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Study was withdrawn because of a problem with the software used for generating the aftercare summary.
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The purpose of this research study is to evaluate a patient education program for chronic wound care. The wound care nurse practitioner (NP) at the Ann Arbor VAMC will use a wound self-management "after-care summary" with approximately half of her patients. This study will examine whether using this patient education tool for self-management of wound care results in improved patient outcomes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm 1 | Experimental | These patients receive the experimental intervention--the after-care summary. |
|
| Arm 2 | Active Comparator | These patients are the control group and receive usual care. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| After-care summary | Behavioral | The wound care NP will measure the wound and assess adherence to the following self-management activities: visiting the wound care clinic as scheduled; offloading; applying dressings; obtaining assistance at home; and participating in social activities. This information will be entered into a computer database on a VA computer that will generate a summary chart showing the relationship between adherence and wound healing. The generated "after-care summary" will be discussed with the patient and used to set self-management goals. |
| Measure | Description | Time Frame |
|---|---|---|
| patient satisfaction, frequency of self-management activities, time to healing | Outcomes are measured at each participating patient's visit for one year or until the patient's wound is healed, whichever comes first. |
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Inclusion Criteria:
All patients presenting for outpatient wound care at the Ann Arbor VA Medical Center NP wound care clinic, who meet the following inclusion criteria for chronic wounds: stage II, III, IV pressure ulcers; venous stasis ulcers, and diabetic ulcers.
Exclusion Criteria:
Cognitively impaired patients who cannot give informed consent.
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| Name | Affiliation | Role |
|---|---|---|
| Julie C Lowery, PhD MHSA | VA Ann Arbor Healthcare System, Ann Arbor, MI | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| VA Ann Arbor Healthcare System, Ann Arbor, MI | Ann Arbor | Michigan | 48105 | United States | ||
| VA Puget Sound Health Care System Seattle Division, Seattle, WA |
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| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
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| ID | Term |
|---|---|
| D035061 | Control Groups |
| ID | Term |
|---|---|
| D015340 | Epidemiologic Research Design |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D012107 | Research Design |
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|
| Control group | Behavioral | Patients in the control group will receive usual counseling for self-management. |
|
| Seattle |
| Washington |
| 98108 |
| United States |
| D008722 | Methods |