A Multifaceted Intervention to Improve Hand Hygiene

Cluster Randomized Controlled Trial of a Multifaceted Intervention to Improve Hand Hygiene Among Healthcare Workers

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT00375037

Enrollment

1500

Registered

2006-09-12

Start date

2007-01-31

Completion date

2008-07-31

Last updated

2018-10-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Handwashing, Infection

Keywords

hand washing, cluster randomized trial, performance feedback, healthcare workers, Hand hygiene, hand washing adherence

Brief summary

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.

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.

Interventions

BEHAVIORALfeedback

BEHAVIORALEducation

OTHERusual care

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

PREVENTION

Masking

NONE

Eligibility

Sex/Gender

ALL

Healthy volunteers

Yes

Inclusion 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.

Design outcomes

Primary

Measure	Time frame
Incidence of MRSA	12 months
Adherence to hand hygiene	12 months

Secondary

Measure	Time frame
Incidence of multi-resistant bacteria other than MRSA	12 months
Catheter-related blood stream infections	12 months
Clostridium difficile related diarrhea	12 months

Countries

Canada

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026