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Completed

NCT Number: NCT06925620

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

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.

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Key information

Conditions

Accuracy Behavior Compliance Cross Infection Disease Attributes Health Behavior Healthcare-associated Infections Iatrogenic Disease Infections Pathologic Processes Pathological Conditions, Signs and Symptoms Patient Acceptance of Health Care Patient Compliance Treatment Adherence and Compliance

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Kaohsiung Nursing Home, Kaohsiung City, Taiwan

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About this study

Hand hygiene is a key strategy for preventing healthcare-associated infections (HAIs), yet compliance among healthcare workers remains suboptimal due to knowledge gaps, limited resources, unfamiliarity with procedures, and poor adherence. This study aims to assess the effectiveness of an IT-enhanced multimodal hand hygiene intervention in reducing HAIs within nursing homes, thereby improving infection control practices and promoting a safer environment for older adults in long-term care settings.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

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

Exclusion criteria

  • Confirmed or anticipated resignation

Treatment and study plan

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.

Primary outcomes

  1. Hand Hygiene Knowledge

    Time frame: 1 month

    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.

  2. Hand hygiene Compliance Rates

    Time frame: 4 month

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

  3. Hand hygiene Accuracy Rates

    Time frame: 4 month

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

  4. Density of healthcare-associated infections

    Time frame: 4 month

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

Sponsors and collaborators

Lead sponsor

Kaohsiung Medical University Chung-Ho Memorial Hospital

Other

Registry information

Official study title

Effectiveness of Multimodal Information Technology-enhanced Hand Hygiene Improvement Strategy on Healthcare-associated Infections in Nursing Homes

Important dates

Study start
2022
Primary completion
2022
Study completion
2022
First posted
Apr 13, 2025
Registry last updated
Apr 30, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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