Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands.
Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands Body@Work, Research Center Physical Activity, Work and Health, TNO-VU University Medical Center, Amsterdam, The Netherlands.
Occup Environ Med. 2014 Jul;71(7):492-9. doi: 10.1136/oemed-2013-102034. Epub 2014 May 14.
To investigate the effects of a multifaceted implementation strategy on behaviour, behavioural determinants, knowledge and awareness of healthcare workers regarding the use of recommendations to prevent hand eczema.
The Hands4U study is a randomised controlled trial. A total of 48 departments (n=1649 workers) were randomly allocated to the multifaceted implementation strategy or the control group (minimal implementation strategy). Within the departments designated to the multifaceted implementation strategy, participatory working groups were set up to enhance the implementation of the recommendations for hand eczema. In addition, working group members were trained to become role models, and an education session was given within the department. Outcome measures were awareness, knowledge, receiving information, behaviour and behavioural determinants. Data were collected at baseline, with a 3- and 6-month follow-up.
Statistically significant effects were found after 6 months for awareness (OR 6.30; 95% CI 3.41 to 11.63), knowledge (B 0.74; 95% CI 0.54 to 0.95), receiving information (OR 9.81; 95% CI 5.60 to 17.18), washing hands (B -0.40; 95% -0.51 to -0.29), use of moisturiser (B 0.29; 95% CI 0.20 to 0.38), cotton under gloves (OR 3.94; 95% CI 2.04 to 7.60) and the overall compliance measure (B 0.14; 95% CI 0.02 to 0.26), as a result of the multifaceted implementation strategy. No effects were found for behavioural determinants.
The multifaceted implementation strategy can be used in healthcare settings to enhance the implementation of recommendations for the prevention of hand eczema.
NTR2812.
研究多方面实施策略对医护人员预防手部湿疹相关建议的使用行为、行为决定因素、知识和意识的影响。
Hands4U 研究是一项随机对照试验。共有 48 个科室（n=1649 名员工）被随机分配到多方面实施策略组或对照组（最小实施策略组）。在指定实施多方面策略的科室中，成立了参与式工作组以加强对手部湿疹建议的实施。此外，工作组的成员接受培训，成为榜样，并在科室中进行了一次教育课程。结局测量包括意识、知识、信息接收、行为和行为决定因素。数据在基线、3 个月和 6 个月时收集。
6 个月后，在意识（OR 6.30；95%CI 3.41 至 11.63）、知识（B 0.74；95%CI 0.54 至 0.95）、信息接收（OR 9.81；95%CI 5.60 至 17.18）、洗手（B-0.40；95%-0.51 至 -0.29）、使用保湿剂（B 0.29；95%CI 0.20 至 0.38）、手套下使用棉质衬里（OR 3.94；95%CI 2.04 至 7.60）和整体依从性措施（B 0.14；95%CI 0.02 至 0.26）方面，均发现了统计学显著效果，这是由于多方面实施策略的结果。行为决定因素方面未发现效果。
多方面实施策略可用于医疗保健环境，以加强预防手部湿疹相关建议的实施。
NTR2812。
