ClinicalTrials.gg
Status unknownNCT03469141Updated Jun 13, 2018

Interactive Telehealth for Pressure Ulcer Prevention After SCI

An interventional study of Pressure Relief Monitoring System in Spinal Cord Injuries and Pressure Ulcer, sponsored by Rancho Research Institute, Inc.. Status unknown at 4 sites in United States. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2018-06-13.

Sponsored by Rancho Research Institute, Inc. · Not applicable, Interventional, and Prevention

The sponsor has not verified this record recently (last verified Jun 2018), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years to 100 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 968 studies in Spinal Cord Injuries with a site in United States — 250 open to participants now, 308 under way, 7 of them phase 3. Spinal Cord Injuries · United States.

Planned enrollment
83rd of 836
100 · median 24
Started
2018
with 65 others
No phase
601 of 968
190 open now
Registered
442nd of 968
by date

Among the 968 studies in Spinal Cord Injuries with a site in United States, this one is the 83rd largest by planned enrollment of the 836 interventional ones that give a count, is one of 66 that started in 2018, is one of 601 with no phase, and was the 442nd registered.

Spinal Cord Injuries

2,025 studies on the registry are indexed under Spinal Cord Injuries; 537 are open to participants now.

Browse Spinal Cord Injuries studies →

Open to participants now

250 of the 968 studies in Spinal Cord Injuries with a site in United States are open now. Recruiting first, the newest first:

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All 250 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 375 Spinal Cord Injuries studies recruiting now, 166 (44%) set no upper age limit and 158 (42%) stop at 75 or younger; 41 take children under 18; 52 take healthy volunteers.

This study: 18 Years to 100 Years · all sexes · no healthy volunteers.

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02

Study summary

The goal of this module project is to establish the efficacy of a portable sensor and app-based biofeedback technology system for promoting effective pressure relief behaviors and reducing risk of pressure ulcer development among wheelchair users. In collaboration with the participating SCIMS centers, the investigators will conduct a randomized clinical trial of education and goal setting alone compared to education and goal setting combined with the biofeedback system (SENSIMAT®) that is commercially available.

Read the detailed description

Overview and Rationale:

Pressure ulcers (PUs) are a frequent and serious secondary complication after SCI with an annual incidence of 31% and a lifetime incidence of up to 85%. PUs are linked to increased morbidity and mortality. As medical or surgical repair of established PUs is difficult and costly, the preferred approach is prevention. Traditional prevention recommendations included intermittent relief of interface pressure, such as performing wheelchair (WC) pushups every 30 minutes for 30 seconds or once an hour for 60 seconds. Alternatives to the push-up maneuver, including forward and lateral trunk leans, have been recommended to reduce the demands of weight bearing on the shoulders. One approach to address inadequate PR is to provide a simple reminder (i.e., an alarm) at set intervals. However, this approach is inadequate because patients who attempt PR maneuvers often do not achieve an adequate magnitude or duration of PR for tissue unloading. In addition, compliance with PR performance can be negatively impacted by unanticipated life circumstances. A system to measure PR maneuvers in the home and community and provide reminders and feedback on frequency and success of individual attempts of this important preventative activity could reduce the incidence of PUs. In this collaborative project, the investigators will establish the efficacy of a sensor and feedback technology system for promoting effective pressure relief behaviors and reducing risk of pressure ulcer development among wheelchair users. The investigators will conduct a randomized clinical trial of education and goal setting alone compared to education and goal setting combined with the biofeedback system (sensor and smartphone app) that is developed and validated. The fully functional system is unobtrusive and simple. The system attaches to any WC (without modification) and generates automatic reminders via an app. Biofeedback, also delivered via the app, indicates in real time when a PR maneuver has been completed successfully. The display also tracks the user's daily PR activity as the participants works towards a daily goal.

Specific Aims:

Primary: Compare PR behavior (daily PR frequency and average duration of uninterrupted sitting) between participants who receive education and four weeks of biofeedback training with the monitoring system (intervention group) and those who receive education but no system feedback (control group). Secondary: Compare the incidence of ischial PU development at one year post-intervention between groups.

Hypotheses:

  1. Biofeedback from the monitoring system will increase PR frequency and decrease uninterrupted sitting time compared to that achieved by education and goal setting without feedback. 2) Improvements in PR adherence will be retained after two weeks of wash-out (no feedback). 1) Incidence of ischial PU development will be lower in participants who receive feedback training with the telehealth monitoring system than in the control group. Methods: Participants will be at least 18 years of age, between 2 and 6 months post SCI, full-time WC users for community mobility (AIS A-C), able to perform PR maneuvers without assistance, and have no current or prior history of a PU. A total of one hundred (n=100) manual WC users from all collaborating centers will participate in an 8-week monitoring trial with a one-year follow-up to assess PU development. All participants will complete two weeks of recording PR behavior by the monitoring system without feedback. Following baseline assessment, participants will be randomized into one of two groups: an intervention group that will receive an education session on PU prevention with goal setting for PR frequency and duration followed by four weeks of biofeedback via the smartphone app component of the monitoring system, or a control group that will receive only the education and goal setting session, but will not receive biofeedback and will have the WC sensor system for measurement only. After four weeks, the biofeedback feature in the intervention group will be turned off. The system will continue to monitor activities for another two weeks. The investigators will assess whether improvements in PR adherence are retained after the 4-week bout of biofeedback (washout). Participants will return one year following the 8-week intervention to assess whether they have developed a PU. Participants will be queried and their medical record reviewed regarding PU occurrence since the intervention. A physician, nurse, or other clinician will examine participants' skin visually and record presence of any PUs (stages 1-4) in the ischial region.

Proposed Outcomes:

To establish the efficacy of the wheelchair seat sensor and app-based biofeedback for establishing healthy self-management behaviors (pressure relief maneuvers) and reducing incidence of pressure ulcer development in individuals with recent SCI.

03

Conditions studied

  • Spinal Cord Injuries
  • Pressure Ulcer

Keywords

  • Wheelchair
  • Pressure Relief
  • Activity
  • Monitor
04

Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Persons with documented SCI, American Spinal Injury Association Impairment Scale (AIS) A, B, or C.
  • Persons who are full time manual wheelchair users.
  • persons over the age of 18.
  • 2-6 months post-injury.
  • Able to perform pressure relief maneuvers without assistance
  • Cognitively able to understand and sign form approved by the IRB
  • Free of shoulder pain that interferes with daily activities or requires medical intervention at the time of enrollment in the study

Exclusion criteria

Exclusion Criteria:

  • History of shoulder injury or surgery or orthopedic or neurologic disorders (other than SCI) that would impact arm function, preventing them from performing pressure ulcer relief maneuvers or propelling a wheelchair.
  • history of ischial pressure ulcer.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
100 participants (estimated)

Study arms

  • No intervention
    Control Group

    The control group will continue to have the WC sensor system for measurement only and will not receive biofeedback after receiving instructions on the importance of pressure relief (PR) maneuvers for skin care, as well as training regarding the three pressure relief maneuvers. Materials (including fact sheets, etc.) will be incorporated in the educational content of the project.

  • Experimental
    Intervention Group

    The intervention group will receive biofeedback via the smartphone app.

    Device: Pressure Relief Monitoring System

Interventions

  • DevicePressure Relief Monitoring System

    Biofeedback provided to the intervention group via the smartphone app will include: Visual (e.g., phone notification bar) and auditory reminders if PR (pressure relief) is not performed as scheduled, Real-time feedback during performance of PR maneuvers to ensure adequate PR (e.g., the app will indicate if the duration of PR is sufficient), and Aggregate counts of daily PR activity.

    Also known as: Sensimat

06

What researchers measure

Primary outcomes

  1. PR maneuvers per day

    Number of pressure relief maneuvers per day

    Time frame: 8 weeks

  2. Sitting time

    Duration of uninterrupted sitting time in minutes per day

    Time frame: 8 weeks

Secondary outcomes

  1. Pressure Ulcer Occurence

    Incidence of ischial pressure ulcer occurence after one year

    Time frame: 1 year

07

Study locations

4 of 4 sites recruiting
  • University of Alabama
    Birmingham, Alabama 35249, United States
    Recruiting
  • Rancho Los Amigos National Rehabilitation Center
    Downey, California 90242, United States
    Recruiting
  • University of Miami
    Miami, Florida 33136, United States
    Recruiting
    • Diana D Cardenas, MD · Contact
  • Thomas Jefferson University
    Philadelphia, Pennsylvania 19102, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: Undecided — De-identified primary and secondary outcomes data will be shared with collaborators

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started May 2018 (actual). Primary completion is estimated for Oct 2020, 29 months after the start.

Of 790 non-industry interventional studies with no phase under Spinal Cord Injuries, half reached primary completion within 37 months of starting (the median), counting those still running; a quarter within 18 and three quarters within 65. This study's planned 29 months is below that.

Counting every sponsor, half of 839 studies reached it within 36 months; a quarter within 17 and three quarters within 64.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 12, 2018
First posted
Mar 19, 2018
StartActual
May 1, 2018
Primary completionEst.
Oct 30, 2020
CompletionEst.
Oct 30, 2021
Last update
Jun 13, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 13, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03469141
Lead sponsor
Rancho Research Institute, Inc.
Responsible party
Sara Mulroy (Co-Director, Rancho Research Institute, Inc.) — Principal investigator
First posted
Mar 19, 2018
Start date
May 1, 2018
Primary completion
Oct 30, 2020 (estimated)
Completion
Oct 30, 2021 (estimated)
Last update
Jun 13, 2018

Study contacts

Valerie Eberly, PT
Contact
veberly@dhs.lacounty.gov
562-385-7177
Philip S Requejo, PhD
Contact
prequejo@dhs.lacounty.gov
562-385-7177
Sara J Mulroy, PhD,PT
study director · Rancho Los Amigos National Rehabilitation Center

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Jun 2018. You cannot join it, but the record below documents what was studied.

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