The Effect of Cognitive Behavioral Therapy

NCT07506915 | Enrolling By Invitation

• 1 other identifier: AHIEVRAN-2025- HAND HYGIENE
• Study Type: interventional
• Target: 140
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to investigate the effect of hand hygiene training applied using cognitive behavioural therapy techniques on healthcare workers' attitudes and beliefs regarding nosocomial infections. Another aim is to increase the effectiveness of hand hygiene training and to instil correct hand hygiene behaviour by utilising cognitive behavioural therapy to raise awareness of nosocomial infections among healthcare workers. This is a single-centre, double-blind, randomised, controlled trial with a single parallel group. The hypothesis is that hand hygiene training using cognitive behavioural therapy techniques will influence healthcare workers' attitudes and beliefs regarding nosocomial infections.

Conditions

Intervention (Training) Condition

Keywords

Nosocomial infection; Hand hygiene; Cognitive behavioural therapy

Outcome Measures

Primary Outcomes (1)

• Initial values obtained from the Nosocomial Infection Belief and Attitude Scale

  The independent variables of the study are socio-demographic variables, while the dependent variables consist of items from the Nosocomial Infection Belief and Attitude Scale. Isolation, hand hygiene, ventilator-associated pneumonia, surgical site infection, and invasive procedures are measured using a five-point Likert scale consisting of 35 items, which assesses healthcare workers' beliefs and attitudes towards nosocomial infections. In the scale assessment, a score approaching 1 indicates low awareness of hospital-acquired infections, whilst a score approaching 5 indicates high awareness of nosocomial infections.

  The first measurement will be taken on the same day following the training provided to healthcare workers.

Secondary Outcomes (1)

• Three-month change following the Nosocomial Infection Belief and Attitude Scale measurement

  The second assessment will take place three months after the training provided to healthcare workers.

Study Arms (2)

Hand hygiene training using cognitive behavioural therapy techniques

EXPERIMENTAL

The intervention group will receive hand hygiene training using cognitive behavioural therapy techniques. Hand hygiene training using cognitive behavioural therapy techniques will be delivered by a specialist psychologist certified in cognitive behavioural therapy from among the researchers. The training consists of three 1-hour sessions. The information on hand hygiene included in the training has been obtained from data provided by the Turkish Ministry of Health and the World Health Organisation. The aim of this training is to convince healthcare workers of the importance of hand hygiene in the prevention of nosocomial infections and to boost their confidence in their ability to adhere to hand hygiene guidelines. A strong commitment to hand hygiene will be possible through the development of self-regulatory behaviour. The objective is to foster self-regulatory behaviour through hand hygiene training integrated with Cognitive Behavioural Therapy techniques.

Behavioral: Hand hygiene training using cognitive behavioural therapy techniques

Routine hand hygiene training

NO INTERVENTION

The control group will receive routine in-service training provided by the hospital training unit, the content of which has been approved by the Ministry of Health.

Interventions

Hand hygiene training using cognitive behavioural therapy techniques BEHAVIORAL

The intervention group will receive hand hygiene training using cognitive behavioural therapy techniques. Hand hygiene training using cognitive behavioural therapy techniques will be delivered by a specialist psychologist certified in cognitive behavioural therapy from among the researchers. The training consists of three 1-hour sessions. The information on hand hygiene included in the training has been obtained from data provided by the Turkish Ministry of Health and the World Health Organisation. The aim of this training is to convince healthcare workers of the importance of hand hygiene in the prevention of hospital-acquired infections and to boost their confidence in their ability to adhere to hand hygiene guidelines. A strong commitment to hand hygiene will be possible through the development of self-regulatory behaviour. The objective is to foster self-regulatory behaviour through hand hygiene training integrated with Cognitive Behavioural Therapy techniques.

Hand hygiene training using cognitive behavioural therapy techniques

Eligibility Criteria

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

You may qualify if:

• Being a healthcare worker
• To have been actively working in a hospital for at least 1 year
• Agreeing to participate in the research

You may not qualify if:

• Working on the infection control committee
• Refusing to participate in the research

Sponsors & Collaborators

• Kirsehir Ahi Evran Universitesi: lead

Study Sites (1)

Kırşehir Ahi Evran University

Kırşehir, Kırşehir, 40100, Turkey (Türkiye)

Location

Related Publications (5)

• Von Lengerke T, Lutze B, Krauth C, Lange K, Stahmeyer JT, Chaberny IF. (2017). Promoting hand hygiene compliance: PSYGIENE-a cluster-randomized controlled trial of tailored interventions. Dtsch Arztebl Int, 114: 29-36. DOI: 10.3238/arztebl.2017.0029.

  BACKGROUND

• Michie, S., Abraham, C., Whittington, C., McAteer, J., & Gupta, S. (2009). Effective techniques in healthy eating and physical activity interventions: a meta-regression. Health Psychology, 28(6), 690.

  BACKGROUND

• Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39: 175-191. https://doi.org/10.3758/BF03193146

  BACKGROUND

• Boscart, V.M., Fernie, G.R., Lee, J.H. et al. (2012). Using psychological theory to inform methods to optimize the implementation of a hand hygiene intervention. Implementation Sci 7, 77. https://doi.org/10.1186/1748-5908-7-77.

  BACKGROUND

• Ajzen I. (2011). The theory of planned behaviour: reactions and reflections. Psychology & health, 26(9), 1113-1127. https://doi.org/10.1080/08870446.2011.613995

  BACKGROUND

MeSH Terms

Conditions

Cross Infection

Condition Hierarchy (Ancestors)

Infections; Iatrogenic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• AYŞEGÜL TURAN

  Kirsehir Ahi Evran Universitesi

  PRINCIPAL INVESTIGATOR

• Furkan Turan

  Kapadokya Üniversitesi

  STUDY CHAIR

• Mustafa Gökhan Gözel

  Kirsehir Ahi Evran Universitesi

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: assistant professor

Model Details: single-centred, parallel group

Study Record Dates

• First Submitted: December 25, 2025
• First Posted: April 2, 2026
• Study Start: June 29, 2026
• Primary Completion: June 29, 2026
• Study Completion (Estimated): September 29, 2026
• Last Updated: April 2, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: starting 6 months after publication
• Access Criteria: The working protocol can be shared upon request.

Locations

TU (1)