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Published online: 2024-06-14

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Effectiveness of an online educational intervention for pressure injury prevention in caregivers: a pre-test post-test study

Nurizzqah Bungsu1, Shyh Poh Teo12, Noridah Halim2, Misli Kula2, Asmah Husaini1

Abstract

Background: Evaluate the effectiveness of an online educational intervention for pressure injury prevention in caregivers of dependent older people during the pandemic.

Methods: Quasi-experimental pre-test and post-test intervention design was used. Caregivers of patients deemed as high risk for developing pressure injuries were recruited. WhatsApp messages was the main mode of recruitment and communication. The pretest survey consisted of sociodemographic details and a Brief Pressure Ulcer Knowledge Test. After the pre-test, participants could access the self-developed video covered information related to pressure injuries and prevention, followed by a post-test survey. Data was entered into Microsoft Excel and analysed.

Results: Out of 83 caregivers, 30 (36.1%) responded to the pre-test survey, while 13 (15.7%) completed the educational intervention and post-test survey. The majority of caregivers were female and aged between 31 to 60 years. The mean pre-test score was 3.73. There were no statistically significant differences between age groups, gender, level of education, length of caregiver experience and whether they attended previous pressure injury sessions. Among those who answered the post-test survey, the mean score increased from 4.08 to 5.54.

Conclusions: The online educational intervention for pressure injury prevention was associated with a low response rate and a likely non-clinically significant difference in knowledge scores among caregivers for dependent older patients.

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References

  1. Sofian AIH, Md Jappar JS, Amzizulfadzillah AF, et al. COVID–19 pandemic situation analysis for Brunei Darussalam – perspectives from the front line, geriatric medicine and mental health. Pac J Med Sci. 2021; 21(2): 5–11.
  2. Ahmad MH, Halim N, Teo SP. Stage 4 sacral pressure injuries among fully dependent older adults during the COVID-19 pandemic. Aging Med Healthc. 2021; 12(4): 159–161.
  3. Teo SP, Halim HH. Pressure injury prevention and management – hospital initiatives and interventions. J Gerontol Geriatr. 2019; 67: 235–238.
  4. Onn LV, Teo SP. Hip osteomyelitis secondary to pressure injury: a case report. Asian J Gerontol Geriatr. 2019; 14(1): 30–32.
  5. Padula WV, Delarmente BA. The national cost of hospital-acquired pressure injuries in the United States. Int Wound J. 2019; 16(3): 634–640.
  6. European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel and Pan Pacific Pressure Injury Alliance. Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline. The International Guideline. Emily Haesler (Ed.). EPUAP/NPIAP/PPPIA: 2019.
  7. Chong KW, Lee SWA. A home–based education programme in pressure injury prevention and management for caregivers of elderly patients: a pilot study. Asian J Gerontol and Geriat. 2017; 12: 53–59.
  8. Alhammadi HMA, Ogale RJ. Effectiveness of home caregivers teaching program on prevention of decubitus ulcer in bed ridden elderly patients. Int J Nurs. 2020; 7(2): 2373–7670.
  9. Ibrahiem D, El-Maksoud M. Training program for caregivers to prevent pressure ulcers among elderly residents at geriatric homes. Front Nurs. 2021; 8(3): 249–259.
  10. Manji K, Hanefeld J, Vearey Jo, et al. Using WhatsApp messenger for health systems research: a scoping review of available literature. Health Policy Plan. 2021; 36(5): 594–605.
  11. Krohn KM, Sundberg MA, Quadri NS, et al. Global health education during the COVID-19 pandemic: challenges, adaptations, and lessons learned. Am J Trop Med Hyg. 2021; 105(6): 1463–1467.
  12. Rottenberg S, Williams A. Web-Based delivery of the caregiving essentials course for informal caregivers of older adults in ontario: mixed methods evaluation study. JMIR Aging. 2021; 4(2): e25671.
  13. Navabi N, Ghaffari F, Jannat-Alipoor Z. Older adults' attitudes and barriers toward the use of mobile phones. Clin Interv Aging. 2016; 11: 1371–1378.
  14. García-Sánchez FJ, Martínez-Vizcaíno V, Rodríguez-Martín B. Patients' and caregivers' conceptualisations of pressure ulcers and the process of decision-making in the context of home care. Int J Environ Res Public Health. 2019; 16(15).
  15. Ilesanmi R, Olayinka B, Hanson V. Patients and caregivers’ understanding of pressure injury risk factors and their participation in care. Intl J Stud Nurs. 2019; 4(2): 52.
  16. Latimer S, Chaboyer W, Gillespie B. Patient participation in pressure injury prevention: giving patient's a voice. Scand J Caring Sci. 2014; 28(4): 648–656.
  17. Zygouri I, Cowdell F, Ploumis A, et al. Gendered experiences of providing informal care for older people: a systematic review and thematic synthesis. BMC Health Serv Res. 2021; 21(1): 730.
  18. Nuru N, Zewdu F, Amsalu S, et al. Knowledge and practice of nurses towards prevention of pressure ulcer and associated factors in Gondar University Hospital, Northwest Ethiopia. BMC Nurs. 2015; 14: 34.
  19. Bettinger E, Fox L, Loeb S, et al. Virtual classrooms: how online college courses affect student success. Am Econ Rev. 2017; 107(9): 2855–2875.
  20. Lawn S, Zhi X, Morello A. An integrative review of e-learning in the delivery of self-management support training for health professionals. BMC Med Educ. 2017; 17(1): 183.
  21. Kerfoot BP. Adaptive spaced education improves learning efficiency: a randomized controlled trial. J Urol. 2010; 183(2): 678–681.
  22. Kondratjew H, Kahrens M. Leveraging experiential learning training through spaced learning. Journal Work Appl Manag. 2019; 11(1): 30–52.



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