4 Participants NeededMy employer runs this trial

Hand Hygiene Interventions for Patient Adherence

Recruiting at 3 trial locations
EN
SM
Overseen ByStacey M Hockett Sherlock, MA BA
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: VA Office of Research and Development
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

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.12345

Why 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.678910

Who Is on the Research Team?

EN

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

VA mental health care workers on inpatient mental health units
I work in quality improvement or infection control.

Exclusion Criteria

Outpatient care settings

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Implementation

Implementation of non-alcohol based hand rub and tailored hand hygiene bundle in mental health care settings

3 years
Regular monitoring visits

Follow-up

Participants are monitored for hand hygiene compliance and effectiveness of interventions

3 years
Ongoing observation and data collection

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

Group I: Non-Alcohol Based Hand Rub ImplementationExperimental Treatment1 Intervention
Group II: Hand Hygiene Bundle ImplementationExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

VA Office of Research and Development

Lead Sponsor

Trials
1,691
Recruited
3,759,000+

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).

Compliance 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 ...

Non-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.

9.

symmetryhandhygiene.com

symmetryhandhygiene.com/resources/sds

Safety Data Sheets SDS

View and download Safety Data Sheets (SDS) for Symmetry hand sanitizers and hand washes ... Non-Alcohol Foaming Hand Sanitizer.

Alcohol 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.