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

Condition(s) studied

Investigational drug(s) / intervention(s)

Tru Vu tool and training: A positioning aid and training videos for wrist x-rays

Study 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.

Eligibility

Primary outcome measure(s)

• 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).

Trial sites (3)

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