The Effect of Pressure Injury Training on Knowledge Levels and Wound Prevention in Wheelchair Users

February 23, 2026 updated by: Neslihan Istek, Selcuk University

Evaluation of the Effects of Training Given to Wheelchair Users on Their Level of Knowledge, Prevention of Pressure Injury and Wound Healing

This research is a randomised controlled study conducted to evaluate the effects of training given to wheelchair users to prevent pressure injury on their level of knowledge, prevention of pressure injury and wound healing.

This study will test the following hypotheses among trained and untrained wheelchair users:

Hypothesis 1: Pressure injury education provided to wheelchair users has an impact on pressure injury prevention knowledge.

Hypothesis 2: Pressure injury education provided to wheelchair users has an impact on pressure injury prevention interventions.

Hypothesis 3: Pressure injury education provided to wheelchair users has an impact on pressure injury prevention.

Hypothesis 4: Pressure injury education provided to wheelchair users has an impact on pressure injury recovery.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Detailed Description

This randomized controlled trial was designed to evaluate the effectiveness of an online pressure injury education program developed for individuals who use wheelchairs. The intervention aimed to improve participants' knowledge related to pressure injury prevention, to support the implementation of preventive behaviors, and to contribute to the prevention and healing processes of pressure injuries through structured online education and follow-up.

The study was conducted between 2021 and 2023 in Tokat province, Türkiye. Eligible participants were allocated to intervention and control groups using a stratified randomization method to ensure balance between groups. The study was carried out as a double-blind randomized controlled trial, in which both participants and the statistician responsible for data analysis were blinded to group assignments.

The intervention consisted of a structured online training program focusing on pressure injury risk factors, prevention strategies, skin assessment, positioning, and wound care principles relevant to wheelchair users. Participants in the intervention group were divided into small training groups, and the education was delivered through multiple online sessions to enhance interaction and understanding. The control group received routine follow-up without the educational intervention during the study period.

Following completion of the training program, both groups were monitored over a 12-week follow-up period. Weekly follow-ups were conducted to observe changes related to pressure injury prevention practices and healing status. Outcome assessments were performed at baseline and at the end of the follow-up period to evaluate the impact of the intervention.

The study was approved by the Gazi University Ethics Committee, and official permission was obtained from the Tokat Governorship. All participants provided informed consent prior to participation. The findings of this study are expected to contribute evidence regarding the role of online education in pressure injury prevention and management among wheelchair users.

Study Type

Interventional

Enrollment (Actual)

78

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Turkey (Türkiye)
    • Selcuklu
      • Konya, Selcuklu, Turkey (Türkiye)
        • selcukU
    • Selçuklu
      • Konya, Selçuklu, Turkey (Türkiye), 42130
        • Selcuk University

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

Aged between 18 and 65 years

Wheelchair user

No communication difficulties

Willing to participate voluntarily in the study

Healthy volunteer

Exclusion Criteria:

Younger than 18 years or older than 65 years

Presence of any communication difficulties

Unwilling to participate in the study

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Health Services Research
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: education, monitoring and counseling
Participants in the experimental group who used wheelchairs received three-session training on preventing pressure sores. This was followed by a 12-week follow-up and counseling program.
Behavioral: education
To provide interactive training sessions to the intervention group, four training groups were formed, each consisting of 9-10 people. Each training session, comprising three sessions, was completed over two weeks on the Zoom platform. Each 60-minute session included information on the definition, etiology, influencing factors, and prevention and care practices for cognitive impairment. Following the completion of the training sessions, individuals in the intervention group were followed up and provided with counseling for 12 weeks.
Other Names:
  • Online Pressure Injury Prevention Education
  • Pressure Injury Prevention Counseling
  • Pressure Injury Follow-up
No Intervention: monitoring
Participants in the control group who used wheelchairs received training and were only monitored for the development of pressure injury for 12 weeks.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Comparison of mean scores from the "Pressure Injury Knowledge Test for Wheelchair Users" scale between the intervention and control groups.
Time Frame: 3,5 months
Using the "Pressure Injury Knowledge Test for Individuals Using Wheelchairs" scale, a pretest was administered to the experimental and control groups before the training to assess pressure injury knowledge levels. Subsequently, three sessions of training were administered only to the experimental group.
3,5 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Evaluation of individuals in the intervention group's implementation of pressure injury prevention practices using the "Pressure Ulcer Healing Assessment Form"
Time Frame: 3,5 months
After receiving pressure ulcer training, individuals in the intervention group were assessed once a week during a 12-week follow-up period to determine whether they implemented pressure ulcer prevention practices, and their data were analyzed.
3,5 months
Statistical comparison of Pressure Ulcer Healing Assessment Scale (PRS) scores between the experimental and control groups
Time Frame: 1 month
The wounds of all participants in the intervention and control groups who had existing wounds and those who developed new wounds during the 12-week follow-up period were monitored weekly with the Pressure Ulcer Healing PUSH scale, and the results were analyzed.
1 month
Evaluation of whether there is a statistically significant difference between the groups when comparing the first and last measurements of the number of individuals with CI and the number of current CI in the intervention and control groups
Time Frame: 1,5 month
In the intervention group, the number of individuals with current CI was six during the pre-assessment.
1,5 month

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Selcuk University

Collaborators

Gazi University

Investigators

  • Principal Investigator: NESLİHAN İSTEK, https://www.selcuk.edu.tr/

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Helpful Links

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

February 10, 2022

Primary Completion (Actual)

July 24, 2023

Study Completion (Actual)

July 25, 2023

Study Registration Dates

First Submitted

August 14, 2025

First Submitted That Met QC Criteria

February 23, 2026

First Posted (Actual)

February 27, 2026

Study Record Updates

Last Update Posted (Actual)

February 27, 2026

Last Update Submitted That Met QC Criteria

February 23, 2026

Last Verified

February 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • SelcukUNeslihanİSTEK.01

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

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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