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Prevention of Community Acquired Pressure Ulcers Using SSKIN Bundle at Home
Sponsor: Hiba Hussein, MD
Summary
Pressure ulcers remain a significant healthcare burden in community and home care settings, particularly among immobile patients. Effective prevention strategies require caregiver education and implementation of evidence-based care bundles. The SSKIN care bundle (Surface, Skin inspection, Keep moving, Incontinence management, Nutrition) is an internationally recognized approach, but its effectiveness when implemented by informal home caregivers using culturally adapted materials remains unclear. This study aimed to compare the knowledge and competency of informal caregivers who received structured training on the SSKIN care bundle versus those receiving traditional verbal instructions, and to evaluate the impact of this training on the incidence of pressure ulcer development in community-dwelling patients at risk for pressure ulcers. Eligible patients were ≥18 years old, at risk for pressure ulcers due to limited mobility (bed-bound or requiring mechanical assistance for repositioning), able to provide informed consent, and receiving home health care services. Eligible caregivers were informal or hired caregivers responsible for daily patient care. Primary outcomes included the caregivers' knowledge of pressure ulcer prevention, assessed via pre-test and post-test questionnaires and the incidence of new pressure ulcers developed during the 6-month follow-up period. Secondary outcome was the mortality rate during the study period.
Official title: Prevention of Community Acquired Pressure Ulcers Using SSKIN Bundle at Home: A Randomized Controlled Trial
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
106
Start Date
2024-05-10
Completion Date
2024-11-10
Last Updated
2026-09-30
Healthy Volunteers
No
Interventions
Structured SSKIN Bundle Caregiver Training Program
A comprehensive structured educational training program to enhance caregiver knowledge and competency in pressure ulcer prevention through instruction on the SSKIN care bundle (Surface, Skin Inspection, Keep Moving, Incontinence Management, Nutrition). Training materials were professionally translated to Arabic and culturally adapted for non-healthcare specialist caregivers. Components included: formal in-person training, printed educational posters and illustrated materials, digital and hard-copy implementation checklists, simplified language, and culturally appropriate content. Distinguishing features: structured curriculum format, culturally-tailored materials, accessibility for diverse literacy levels, both digital and analog resource formats. Focus: improving caregiver knowledge, competency, and practical implementation of evidence-based pressure ulcer prevention in home care settings.
Routine Verbal Instruction on Pressure Ulcer Prevention
Standard verbal instruction on pressure ulcer prevention provided by health workers during routine home health care visits, representing conventional practice in community home care. Instruction was delivered informally during patient encounters without structured curriculum, formal training, or supplementary educational materials. Content varies by health worker judgment and availability, typically including general guidance on skin care, positioning, monitoring, and seeking help for skin concerns. Distinguishing features: informal delivery, variable content, lack of written materials, integration into routine care, non-standardized format.
Locations (1)
King Salman Armed Forces Hospital in Northwestern Region
Tabuk, Northwestern Region, Saudi Arabia