ClinicalTrials.gg
RecruitingNCT07341620Updated Mar 17, 2026

Effectiveness of an Online Interactive E-book in Enhancing Home Care Nurses' Knowledge, Perceived Barriers, and Self-efficacy in Home Pressure Injury Care

An interventional study of Interactive E-book on Pressure Injury Care and MOHW Standard PDF Educational Materials in Pressure Injuries, sponsored by Kaohsiung Medical University. Recruiting at 1 site in Taiwan. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-03-17.

Sponsored by Kaohsiung Medical University · Not applicable, Interventional, and Health services research

From the registry’s dates

  • Started Feb 2026; still recruiting 9 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
132
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this study is to learn if an interactive e-book helps home care nurses improve their skills in managing pressure injuries at home. It will also learn if digital learning can overcome the challenges of traditional training. The main questions it aims to answer are:

  1. Does the e-book increase home care nurses' knowledge about pressure injury prevention and treatment?
  2. Does it improve their confidence and reduce the barriers they face when providing wound care?
  3. How long do the learning benefits last after completing the program?

Researchers will compare an interactive e-book to standard PDF training materials from the Ministry of Health and Welfare (MOHW) to see which is more effective for nursing education.

Participants will:

  1. Use an online interactive e-book covering 11 units of wound care for 1 month
  2. Use standard PDF training materials from the MOHW Long-term Care section
  3. Complete surveys about their knowledge and skills before the study, immediately after the program, and 1 month later

Expected Outcomes and Contributions:

This study aims to solve the problem of nursing shortages and training difficulties in rural areas. The researchers expect that home care nurses will become more competent in wound management, leading to better patient health and fewer hospital readmissions. These results will support Taiwan's "Long-term Care 3.0" policy by driving innovation in digital education.

Read the detailed description

The goal of this study is to learn if an interactive e-book helps home care nurses improve their skills in managing pressure injuries at home. It will also learn if this digital tool can overcome barriers to traditional training.

The main questions it aims to answer are:

  1. Does the e-book increase home care nurses' knowledge about pressure injury prevention and treatment?
  2. Does it improve their confidence and reduce the barriers they face when providing wound care?
  3. How long do these learning benefits last after the program ends? Researchers will compare an interactive e-book to standard PDF training materials from the Ministry of Health and Welfare (MOHW) to see which is more effective for nursing education.

Participants will:

  1. Use an online interactive e-book on wound care for 1 month (Experimental Group)
  2. Read standard PDF training materials from the MOHW Long-term Care section (Control Group)

Complete surveys about their knowledge and skills before the study, immediately after the program, and 1 month later

02

Conditions studied

  • Pressure Injuries

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Keywords

  • Home care nursing
  • home health nurses
  • pressure injuries
  • home health care
  • digital education
03

In context

Pressure Ulcer

545 studies on the registry are indexed under Pressure Ulcer; 129 are open to participants now.

This study's planned enrollment of 132 is above the median of 70 across 405 interventional studies indexed under Pressure Ulcer.

Browse Pressure Ulcer studies →

Lead sponsor

Kaohsiung Medical University is the lead sponsor of 56 studies on the registry; 17 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Registered nurses aged 18 years or older.
  • Currently employed full-time as a home care nurse in a hospital-affiliated home care agency, private home care agency, or public health center.
  • Have at least six months of clinical experience in home care nursing.
  • Willing to participate in this study and sign the form.

Exclusion criteria

Exclusion Criteria:

  • Home care nurses who hold specialized certifications related to advanced wound care (due to their existing high level of expertise in pressure injury management).
  • Nurses practicing in community nursing homes or residential care facilities.
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

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05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
132 participants (estimated)

Study arms

  • Experimental
    Interactive E-book on Pressure Injury Care

    Participants in this group will access an online interactive e-book focused on home-based pressure injury prevention and wound care for one month. The e-book consists of 11 interactive learning units.

    Other: Interactive E-book on Pressure Injury Care

  • Active comparator
    MOHW Standard PDF Educational Materials

    Participants in this group will be provided with standard PDF educational materials on pressure injuries from the Ministry of Health and Welfare (MOHW) Long-term Care section for one month.

    Other: MOHW Standard PDF Educational Materials

Interventions

  • OtherInteractive E-book on Pressure Injury Care

    An online interactive digital e-book containing 11 units on pressure injury prevention and wound care management for home care nurses.

  • OtherMOHW Standard PDF Educational Materials

    Standardized PDF educational documents regarding pressure injuries provided by the Ministry of Health and Welfare (MOHW) Long-term Care section.

06

What researchers measure

Primary outcomes

  1. Pressure Injury Knowledge Assessment Score (PUKAT 2.0)

    Pressure Injury Knowledge Assessment Score as measured by the Pressure Ulcer Knowledge Assessment Tool version 2.0 (PUKAT 2.0). The PUKAT 2.0 consists of 28 multiple-choice items across six themes: etiology, classification, risk assessment, nutrition, prevention (pressure), and prevention (shear/friction). Each correct answer is awarded 1 point, while incorrect or "I do not know" answers receive 0 points. Possible scores range from 0 to 28, with higher scores indicating a greater level of knowledge and competency in the prevention and management of pressure injuries. An overall score of 17 or higher (≥60%) is typically considered the threshold for satisfactory knowledge.

    Time frame: Baseline (Pre-intervention), 1 month (immediately post-intervention), and 2 months (1-month follow-up).

Secondary outcomes

  1. Perceived Barriers to Wound Care (WCBS)

    Measured by the Wound Care Perceived Barriers Scale (WCBS), consisting of 16 items. Each item is rated on a 5-point Likert scale ranging from 1 (Strongly Disagree) to 5 (Strongly Agree). Total scores range from 16 to 80 points. A higher score indicates that the participant perceives significantly greater barriers to performing wound care.

    Time frame: Baseline (Pre-intervention), 1 month (immediately post-intervention), and 2 months (1-month follow-up).

  2. Pressure Ulcer Management Self-Efficacy (PUM-SES)

    Measured by the Pressure Ulcer Management Self-Efficacy Scale (PUM-SES). Each item is rated on a 5-point Likert scale from 1 (Totally Incapable) to 5 (Totally Capable). Total scores range from 10 to 50 points. A higher score indicates stronger self-efficacy in the prevention and management of pressure injuries.

    Time frame: Baseline (Pre-intervention), 1 month (immediately post-intervention), and 2 months (1-month follow-up).

07

Study locations

1 of 1 sites recruiting
  • Home Care Agency of Kaohsiung Medical University Chung-Ho Memorial Hospital
    Kaohsiung City, Kaohsiung 807, Taiwan
    Recruiting
08

References and documents

Individual participant data

Plan to share: No — Individual participant data will not be shared to protect participant privacy and maintain data confidentiality as per the institutional review board requirements.

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07341620
Lead sponsor
Kaohsiung Medical University
Responsible party
Hsiao-Ching Lin (PhD student and Investigator, Kaohsiung Medical University) — Principal investigator
First posted
Jan 14, 2026
Start date
Feb 1, 2026
Primary completion
Jul 31, 2027 (estimated)
Completion
Jul 31, 2027 (estimated)
Last update
Mar 17, 2026

Study contacts

Hsiaoching Lin, Master
Contact
cych06910@gmail.com
+886921962253

Oversight

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

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