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CTRI Number  CTRI/2026/01/101067 [Registered on: 14/01/2026] Trial Registered Prospectively
Last Modified On: 14/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Behavioral 
Study Design  Single Arm Study 
Public Title of Study   Effectiveness of the TRACHEA communication technique on communication among tracheostomy patients. 
Scientific Title of Study   A study to assess the effectiveness of the TRACHEA technique on communication among tracheostomy patients in selected hospital in Udupi district, Karnataka. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Hrithik Chand  
Designation  M.Sc. Nursing  
Affiliation  Manipal College of Nursing  
Address  4th floor, Room no: 400A, Manipal college of Nursing, Madhav Nagar, Manipal Academy of Higher Education, Manipal

Udupi
KARNATAKA
576104
India 
Phone  8217391758  
Fax    
Email  hrithikchand@gmail.com   
 
Details of Contact Person
Scientific Query
 
Name  Dr Elsa Sanatombi Devi  
Designation  Professor  
Affiliation  Manipal College of Nursing  
Address  5th floor, Room no:507, Manipal college of Nursing, Madhav Nagar, Manipal Academy of Higher Education, Manipal

Udupi
KARNATAKA
576104
India 
Phone  8310769938  
Fax    
Email  elsa.sana@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Elsa Sanatombi Devi  
Designation  Professor  
Affiliation  Manipal College of Nursing  
Address  5th floor, Room no:507, Manipal college of Nursing, Madhav Nagar, Manipal Academy of Higher Education, Manipal

Udupi
KARNATAKA
576104
India 
Phone  8310769938  
Fax    
Email  elsa.sana@manipal.edu  
 
Source of Monetary or Material Support  
Kasturba Hospital, Madhava Nagar, Manipal-576104 Udupi District, Karnataka, India. 
 
Primary Sponsor  
Name  Hrithik Chand  
Address  4th floor, Room no: 400A, Manipal college of Nursing, Madhav Nagar, Manipal Academy of Higher Education, Manipal, Udupi, Karnataka, 576104,India  
Type of Sponsor  Other [Self funded ( no external sponsor )] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Suresh Pillai  Kasturba Hospital, Manipal   3rd floor ENT wards (R9 R7),Room no-301 and 304, Shiridi Saibaba Block, Kasturba Hospital, Manipal, Udupi, Karnataka, 576104, India
Udupi
KARNATAKA 
9901728977

suresh.pillai@manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College Institutional Ethics Committe 1  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Healthy 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Not Applicable   Not Applicable, no control group  
Intervention  TRACHEA technique   ‘TRACHEA’ technique is communication technique which includes two elements, i.e., the indicator finger which is made up of silicon and an indicator module which beeps and lights up when the patient activates it or presses it on a hard surface. The second element is the ‘TRACHEA’ cards, consisting of 25 cards which express emotions, actions and needs of the patient and are self-developed cards. Using these two elements, i.e., the indicator and the cards, patients communicate with the nurses and healthcare providers. making the nonverbal commuincation much effective.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1) Patients planned for a tracheostomy.
2) Patients aged 18 years and above.
3) Patients planned for discharge with tracheostomy.
4) Patients who are conscious and orientated.
 
 
ExclusionCriteria 
Details  1) Patients who are heavily sedated 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
knowledge level regarding TRACHEA technique, communication and usability of the TRACHEA technique   knowledge level regarding TRACHEA technique – preoperative baseline
postoperative - day 4
communication – preoperative baseline
postoperative- day 4
usability of TRACHEA technique preoperative baseline
postoperative - day 4
 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="57"
Sample Size from India="57" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 1 
Date of First Enrollment (India)   26/01/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Tracheostomy patients often experience significant communication difficulties due to the loss of vocal function, which can lead to frustration, anxiety, and impaired interaction with caregivers. Effective communication is vital for ensuring patient safety, comfort, and quality of care. This study aims to assess the effectiveness of the ‘TRACHEA’ technique, an innovative communication strategy designed to enhance interaction between tracheostomy patients and healthcare providers.
This one-group pretest–posttest study will be conducted in the R7 and R9 wards of a tertiary hospital in Udupi district, Karnataka, from October 2025 to October 2026. A total of 57 patients meeting the inclusion criteria will be recruited through purposive sampling. Data will be collected using five tools: 

1) Demographic proforma – patient background details. 
2) Clinical proforma – patient disease condition details. 
3) ’TRACHEA’ knowledge questionnaire. (self-developed)
4) ‘TRACHEA’ checklist.  (self-developed)
5) ’TRACHEA’ rubrics. (self-developed)

Data will be analysed using descriptive and inferential statistics (t-test, ANOVA, chi-square) with Jamovi software at 5% level of significance.
The study poses minimal risk but has the potential to benefit from improved communication, reduced anxiety, greater patient satisfaction, and safer, more patient-centred care for tracheostomy patients.
 
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