Hand Hygiene Interventions for Patient Adherence
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores new methods to improve hand hygiene in mental health settings, where traditional soap and water may not always be available. Researchers are testing a non-alcohol-based hand sanitizer and a tailored hand hygiene bundle to determine which option helps workers clean their hands more effectively. The goal is to prevent the spread of germs like norovirus, which can easily spread in these environments. VA mental health care workers in inpatient units and infection control staff are invited to participate. As an unphased trial, this study offers participants the chance to contribute to innovative solutions that could enhance health and safety in mental health care environments.
Will I have to stop taking my current medications?
The trial information does not specify whether participants need to stop taking their current medications.
What prior data suggests that these hand hygiene interventions are safe for use in mental health settings?
Studies have shown that non-alcohol-based hand sanitizers are generally safe to use. These sanitizers are often used where alcohol-based ones aren't permitted. Safety information indicates they are safe for skin contact when used normally. However, if a skin reaction occurs, washing with water should help. If swallowed, contact a doctor or Poison Control immediately.
Research has shown that hand hygiene programs effectively help healthcare workers clean their hands more frequently, reducing the spread of infections. These programs are safe for both healthcare workers and patients.12345Why are researchers excited about this trial?
Researchers are excited about the hand hygiene interventions being tested because they offer innovative approaches to improving compliance among patients. The non-alcohol based hand sanitizer is unique because it avoids alcohol, which can be drying and irritating to the skin, making it more user-friendly for frequent use. Meanwhile, the tailored hand hygiene bundle is designed specifically for mental health care settings, incorporating best practices that are adapted to meet the unique needs of these environments. These interventions aim to enhance hand hygiene compliance, potentially reducing the spread of infections more effectively than the current standard practices.
What evidence suggests that these hand hygiene interventions could be effective for improving compliance in mental health settings?
This trial will compare two hand hygiene interventions. Research has shown that non-alcohol-based hand sanitizers, one of the interventions in this trial, can significantly increase hand cleaning frequency. One study found that the number of people regularly using hand sanitizer rose from about 49% to nearly 87% when these sanitizers were available. This is promising for settings where alcohol-based products are unsuitable.
The other intervention is a tailored hand hygiene bundle. Personalized hand hygiene plans, which include custom strategies and training, have increased hand cleaning by about 15%. Studies suggest these plans enhance hand hygiene and reduce infections in healthcare settings. Both methods in this trial aim to improve hand cleaning practices, which are essential for preventing the spread of infections.678910Who Is on the Research Team?
Eli N. Perencevich, MD MS BS
Principal Investigator
Iowa City VA Health Care System, Iowa City, IA
Are You a Good Fit for This Trial?
This trial is for patients and staff in mental health care settings where traditional hand hygiene options like sinks or alcohol-based sanitizers are limited due to safety concerns. Participants must be part of these environments, but no other specific criteria are listed.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Implementation
Implementation of non-alcohol based hand rub and tailored hand hygiene bundle in mental health care settings
Follow-up
Participants are monitored for hand hygiene compliance and effectiveness of interventions
What Are the Treatments Tested in This Trial?
Interventions
- Non-Alcohol Based Hand Sanitizer
- Tailored Hand Hygiene Bundle
Trial Overview
The study is testing a new hand hygiene program designed specifically for mental health facilities, including the use of non-alcohol based hand sanitizer compared to usual practices. The goal is to see if these changes improve hand cleaning habits.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Evaluate whether implementation of non-alcohol based hand sanitizer improves hand hygiene compliance compared to the tailored hand hygiene bundle.
Adapt and develop a HH bundle for mental health care settings with evidenced-based best practices. Evaluate whether the tailored HH bundle improves HH compliance compared to the VHA standard bundle.
Find a Clinic Near You
Who Is Running the Clinical Trial?
VA Office of Research and Development
Lead Sponsor
Citations
Enhancing hand hygiene compliance in healthcare settings
From 2017 to 2023, there was a significant increase in hand hygiene compliance rate from 49.25 to 86.67%, accuracy rate from 13.02 to 86.67%, ...
Review Hand hygiene in health care: 20 years of ongoing ...
The average hand hygiene compliance rate has been reported as 40% in high-income countries and less than 20% in low-income countries.3,
Improving Adherence to Hand Hygiene Practice
The highest compliance rate (59%) was observed in pediatrics, where the average activity index was low (on average, eight opportunities per patient per hour).
4.
iwaponline.com
iwaponline.com/jwh/article/22/5/896/101482/Compliance-and-adherence-to-hand-hygiene-practicesCompliance and adherence to hand hygiene practices for ...
After implementation of the action plan, the hand hygiene compliance rate increased from 52.3 to 83.3%. Nurses were found to be more compliant ...
5.
cda-amc.ca
cda-amc.ca/sites/default/files/pdf/htis/aug-2012/RC0378%20Non-Alcohol-Based%20Hand%20Sanitizers%20Final.pdfNon-alcohol Hand Sanitizers for Non-Healthcare Personnel
The purpose of this report is to review the evidence regarding the effectiveness of non-alcohol- based hand sanitizer to reduce the infection ...
Hand Sanitizer Facts | Clean Hands
Hand sanitizers without 60-95% alcohol 1) may not work equally well for many types of germs; and 2) merely reduce the growth of germs rather ...
Alcohol-based hand sanitizer – composition, proper use and ...
This article highlights the importance of proper usage, handling, and appropriate ABHS selection for maximum efficacy against intended pathogens and safe use ...
FOAMING-NO-ALCOHOL-HAND-SANITIZER-GHS-SDS. ...
In case of skin contact. : If irritation persists, wash with water. If ingested. : Contact a physician or Poison Control Center immediately. Do not induce.
Safety Data Sheets SDS
View and download Safety Data Sheets (SDS) for Symmetry hand sanitizers and hand washes ... Non-Alcohol Foaming Hand Sanitizer.
10.
cda-amc.ca
cda-amc.ca/sites/default/files/pdf/K0081_Alcohol_and_Non-alcohol-Based_Hand_Sanitizers_final.pdfAlcohol and Non-Alcohol-Based Hand Sanitizers: Clinical- ...
The systematic review by Larmer et al. (2008)2 compared various hand hygiene sanitizers with tap water or tap water plus non-antibacterial soap.
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