{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T12:48:49Z","timestamp":1792154929668,"version":"4.4.0"},"reference-count":18,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Short peripheral catheter (SPC) insertion is crucial in nursing practice and is one of the primary routes for therapeutic administration. Despite its widespread use, this procedure can be challenging for patients with difficult venous access. The management of chronic or long\u2010term pathologies and their associated therapies is directly conditioned by the success or failure of venous access. A Dutch study has developed a scoring system implementing criteria to predict the risk of failure of SPC insertion. This scoring system, derived from a two\u2010phase study, identified clear predictive criteria for procedure success or failure, and demonstrated a direct correlation between the score and the probability of failure. This suggests the potential usefulness of implementing this system to improve initial patient assessment before SPC insertion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is a two\u2010phase interventional study evaluating the impact of the modified A\u2010DIVA score on SPC insertion success. In the first phase, the investigator will assess practices by obtaining the modified A\u2010DIVA score before each SPC insertion. In the second phase, nurses will receive training to apply the modified A\u2010DIVA score and then will use the score before each insertion attempt. The primary outcome measure is the success rate for SPC insertion at first attempt in both groups. The DIVAPERF trial has been recruiting patients since February 2024 and recruitment is expected to end in December 2028.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>This study will evaluate whether the implementation of modified A\u2010DIVA score before each SPC insertion improves first\u2010attempt success.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>It is hypothesized that the modified A\u2010DIVA score will guide nurses to adjust their approach, improving first\u2010attempt success rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial and Protocol Registration<\/jats:title>\n                    <jats:p>The DIVAPERF trial is registered with the French Medicines Agency (2023\u2010A01480\u201045) and ClinicalTrials.gov (NCT06062199). Protocol V3.0 (02\/04\/2025).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.73266","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T06:47:37Z","timestamp":1791528457000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Implementing the Modified Assessment of the Difficulty of Intravenous Access Scale on First\u2010Attempt Venous Access Success: Study Protocol for the Multicenter Prospective Before\u2010and\u2010After Controlled DIVAPERF Trial"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-2905-8171","authenticated-orcid":false,"given":"M\u00e9lanie","family":"Godiveau","sequence":"first","affiliation":[{"name":"Clinical Research Division, Clinical Research and Innovation Delegation, Jean Perrin Center Comprehensive Cancer Center Clermont\u2010Ferrand France"},{"name":"Clinical Investigation Center, CIC Inserm 501 Clermont\u2010Ferrand University Hospital Clermont\u2010Ferrand France"},{"name":"Centre Jean Perrin, INSERM, U1240 Molecular Imaging and Theranostic Strategies University of Clermont Auvergne Clermont\u2010Ferrand France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3575-7260","authenticated-orcid":false,"given":"Judith","family":"Passildas Jahanmohan","sequence":"additional","affiliation":[{"name":"Clinical Research Division, Clinical Research and Innovation Delegation, Jean Perrin Center Comprehensive Cancer Center Clermont\u2010Ferrand France"},{"name":"Clinical Investigation Center, CIC Inserm 501 Clermont\u2010Ferrand University Hospital Clermont\u2010Ferrand France"},{"name":"Centre Jean Perrin, INSERM, U1240 Molecular Imaging and Theranostic Strategies University of Clermont Auvergne Clermont\u2010Ferrand France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7008-3732","authenticated-orcid":false,"given":"M\u00e9lanie","family":"Casile","sequence":"additional","affiliation":[{"name":"Clinical Research Division, Clinical Research and Innovation Delegation, Jean Perrin Center Comprehensive Cancer Center Clermont\u2010Ferrand France"},{"name":"Clinical Investigation Center, CIC Inserm 501 Clermont\u2010Ferrand University Hospital Clermont\u2010Ferrand France"},{"name":"Centre Jean Perrin, INSERM, U1240 Molecular Imaging and Theranostic Strategies University of Clermont Auvergne Clermont\u2010Ferrand France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6833-1971","authenticated-orcid":false,"given":"Emilie","family":"Thivat","sequence":"additional","affiliation":[{"name":"Clinical Research Division, Clinical Research and Innovation Delegation, Jean Perrin Center Comprehensive Cancer Center Clermont\u2010Ferrand France"},{"name":"Clinical Investigation Center, CIC Inserm 501 Clermont\u2010Ferrand University Hospital Clermont\u2010Ferrand France"},{"name":"Centre Jean Perrin, INSERM, U1240 Molecular Imaging and Theranostic Strategies University of Clermont Auvergne Clermont\u2010Ferrand France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4035-8432","authenticated-orcid":false,"given":"Alexia","family":"Giro","sequence":"additional","affiliation":[{"name":"Clinical Research Division, Clinical Research and Innovation Delegation, Jean Perrin Center Comprehensive Cancer Center Clermont\u2010Ferrand France"},{"name":"Clinical Investigation Center, CIC Inserm 501 Clermont\u2010Ferrand University Hospital Clermont\u2010Ferrand France"},{"name":"Centre Jean Perrin, INSERM, U1240 Molecular Imaging and Theranostic Strategies University of Clermont Auvergne Clermont\u2010Ferrand 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Clermont\u2010Ferrand France"},{"name":"Clinical Investigation Center, CIC Inserm 501 Clermont\u2010Ferrand University Hospital Clermont\u2010Ferrand France"},{"name":"Centre Jean Perrin, INSERM, U1240 Molecular Imaging and Theranostic Strategies University of Clermont Auvergne Clermont\u2010Ferrand France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Jacquet","sequence":"additional","affiliation":[{"name":"Centre Jean Perrin Clermont\u2010Ferrand France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mede\u2010Line","family":"Courty","sequence":"additional","affiliation":[{"name":"Centre Jean Perrin Clermont\u2010Ferrand France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian","family":"Decombe","sequence":"additional","affiliation":[{"name":"Centre Jean Perrin Clermont\u2010Ferrand 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Jean Perrin, INSERM, U1240 Molecular Imaging and Theranostic Strategies University of Clermont Auvergne Clermont\u2010Ferrand France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6035-3172","authenticated-orcid":false,"given":"Xavier","family":"Durando","sequence":"additional","affiliation":[{"name":"Clinical Research Division, Clinical Research and Innovation Delegation, Jean Perrin Center Comprehensive Cancer Center Clermont\u2010Ferrand France"},{"name":"Clinical Investigation Center, CIC Inserm 501 Clermont\u2010Ferrand University Hospital Clermont\u2010Ferrand France"},{"name":"Centre Jean Perrin, INSERM, U1240 Molecular Imaging and Theranostic Strategies University of Clermont Auvergne Clermont\u2010Ferrand 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