Effectiveness and Efficiency of Two Models of Delivering Care to a Chronic Wound Population

Summary

Individuals referred to home care for leg ulcer management were randomized to nurse home visits (usual care) or nurse-run community clinics (intervention). The primary outcome will be the time to healing rates at three months. Secondary outcomes are: time to healing of all ulcers within the 12 month follow-up period, time to first recurrence of a healed ulcer, the number of weeks patients were free from ulcers, function, pain, and health related quality of life, client and provider satisfaction. We hypothesize that nurse-run neighborhood clinics result in better healing rates, more cost-effective care, and improved client and provider satisfaction than the home visiting model.

Conditions

• Varicose Ulcer

Interventions

OTHER

Clients randomized to nurse-led clinic

Clients receive leg ulcer care in a nurse-led clinic; both groups are treated by the same health care providers using the same protocol

OTHER

Clients receive leg ulcer care in their homes

Clients receive leg ulcer care in at home; both groups are treated by the same health care providers using the same protocol

Sponsors & Collaborators

• The Ottawa Hospital

  collaborator OTHER

• University of Ottawa

  collaborator OTHER

• Queen's University

  lead OTHER

Principal Investigators

• Margaret B Harrison, RN, PhD · The Ottawa Hospital

• Ian D Graham, PhD · Clinical Epidemiology Unit, Ottawa Hospital-Civic Campus

• Philip S Wells, PhD · The Ottawa Hospital

• Susan VanDeVelde, PhD · Victorian Order of Nurses, Ottawa-Carleton Branch

• Judith L Threinen, BSR, MHA · Ottawa-Carleton Community Care Access Centre

• Donna I Nicholson, Dip O&A · Ottawa Carleton Community Care Access Centre

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

90 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2000-10-31

Primary Completion

2004-03-31

Completion

2005-03-31

Countries

• Canada

Study Locations