COVID-19, Health Behavior
Conditions
Brief summary
This investigation is a randomized intervention trial that evaluates behavioral nudges (BN) to increase hand washing behavior and subsequently reduce COVID-19 spreading to a targeted high-risk patient population based in Wisconsin.
Interventions
BEHAVIORALNudge
Application of behavior-change strategies based on principles of behavioral economics, decision-making heuristics, psychological/environmental variables.
Sponsors
Advancing a Healthier Wisconsin Endowment
Medical College of Wisconsin
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Age 18 years or older * Provision of signed and dated informed consent form * Willingness to comply with all study procedures and lifestyle considerations and availability for the duration of the study * Has at least 1 risk factor associated with COVID-19 documented in their electronic medical record * Followed by (i.e., actively receiving care) from targeted MCW specialties (Internal Medicine, OBGYN, Surgery) * Access to necessary resources for participating in a technology-based activities (i.e., internet access + mobile phone or computer to complete online survey) * Maintains a personal address where study materials can be shipped and where participant lives full time
Exclusion criteria
* Previous COVID-19 diagnosis or positive COVID-19 test result documented in their electronic medical record * Current participation in another treatment or intervention study associated with COVID-19 * Previous documented Obsessive-Compulsive Disorder diagnosis in their electronic medical record * Non-English speaker * Patients hospitalized or incapacitated at onset of potential enrollment * No access to electronic platform with internet (e.g., smartphone, tablet, computer)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hand Washing Behavior | 8 weeks post-enrollment | Measured via adapted version of a previously validated questionnaire (Hygiene Inventory - 23), which specifically includes (a) 1 item about approximate hand washing frequency on an average day, with response options of whole numbers from 0-29 and an additional option of 30 or more where higher numbers are generally considered better outcomes, (b) 10 items about hand washing behavior in various contexts, with response options of 1 - Never, 2 - Occasionally, 3 - Usually, and 4 - Always where higher scores are considered better outcomes, and (c) 1 item about general hand hygiene using antibacterial gel or wipes, with response options of 1 - Never, 2 - Occasionally, 3 - Usually, and 4 - Always where higher scores are considered better outcomes. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical Outcomes - General/Internal Medicine | 12 weeks post-enrollment | Patient frequency/rate for the following variables measured via electronic medical record: ED visit (respiratory illness/other) ED visit reason (if non-respiratory) Admission (respiratory Illness) Respiratory Illness secondary to COVID19 ICU admission due to respiratory illness ICU admission due to COVID19 Mechanical Respiratory support Duration of Mechanical support (days) Mortality (respiratory Illness/other) |
| Clinical Outcomes - Obstetrics & Gynecology | 12 weeks post-enrollment | Patient frequency/rate for the following variables measured via electronic medical record: Respiratory Illness at time of Delivery Pre-delivery COVID19 testing Delivery plan altered due to respiratory illness Miscarriage Preterm labor/birth Preeclampsia Respiratory Illness in newborn Newborn COVID19 testing |
| Clinical Outcomes - Surgery | 12 weeks post-enrollment | Patient frequency/rate for the following variables measured via electronic medical record: Respiratory Illness at time of surgery Pre-Operative COVID19 testing Surgery delayed due to respiratory illness Surgery delayed due to COVID19 positive Adverse outcome secondary to delay in surgery Post operative intubation \>2 days Post operative unplanned reintubation Post operative pneumonia Post operative respiratory illness secondary to COVID19 |
Countries
United States
Outcome results
None listed