A realist evaluation of ‘paste’ and ‘dry’ compression bandages
This study, called 'ROSE', explores two main types of compression bandages: 'paste' and 'dry'. These bandages are used for leg ulcers, which are painful sores that affect quality of life, or to prevent them from coming back. While compression helps leg ulcers heal, we don't know much about which specific bandage type is best for whom. This research aims to find out when, for whom, and in what situations a 'paste' or 'dry' bandage system should be chosen. It relies on the experiences of both nurses, for ease of application, and patients, for comfort. Patients often say they struggle with bandages, and this study hopes to understand why different types might suit different people better. It's a non-interventional study, meaning you won't be given specific treatments; instead, the researchers will observe current care.
At a glance
What is this study about?
Leg ulcers are painful sores on the legs that happen when blood vessels aren't working properly. They can really affect daily life and need frequent dressing changes. While compression bandages are key to helping them heal, there are many different types, and we don't fully understand which ones are best for different people or situations. Nurses often choose bandages based on their own experience, but patients sometimes find them uncomfortable, and it's not always clear if other options have been considered.
This study, called 'ROSE', is designed to look closely at two common types of compression bandages: 'paste' bandages and 'dry' bandages. The main goal is to figure out which type works best for different patients, at different times, and in different situations. It's not about testing new treatments; instead, it's about understanding how the bandages are currently used and how they affect people in real-life situations. The study team understands that caring for leg ulcers is complex, and many things can influence how well a treatment works.
To do this, the study will listen to two main groups. Firstly, community and district nurses who apply these bandages will share their thoughts on how easy each type is to put on. Secondly, patients taking part in the study will give their opinions on how comfortable each type of bandage feels. This information will help build a clearer picture of when to use 'paste' versus 'dry' bandages, aiming to improve care and comfort for people with or at risk of leg ulcers in the future. The inspiration for this project came directly from patients who shared their experiences.
Key takeaways
- The study explores existing 'paste' and 'dry' compression bandages for leg ulcers.
- It aims to understand when and for whom each type works best.
- Researchers will collect opinions from both nurses and patients.
- You might get to try two bandage types and choose your preferred one later.
- It's a non-interventional study, meaning no new treatments are given.
- The study focuses on improving comfort and care for people with leg ulcers.
Who may be eligible?
To be able to join this study, you must be an adult aged 18 or over. You also need to live in Newcastle upon Tyne and be registered with a local GP there.
The study is for people who need compression bandages on both of their legs. This could be because you currently have leg ulcers on both legs, or because you need bandages to stop ulcers from forming or coming back. Both new and existing leg ulcers are included, as long as they require bandages on both legs.
There are also some reasons why you wouldn't be able to join. For example, if you are under 18, live in a nursing home, or if your leg ulcers don't actually need compression bandages. Also, if you have a specific condition like lymphoedema that requires a very particular type of compression bandage, this study might not be right for you.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Are you 18 years old or older?
- Do you live in Newcastle upon Tyne and have a local GP?
- Do you need compression bandages on both of your legs?
- Do you currently have leg ulcers or need bandages to prevent them?
What does participation involve?
If you are invited to take part in this study, you won't be given any new or experimental treatments. Instead, the research team will observe the care you are already receiving. A research nurse will visit you where you usually receive your care. You will be asked for your opinions on how comfortable two different types of compression bandages feel on your legs. The nurses caring for you will also give their views on how easy these bandages are to apply. The study is planned to run from December 2024 to April 2027.
Potential risks and benefits
Locations (1)
- The Newcastle upon Tyne Hospitals NHS Foundation TrustCity onlyNewcastle upon Tyne, England
Common questions
What are leg ulcers?
Leg ulcers aresores on the leg that can be painful. They usually happen when blood flow in the legs isn't working as it should.
What are compression bandages?
Compression bandages are special bandages that gently squeeze your leg. This helps improve blood flow and can help leg ulcers to heal.
What's the difference between 'paste' and 'dry' bandages?
The study aims to understand this difference better in practice! Generally, they are two different types of material or systems used for compression bandaging, but their specific characteristics are what the study is investigating.
Will I have to pay to be in the study?
No, you will not have to pay to participate in this study. It is funded by OVIK Health LLC.
What will happen to my usual care if I join?
Your usual leg ulcer care will continue as normal. This study is about observing and understanding current care, not changing it.
How to find out more
Fania Pagnamenta
Always speak to your GP or specialist before deciding to take part in a study.
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