Tailor VHA HH Bundle for Acute Mental Health Care
Tailor the Evidence-based Practice Veteran Health Administration (VHA) Hand Hygiene (HH) Bundle for Acute Mental Health Care Settings and Improve Hand Hygiene Compliance (QUE 25-023)
1 other identifier
interventional
4
1 country
4
Brief Summary
Mental health settings are particularly vulnerable to outbreaks and transmission due to infectious pathogens like norovirus. This occurs since access to soap and water (sinks) is limited for safety reasons and alcohol hand rub is not available outside patient rooms because of concerns for ingestion and fire. Thus, novel hand hygiene improvement interventions are needed in mental health settings including new hand hygiene bundles tailored to VHA mental health settings and novel alcohol-free hand rubs that are safe for installation and use in mental health settings. Non-alcohol hand rub has been approved and is currently used in some VAs, but isn't currently a standard VA-wide practice. These products can expand access to hand hygiene in locations where alcohol-based products are not allowed.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Jun 2026
Longer than P75 for not_applicable
4 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 19, 2026
CompletedFirst Posted
Study publicly available on registry
May 26, 2026
CompletedStudy Start
First participant enrolled
June 1, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2029
ExpectedStudy Completion
Last participant's last visit for all outcomes
September 30, 2030
June 4, 2026
June 1, 2026
3.1 years
May 19, 2026
June 2, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Hand Hygiene Compliance
The primary outcome entails direct observation of health care workers' compliance of HH to be measured as 4 hours of direct HH observations per VA facility. All data obtained from the direct observation by research staff will be entered into a structured survey form, REDCap, developed by the primary site.
3 years
Study Arms (2)
Hand Hygiene Bundle Implementation
EXPERIMENTALAdapt 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.
Non-Alcohol Based Hand Rub Implementation
EXPERIMENTALEvaluate whether implementation of non-alcohol based hand sanitizer improves hand hygiene compliance compared to the tailored hand hygiene bundle.
Interventions
Adapt and develop a hand hygiene bundle for mental health care settings with evidence-based best practices. Disseminate the hand hygiene bundle.
Install non-alcohol based hand sanitizer dispensers
Eligibility Criteria
You may qualify if:
- VA mental health care workers on inpatient mental health units
- Quality improvement staff including infection control
You may not qualify if:
- Outpatient care settings
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (4)
Edward Hines Jr. VA Hospital, Hines, IL
Hines, Illinois, 60141-3030, United States
Iowa City VA Health Care System, Iowa City, IA
Iowa City, Iowa, 52246-2292, United States
Minneapolis VA Health Care System, Minneapolis, MN
Minneapolis, Minnesota, 55417-2309, United States
William S. Middleton Memorial Veterans Hospital, Madison, WI
Madison, Wisconsin, 53705-2254, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Eli N. Perencevich, MD MS BS
Iowa City VA Health Care System, Iowa City, IA
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- SEQUENTIAL
- Sponsor Type
- FED
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 19, 2026
First Posted
May 26, 2026
Study Start
June 1, 2026
Primary Completion (Estimated)
June 30, 2029
Study Completion (Estimated)
September 30, 2030
Last Updated
June 4, 2026
Record last verified: 2026-06
Data Sharing
- IPD Sharing
- Will not share