Tru-Vu Wrist Positioning Aid Multi-Center Implementation Within NLHS

Trial statusNot yet recruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorWestern University

About this trial

This study has two primary aims: 1) to determine whether a novel wrist x-ray positioning aid can be implemented within 3 different healthcare centers in Newfoundland and Labrador, and 2) to determine the ability of the tool to improve patient positioning in wrist x-rays. It will also learn about the number of repeat x-rays required with or without the use of the tool and radiographer confidence. The main questions it aims to answer are:

1. Will the implementation of the Tru-Vu differ between an urban health center, rural clinic, and remote regional hospital? 2. Can the Tru-Vu improve the positioning procedure for radiographers performing wrist x-rays, resulting with more useful x-rays.

Researchers will compare x-rays before and after the implementation of the tool as well as between centers.

Technologist participants will:

* Use the tool during the positioning procedure for wrist x-rays. * Provide feedback regarding tool use and perceived implementation barriers and facilitators.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Must be 18 years of age or older

Must be proficient in English (reading/writing)

Must have been referred for wrist imaging at one of the following healthcare centers: Health Sciences Center (St. John's, NL), Bonne Bay Health Center (Norris Point, NL), or Labrador Health Center (Happy Valley-Goose Bay, NL).

Disqualifiers

Incapable of providing informed consent

Trial design

Design model

Parallel

Treatments tested in this trial

  • Tru Vu tool and training

    Device

    A positioning aid and training videos for wrist x-rays

Treatment groups

1,800 Participants
are divided into 3 treatment groups
Group A: Urban hospitalExperimental treatment 1 intervention
Group B: Rural health centerExperimental treatment 1 intervention
Group C: Regional remote hospitalExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Radiograph grading score

Radiographs collected retrospectively and prospectively will be graded by a radiologist and radiographer

Time frame
Radiographs will be collected retrospectively 4 months prior to implementation and 6 months prospectively after the implementation of the tool.
2

Tool adoption (and associated implementation outcomes)

A survey will collect perceived tool use and other perceived implementation outcomes (including fidelity, appropriateness, acceptability, and adoption).

Time frame
The survey will be administered 6 months after the implementation of the tool and training.

Secondary outcomes

1

Sustainability

Post-follow up survey will be conducted 6 months after the end of the implementation period and will collect perceived tool use.

Time frame
6 months after the conclusion of the implementation period
2

Repeated radiographs

Document the number of repeat radiographs captured.

Time frame
Repeat radiographs will be collected and compared 4 months retrospectively prior to implementation and 6 months after the start of implementation.

Other outcomes

Sponsors and contacts

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Western University

Lead sponsor

Newfoundland Health Services

Collaborator

NLHS

Collaborator

This trial is not recruiting at the moment. You can still explore other options: