Hand Hygiene BehaviorHHFGNCT01419054
Understanding Hand Hygiene Behavior at Unidad Nacional Oncologia Pediatrica
An observational study of Hand Hygiene Behavior, run by St. Jude Children's Research Hospital at 1 site in Guatemala.
Trial summary
Healthcare associated infections increase morbidity and mortality among all hospitalized patients, especially in those who are immunocompromised, in both developed and in countries with limited resources. Read more about this study
- Who is it for?
- Any ageHealthy volunteers can take part
- Conditions the study is for
- Hand Hygiene Behavior
- How many people
- 55 participants
- Where
- 1 siteGuatemala
- Study dates
- Aug 2011to Jul 2013
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Study population: Health-care providers
Who may be able to join
- Position held/job responsibilities of staff at Unidad Nacional de Oncologia Pediatrica in Guatemala City, Guatemala.
Who cannot join
- Does not hold position or have job responsibilities at Unidad Nacional de Oncologia Pediatrica in Guatemala City, Guatemala.
Trial locations and contacts
1 site in 1 country.
Guatemala1 site
Unidad Nacional Oncologia Pediatrica
Guatemala City, Departamento de Guatemala, 01011
About this study
Official title: Understanding Hand Hygiene Behavior at Unidad Nacional Oncologia Pediatrica: A Focus Group Approach
Healthcare associated infections increase morbidity and mortality among all hospitalized patients, especially in those who are immunocompromised, in both developed and in countries with limited resources. However, when resources are limited, infection prevention and control measures are often overlooked by personnel and institutions. Hand hygiene has been shown numerous times to be the most effective way to prevent infections in the healthcare setting. In Unidad Nacional de Oncologia Pediatrica (UNOP) in Guatemala City, Guatemala, there have been several infrastructural improvements and periodic education and promotion activities. Still, acceptable hand hygiene compliance has not yet been sustainably achieved. The investigators wish to study reasons why staff at UNOP do or do not practice hand hygiene when it is indicated through the use of focus groups and interviews.
Read the detailed description
Healthcare associated infections (HAI) are a concern in all parts of the world. Patients who are immune-compromised by chemotherapy, HIV/AIDS, or organ transplant are especially susceptible to infection. In addition to the opportunistic infections that these patients are at risk of acquiring, the emergence of methicillin resistant Staphylococcus aureus and vancomycin resistant Enterococcus species pose a risk to healthy individuals as well. Hand hygiene is one of the most important infection prevention practices for everyone in a hospital. In resource-poor countries, infection prevention and control programs are often neglected due to a lack of funding and organizational priorities. The Division of Infectious Diseases - International Outreach (ID-IO) has partnered with several hospitals in Latin America to mentor healthcare providers and provide key supplies so that they deliver the best care and prevent infection in units where the patients have the greatest risk of acquiring and dying from infections. Because of its importance, ID-IO has focused on hand hygiene as a building block for safe care at these hospitals; therefore, each year, at these hospitals, a hospital-wide education and promotion effort on hand hygiene is completed. The topics covered are general hospital hygiene, access to hand hygiene stations, and ensuring that adequate supplies for hand hygiene are available. Observation of hand hygiene practices before, during, and after bedside clinical activities shows there is a temporary improvement in compliance with current hand hygiene guidelines; however, the rates of compliance decline again as HAIs increase. In this study, the investigators propose to use already available hand hygiene practice surveillance and healthcare associated infection documentation and obtain the healthcare professionals' opinions and experiences that affect the practice of hand hygiene. Because motivation and barriers to practice hand hygiene derive from more than just education and adequate supplies, the investigators would like to understand the reasons why the healthcare providers do and do not practice hand hygiene when indicated. The methods to be used in this study are focus group meetings and structured interviews with staff of Unidad Nacional de Oncologia Pediatrica in Guatemala City, Guatemala.
- Conditions
- Hand Hygiene Behavior
What is being measured
The primary outcome is the main question the study is designed to answer.
Identify changes, if any, in hand hygiene following improvements identified during the focus group sessions aimed at increasing hand hygiene compliance of staff members.
The investigators propose to use already available hand hygiene practice surveillance and healthcare-associated infection documentation and obtain the healthcare professionals' opinions and experiences that affect the practice of hand hygiene to assess: (1) hand hygiene education and promotion; (2) access to hand hygiene supplies at the point of care; and (3) in other specific barriers to practice hand hygiene.
Measured: One (1) year
Secondary outcomes (1)
Identify educational, motivational, and infrastructural issues that need to be addressed to increase hand hygiene practice compliance.
Focus group meetings and structured interviews with staff with be used to assess the issues to be addressed.
Measured: One (1) year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Aug 2011 (estimated)
- Study startAug 2011
- Primary completionJul 2013
- Study completionJul 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Hand Hygiene BehaviorStudies of the same condition, open and under way.
- More trials run by St. Jude Children's Research HospitalThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 55 participants (actual)
Sponsor and investigators
- Lead sponsor
- St. Jude Children's Research Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Kyle M. Johnson, PhD, Study chair, St. Jude Children's Research Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01419054
- Sponsor's protocol ID
- HHFG
- Acronym
- HHFG
- Status last verified
- Nov 2013
- First submitted
- 15 Aug 2011
- Last updated
- 25 Nov 2013
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 25 Nov 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Understanding Hand Hygiene Behavior at Unidad Nacional Oncologia Pediatrica: A Focus Group Approach
- ClinicalTrials.gov ID
- NCT01419054
- Acronym / sponsor ID
- HHFG / HHFG
- Conditions
- Hand Hygiene Behavior
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 55 participants (actual)
- Lead sponsor
- St. Jude Children's Research HospitalUniversity, hospital or other
- Study start
- Aug 2011
- Primary completion
- Jul 2013 (actual)
- Study completion
- Jul 2013 (actual)
- First posted
- 17 Aug 2011 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Healthcare associated infections increase morbidity and mortality among all hospitalized patients, especially in those who are immunocompromised, in both developed and in countries with limited resources. However, when resources are limited, infection prevention and control measures are often overlooked by personnel and institutions. Hand hygiene has been shown numerous times to be the most effective way to prevent infections in the healthcare setting. In Unidad Nacional de Oncologia Pediatrica (UNOP) in Guatemala City, Guatemala, there have been several infrastructural improvements and periodic education and promotion activities. Still, acceptable hand hygiene compliance has not yet been sustainably achieved. The investigators wish to study reasons why staff at UNOP do or do not practice hand hygiene when it is indicated through the use of focus groups and interviews.
Detailed description
Healthcare associated infections (HAI) are a concern in all parts of the world. Patients who are immune-compromised by chemotherapy, HIV/AIDS, or organ transplant are especially susceptible to infection. In addition to the opportunistic infections that these patients are at risk of acquiring, the emergence of methicillin resistant Staphylococcus aureus and vancomycin resistant Enterococcus species pose a risk to healthy individuals as well. Hand hygiene is one of the most important infection prevention practices for everyone in a hospital. In resource-poor countries, infection prevention and control programs are often neglected due to a lack of funding and organizational priorities. The Division of Infectious Diseases - International Outreach (ID-IO) has partnered with several hospitals in Latin America to mentor healthcare providers and provide key supplies so that they deliver the best care and prevent infection in units where the patients have the greatest risk of acquiring and dying from infections. Because of its importance, ID-IO has focused on hand hygiene as a building block for safe care at these hospitals; therefore, each year, at these hospitals, a hospital-wide education and promotion effort on hand hygiene is completed. The topics covered are general hospital hygiene, access to hand hygiene stations, and ensuring that adequate supplies for hand hygiene are available. Observation of hand hygiene practices before, during, and after bedside clinical activities shows there is a temporary improvement in compliance with current hand hygiene guidelines; however, the rates of compliance decline again as HAIs increase. In this study, the investigators propose to use already available hand hygiene practice surveillance and healthcare associated infection documentation and obtain the healthcare professionals' opinions and experiences that affect the practice of hand hygiene. Because motivation and barriers to practice hand hygiene derive from more than just education and adequate supplies, the investigators would like to understand the reasons why the healthcare providers do and do not practice hand hygiene when indicated. The methods to be used in this study are focus group meetings and structured interviews with staff of Unidad Nacional de Oncologia Pediatrica in Guatemala City, Guatemala.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
Who may qualify
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
- Study population
- Health-care providers
Key inclusion criteria (1 listed)
- Position held/job responsibilities of staff at Unidad Nacional de Oncologia Pediatrica in Guatemala City, Guatemala.
Key exclusion criteria (1 listed)
- Does not hold position or have job responsibilities at Unidad Nacional de Oncologia Pediatrica in Guatemala City, Guatemala.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Identify changes, if any, in hand hygiene following improvements identified during the focus group sessions aimed at increasing hand hygiene compliance of staff members.
Time frame: One (1) year
The investigators propose to use already available hand hygiene practice surveillance and healthcare-associated infection documentation and obtain the healthcare professionals' opinions and experiences that affect the practice of hand hygiene to assess: (1) hand hygiene education and promotion; (2) access to hand hygiene supplies at the point of care; and (3) in other specific barriers to practice hand hygiene.
1 secondary outcome
Identify educational, motivational, and infrastructural issues that need to be addressed to increase hand hygiene practice compliance.
Time frame: One (1) year
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Nov 2013.
- St. Jude Children's Research HospitalLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Kyle M. Johnson, PhD study chair
St. Jude Children's Research Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Hand Hygiene Behavior, run by St. Jude Children's Research Hospital at 1 site in Guatemala.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 25 Nov 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Guatemala. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Identify changes, if any, in hand hygiene following improvements identified during the focus group sessions aimed at increasing hand hygiene compliance of staff members. (time frame: One (1) year). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Nov 2013.