Arthritis, Trauma (Including Fractures)
Conditions
Brief summary
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.
Interventions
DEVICETru Vu tool and training
A positioning aid and training videos for wrist x-rays
Sponsors
Western University
Newfoundland Health Services
NLHS
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 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).
Exclusion criteria
* Incapable of providing informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Radiograph grading score | Radiographs will be collected retrospectively 4 months prior to implementation and 6 months prospectively after the implementation of the tool. | Radiographs collected retrospectively and prospectively will be graded by a radiologist and radiographer |
| Tool adoption (and associated implementation outcomes) | The survey will be administered 6 months after the implementation of the tool and training. | A survey will collect perceived tool use and other perceived implementation outcomes (including fidelity, appropriateness, acceptability, and adoption). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sustainability | 6 months after the conclusion of the implementation period | Post-follow up survey will be conducted 6 months after the end of the implementation period and will collect perceived tool use. |
| Repeated radiographs | Repeat radiographs will be collected and compared 4 months retrospectively prior to implementation and 6 months after the start of implementation. | Document the number of repeat radiographs captured. |
Countries
Canada
Contacts
CONTACTEmily Lalone, PhD
Outcome results
None listed