Effectiveness of a Multimodal IT Enhanced Hand Hygiene Strategy on Healthcare Associated Infections in Nursing Homes

NCT06925620 | Completed

• 1 other identifier: KMUHIRB-F(I)-20220007
• Study Type: interventional
• Target: 91
• Locations: 1 country
• Sites: 2

Brief Summary

This study aims to evaluate the effectiveness of a multimodal hand hygiene improvement strategy, enhanced with information technology (IT), in reducing healthcare-associated infections (HAIs) in nursing homes. The goal is to improve infection prevention practices and promote a safer environment for older adults living in long-term care facilities.

Conditions

Accuracy; Compliance; Healthcare-associated Infections

Keywords

Accuracy; Compliance; Density of Healthcare-Associated Infections; Information Technology; Knowledge; Multimodal Hand Hygiene Improvement Strategies; Nursing Homes

Outcome Measures

Primary Outcomes (4)

• Hand Hygiene Knowledge

  Cognitive scores were obtained through a "Hand Hygiene Knowledge Questionnaire for Long-term Care Facility Workers" It comprised 15 items (12 true/false, 2 multiple-choice, 1 multiple-answer), awarding 1 point for each correct answer and 0 for incorrect or unsure response, with a total score ranging from 0 to 15. Higher scores indicated greater hand hygiene knowledge.

  1 month

• Hand hygiene Compliance Rates

  Hand hygiene compliance data were collected using the "Hand Hygiene Compliance Rate and Behavior Inspection Checklist for Long-term Care Facility Workers"(%)

  4 month

• Hand hygiene Accuracy Rates

  Hand hygiene Accuracy data were collected using the "Hand Hygiene Compliance Rate and Behavior Inspection Checklist for Long-term Care Facility Workers"(%)

  4 month

• Density of healthcare-associated infections

  A facility's "density of HAI" followed Taiwan's Centers for Disease Control (2012) guidelines(‰)

  4 month

Study Arms (2)

Experimental group

EXPERIMENTAL

received a three-month IT-enhanced program.

Other: Multimodal Information Technology-based Hand Hygiene Strategies

Control group

NO INTERVENTION

Continued routine care and only took part in the same measurements

Interventions

Multimodal Information Technology-based Hand Hygiene Strategies OTHER

The intervention, adapted from the WHO's multimodal strategy, incorporated IT-based components to enhance hand hygiene compliance. A one-time, 1-hour online education session via Google Meet covered the WHO's Five Moments and seven-step handwashing technique, with real-time feedback using fluorescent dye and UV light. Post-session videos were available on tablets for review. Visual reminders, such as screensavers and digital posters, reinforced learning. Smart sanitizer dispensers with seven-step lights and a 20-second countdown were installed at five key sites, RFID-linked to staff badges for automatic tracking. Monthly performance data were shared via bulletin boards and LINE, with SMS feedback to top and bottom performers. Daily audio reminders played at 9 a.m. and 5 p.m., and high performers were recognized in monthly meetings.

Experimental group

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Full-time nurses or nursing assistants in the participating nursing homes
• Proficiency in Mandarin or Taiwanese

You may not qualify if:

• Confirmed or anticipated resignation

Sponsors & Collaborators

• Kaohsiung Medical University Chung-Ho Memorial Hospital: lead

Study Sites (2)

Kaohsiung Nursing Home

Kaohsiung City, Taiwan

Location

Pingtung Nursing Home

Pingtung City, Taiwan

Location

MeSH Terms

Conditions

Patient Compliance; Cross Infection

Condition Hierarchy (Ancestors)

Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior; Infections; Iatrogenic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 7, 2025
• First Posted: April 13, 2025
• Study Start: March 17, 2022
• Primary Completion: December 1, 2022
• Study Completion: December 1, 2022
• Last Updated: April 30, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

TW (2)