP.

Main Methods:

• An observational substudy involving 856 hospitalized medical and surgical patients at risk for pressure injuries.
• Administration of the seven-item PPPIP scale within 48 hours of recruitment.
• Multiple regression analysis to identify predictive factors and confirmatory factor analysis and Cronbach's alpha for psychometric assessment.

Main Results:

• The PPPIP scale demonstrated good psychometric properties (Cronbach's alpha = 0.81).
• Mean PPPIP scores were high, with 66.7% of patients reporting agreement or strong agreement.
• Only the use of mobility aids was a statistically significant predictor of PPPIP, explaining a small variance (adjusted R² = 0.017).

Conclusions:

• The PPPIP scale is a reliable and valid measure of patient engagement in PIP.
• While overall participation is high, patient-related factors have limited predictive power.
• Targeting patients with limited mobility may be a resource-efficient strategy to enhance PIP engagement.