Pain Relief Strategies for Dressing Change in Chronic Wounds

Pain Relief Strategies for Dressing Change in Chronic Wounds: Qualitative Interview Stage

A small-scale study using interviews to explore patients', carers' and health care professionals' experience of pain relief strategies currently used in UK practice for dressing change in chronic wounds.

Study Overview

• Status: Recruiting
• Conditions: Pain; Chronic Wound

Detailed Description

In 2012/2013, the National Health Service (NHS) managed an estimated 2.2 million adults >18 years of age with a wound, of which 48% were estimated as being chronic. A chronic wound is an open sore in the skin that does not heal, or takes a long time to heal, and frequently comes back. Chronic wounds include pressure ulcers (bed sores), venous (vein-related) leg ulcers, and foot ulcers in people who have diabetes. Pain is a common experience for people living with chronic wounds and can result from the wound itself, treatments for chronic wounds, including dressing changes; or be anticipatory. Pain during dressing change has been reported as the worst part of living with chronic wounds, followed closely by wound cleansing. Furthermore, dried out dressings and adherent products are most likely to cause pain and trauma at dressing changes as is gauze, while products such as hydrogels and soft silicone dressings are least likely. Evidence suggests that supporting the surrounding skin during dressing removal is not considered a priority, despite evidence that many adhesive products may lead to skin stripping and potential skin trauma and pain.

There is at present little recent evidence of pain relief strategies that are currently being used in the UK for dressing change in chronic wounds that includes patients', carers' and healthcare professionals' (people who work in the NHS) use and experience of these. This qualitative research will explore providers' and recipients' self-reported experiences of chronic wound care, and explore strategies used to reduce pain at dressing change. It will ask about the perceived success of these strategies from different participant perspectives, along with how pain is assessed. Perceptions of what factors might contribute to pain at dressing change (e.g., dressing and wound type, skill levels) will be captured along with perceptions of what could improve the management of pain at dressing change.

• Study Type: Observational
• Enrollment (Estimated): 25

Contacts and Locations

• Study Contact: Name: Richard Cooper, PhD; Phone Number: +44 114 222 0768; Email: richard.cooper@sheffield.ac.uk
• Study Contact Backup: Name: Andy Kirkcaldy, BA, MSc; Phone Number: +44 114 222 0741; Email: A.J.Kirkcaldy@sheffield.ac.uk

Study Locations

• United Kingdom
  • Yorkshire
    • Goole, Yorkshire, United Kingdom, DN14 6RU
      • Recruiting
      • Goole Health Centre
      • Contact: Jo Panizales; Email: jo.panizales@nhs.net
    • Rotherham, Yorkshire, United Kingdom, S65 1DA
      • Recruiting
      • Clifton Medical Centre
      • Contact: Dale Carter; Email: dale.carter@nhs.net

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 14 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: N/A

• Sampling Method: Non-Probability Sample

Study Population

Patients registered with a GP practice in England who are living with a chronic wound, informal or private carers for people living with a chronic wound and health care professionals (staff nurses, tissue viability specialists) providing primary or secondary medical care for someone with a chronic wound.

Description

Inclusion Criteria:

• Living with a chronic wound, informally or privately caring for someone with a chronic wound or providing medical care (e.g. dressing change) for someone with a chronic wound
• Ability to give informed consent
• Aged aged 18 years or above

Exclusion Criteria:

• Vulnerable patients (e.g. severe mental illness, learning difficulties, dementia, care home residents)
• Inability to provide informed consent
• Inability to communicate in English
• Not living with a chronic wound, informally or privately caring for someone with a chronic wound or providing medical care (e.g. dressing change) for someone with a chronic wound
• Under 18 years of age

Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Cross-Sectional

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
To identify what strategies have been used by patients, carers and healthcare professionals to reduce or remove pain associated with dressing changes in chronic wounds.	experiences and strategies will be explored and captured from qualitative data collected from semi-structured interviews	6 months

Collaborators and Investigators

• Sponsor: University of Sheffield
• Investigators: Principal Investigator: Richard Cooper, PhD, University of Sheffield

Study record dates

Study Major Dates

• Study Start (Actual): April 5, 2022
• Primary Completion (Estimated): September 30, 2024
• Study Completion (Estimated): September 30, 2024

Study Registration Dates

• First Submitted: May 25, 2022
• First Submitted That Met QC Criteria: June 7, 2022
• First Posted (Actual): June 10, 2022

Study Record Updates

• Last Update Posted (Estimated): December 4, 2023
• Last Update Submitted That Met QC Criteria: December 1, 2023
• Last Verified: June 1, 2023

More Information

Terms related to this study

• Keywords: Dressing
• Additional Relevant MeSH Terms: Wounds and Injuries
• Other Study ID Numbers: 165104

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No