Accepted for/Published in: JMIR Formative Research
Date Submitted: Feb 26, 2024
Date Accepted: Dec 15, 2024
Evaluating the Knowledge Level, Practice, and Behavioral Change Potential of Care Managers in Pressure Injury Prevention using a Mobile Application Prototyping Model in the Home-Care Setting: A Single-Arm, Pre–post Pilot Study
ABSTRACT
Background:
The use of mobile applications (apps) to promote knowledge level, practice, and behavioral change potential has become increasingly common. However, studies on apps targeting social welfare employees working in the home-care setting to prevent pressure injury are lacking.
Objective:
This study aimed to assess the effectiveness of a pressure injury prevention support mobile app prototyping model (Pips-Map) in improving the knowledge level, practice, and behavioral change potential of care managers in pressure injury prevention in the home-care setting.
Methods:
This was a single-arm, pre–post pilot study including 27 care managers who worked in a city in Japan. Pips-Map was used for 6 months in daily practice, and a self-administered test questionnaire was used to assess participants’ knowledge and practice in pressure injury prevention before or after using Pips-Map. At the end of posttest, a validated App Behavior Change Scale was used to analyze behavioral change potential.
Results:
In total, 19 participants were analyzed. Of 55 points, the total mean knowledge score significantly increased from 30.9 ± 5.9 in the pretest group to 36.1 ± 5.9 in the posttest group (P = .0003). The number of participants with a total score of >70% (adequate knowledge level) increased from 2 (10.5%) to 7 (36.8%), but the difference was not statistically significant (P = .07). However, such increments were not observed in the total score of practice (P = .16). The behavior change scale revealed that participants positively evaluated the Pips-Map to provide information on pressure injury prevention guidelines but had concerns regarding inadequate usability and financial incentives of Pips-Map.
Conclusions:
The use of Pips-Map for 6 months in actual practice increased the knowledge level of Japanese care managers in pressure injury prevention, but it did not change the level of practice. Considering the need for updating apps that aim to promote behavioral change, this study identified some limitations of Pips-Map. Thus, revisions must be made to adapt Pips-Map to home-based care needs. Clinical Trial: UMIN Clinical Trial Registry number: UMIN000048904
Citation
Per the author's request the PDF is not available.
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