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A Multifaceted Intervention to Improve Hand Hygiene

This study has been completed.
Sponsor:
Collaborator:
The Physicians' Services Incorporated Foundation
Information provided by:
McMaster University
ClinicalTrials.gov Identifier:
NCT00375037
First received: September 11, 2006
Last updated: September 19, 2008
Last verified: September 2008
  Purpose

This randomized controlled trial will evaluate the effect of a multifaceted intervention including performance feedback on adherence to hand hygiene among healthcare workers. A key component of the study is to demonstrate whether improved adherence to hand hygiene leads to a reduction in rates of infection.


Condition Intervention
Handwashing
Infection
Behavioral: feedback
Behavioral: Education
Other: usual care

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
Official Title: Cluster Randomized Controlled Trial of a Multifaceted Intervention to Improve Hand Hygiene Among Healthcare Workers

Resource links provided by NLM:


Further study details as provided by McMaster University:

Primary Outcome Measures:
  • Incidence of MRSA [ Time Frame: 12 months ] [ Designated as safety issue: Yes ]
  • Adherence to hand hygiene [ Time Frame: 12 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Incidence of multi-resistant bacteria other than MRSA [ Time Frame: 12 months ] [ Designated as safety issue: Yes ]
  • Catheter-related blood stream infections [ Time Frame: 12 months ] [ Designated as safety issue: Yes ]
  • Clostridium difficile related diarrhea [ Time Frame: 12 months ] [ Designated as safety issue: Yes ]

Enrollment: 1500
Study Start Date: January 2007
Study Completion Date: July 2008
Primary Completion Date: July 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 1
Hand hygiene promotion
Behavioral: feedback Behavioral: Education
Active Comparator: 2
usual care
Other: usual care

Detailed Description:

A cluster randomized controlled trial of the intervention will be conducted where hospital units (wards) in three hospitals will be allocated to either the intervention or usual practise. We will stratify by hospital site in order to minimize confounding by hospital-level factors. The unit of allocation, intervention, and analysis will be at the level of the hospital unit. Thirty hospital units will be randomized to either the intervention or comparison arm. We will compare adherence to hand hygiene, MRSA rates, and other outcomes between the two study arms.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

A. Study units Inclusion: Medical and subspecialty units, surgical units, critical care units

Exclusion: pediatric units, neonatal intensive care units

B. Healthcare workers

Inclusion: any hospital staff with direct patient care who are affiliated with a single unit (includes registered nurses, nursing assistants, environmental aides, allied health professionals (occupational, physical, and respiratory therapists), and some physicians

C. Patients Clinical outcomes will be measured in patients on study units.

  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00375037

Locations
Canada, Ontario
Hamilton General Hospital
Hamilton, Ontario, Canada, L8L 2X2
Henderson Hospital
Hamilton, Ontario, Canada, L8V 1C3
McMaster University Medical Centre
Hamilton, Ontario, Canada, L8N 3Z5
Sponsors and Collaborators
Hamilton Health Sciences Corporation
The Physicians' Services Incorporated Foundation
Investigators
Principal Investigator: Mark B Loeb, MD, MSc Hamilton Health Sciences- McMaster University
  More Information

No publications provided

Responsible Party: Dr. Mark Loeb, McMaster University
ClinicalTrials.gov Identifier: NCT00375037     History of Changes
Other Study ID Numbers: 05-277
Study First Received: September 11, 2006
Last Updated: September 19, 2008
Health Authority: Canada: Health Canada

Keywords provided by McMaster University:
hand washing
cluster randomized trial
performance feedback
healthcare workers
Hand hygiene
hand washing adherence

ClinicalTrials.gov processed this record on November 27, 2014