title: Predicting concordance with multilayer compression bandaging.
abstract: OBJECTIVE
  To examine the relationship between concordance with multilayer compression bandaging and a number of client and wound characteristics, including wound severity, health status and client independence with respect to activities of daily living.
  
  
  METHODS
  Using data gathered for a randomised controlled trial that compared two types of antimicrobial dressings on infected or critically colonised lower leg ulcers, we explored the level of concordance with compression therapy by patients with wounds that had an ankle brachial pressure index of between 0.8 and 1.2.
  
  
  RESULTS
  A logistic regression analysis found that increased pain and wound size, older age and shallow wound depth were all significant predictors of non-concordance with multilayer compression bandaging.
  
  
  CONCLUSIONS
  Although the results suggest that pain, wound size, age and wound depth are all significant predictors of non-concordance with multilayer bandaging, the generalisability of these results is limited, given that data were gathered in the context of a RCT. Further studies are required to explore the relative contribution of predictors of concordance with compression therapy, in order to help inform strategies that promote it and, thereby, optimise healing.
  
  
  BACKGROUND
  None.
authors.forename: C
authors.initials: C
authors.lastname: Miller
authors.forename: S
authors.initials: S
authors.lastname: Kapp
authors.forename: N
authors.initials: N
authors.lastname: Newall
authors.forename: G
authors.initials: G
authors.lastname: Lewin
authors.forename: K
authors.initials: K
authors.lastname: Carville
authors.forename: N
authors.initials: N
authors.lastname: Santamaria
authors.forename: L
authors.initials: L
authors.lastname: Karimi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D055109:Ankle Brachial Index; D058128:Compression Bandages; D005260:Female; D006801:Humans; D007871:Leg Ulcer / Q000628:therapy*; D016015:Logistic Models; D008297:Male; D010349:Patient Compliance / Q000706:statistics & numerical data*; D014945:Wound Healing