Chaboyer, Wendy, Walker, Rachel, Harbeck, Emma, Latimer, Sharon, Cooke, Marie, and Gillespie, Brigid M. (2026) Predictors of Patient Participation in Pressure Injury Prevention: An Observational Substudy. International Wound Journal, 23. e70808.

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Abstract

Patient participation improves patient outcomes, but factors that predict participation in pressure injury prevention (PIP) are relatively unknown. This study aimed to identify patient-related factors predictive of patient participation in pressure injury prevention (PPPIP) in hospitalised medical and surgical patients and to assess the psychometric properties of the PPPIP scale. This observational substudy recruited consenting adults at risk of pressure who participated in a parent trial. The seven-item PPPIP scale was administered within 48 h of recruitment, with higher scores reflecting more participation. Multiple regression was used to identify patient-related factors predictive of patient participation. The scale's psychometric properties were assessed using confirmatory factor analysis and Cronbach's alpha. In total, usable data were obtained from 856 patients. Mean PPPIP scale scores were relatively high, with 571 (66.7%) scores reflecting agreement or strong agreement. The Cronbach's alpha was 0.81, and most confirmatory factor analysis criteria for construct validity were met. Only the use of mobility aids was statistically significant in the model, but it predicted a small amount of variability in PPPIP score (adjusted R2 = 0.017; p < 0.001). Targeting patients with limited mobility may be a useful strategy when trying to engage patients in PIP if resources are limited.

Item ID:	90888
Item Type:	Article (Research - C1)
ISSN:	1742-481X
Keywords:	patient engagement, patient participation, pressure injury, pressure ulcer
Copyright Information:	This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. © 2026 The Author(s). International Wound Journal published by Medicalhelplines.com Inc and John Wiley & Sons Ltd.
Funders:	National Health and Medical Research Council of Australia (NHMRC).
Projects and Grants:	NHMRC APP11583879
Date Deposited:	08 Apr 2026 01:13
FoR Codes:	42 HEALTH SCIENCES > 4203 Health services and systems > 420311 Health systems @ 50% 42 HEALTH SCIENCES > 4203 Health services and systems > 420399 Health services and systems not elsewhere classified @ 50%
SEO Codes:	20 HEALTH > 2099 Other health > 209999 Other health not elsewhere classified @ 100%
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