AccuracyNCT06925620
Effectiveness of a Multimodal IT Enhanced Hand Hygiene Strategy on Healthcare Associated Infections in Nursing Homes
A study testing Multimodal Information Technology-based Hand Hygiene Strategies in people with Accuracy and Compliance, run by Kaohsiung Medical University Chung-Ho Memorial Hospital at 2 sites in Taiwan.
Trial summary
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. Read more about this study
- Who is it for?
- Any ageHealthy volunteers can take part
- Conditions the study is for
- Accuracy, Compliance, Healthcare-associated Infections
- What is being tested?
- Multimodal Information Technology-based Hand Hygiene Strategies
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 91 participants
- Where
- 2 sitesTaiwan
- Study dates
- 17 Mar 2022to 1 Dec 2022
- Phase
- Interventional
- 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
Who may be able to join
- Full-time nurses or nursing assistants in the participating nursing homes
- Proficiency in Mandarin or Taiwanese
Who cannot join
- Confirmed or anticipated resignation
Trial locations and contacts
2 sites in 1 country.
Taiwan2 sites
Kaohsiung Nursing Home
Kaohsiung City
Pingtung Nursing Home
Pingtung City
About this study
Official title: Effectiveness of Multimodal Information Technology-enhanced Hand Hygiene Improvement 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.
Read the detailed description
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.
- Conditions
- Accuracy, Compliance, Healthcare-associated Infections
- Being tested
- Multimodal Information Technology-based Hand Hygiene Strategies
- Keywords
- Accuracy, Compliance, Density of Healthcare-Associated Infections, Information Technology, Knowledge, Multimodal Hand Hygiene Improvement Strategies, Nursing Homes
- Medical subject headings
- Patient Compliance, Cross Infection
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Multimodal Information Technology-based Hand Hygiene StrategiesOther
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.
| Study group | Role | What they receive |
|---|---|---|
| Experimental group | Experimental | received a three-month IT-enhanced program. Receives: Other: Multimodal Information Technology-based Hand Hygiene Strategies |
| Control group | No intervention | Continued routine care and only took part in the same measurements |
What is being measured
The primary outcome is the main question the study is designed to answer.
Hand Hygiene Knowledge
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.
Measured: 1 month
Hand hygiene Compliance Rates
Hand hygiene compliance data were collected using the "Hand Hygiene Compliance Rate and Behavior Inspection Checklist for Long-term Care Facility Workers"(%)
Measured: 4 month
Hand hygiene Accuracy Rates
Hand hygiene Accuracy data were collected using the "Hand Hygiene Compliance Rate and Behavior Inspection Checklist for Long-term Care Facility Workers"(%)
Measured: 4 month
Density of healthcare-associated infections
A facility's "density of HAI" followed Taiwan's Centers for Disease Control (2012) guidelines(‰)
Measured: 4 month
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Apr 2025
- Study start17 Mar 2022
- Primary completion1 Dec 2022
- Study completion1 Dec 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for AccuracyStudies of the same condition, open and under way.
- More trials run by Kaohsiung Medical University Chung-Ho Memorial 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
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 91 participants (actual)
Sponsor and investigators
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06925620
- Sponsor's protocol ID
- KMUHIRB-F(I)-20220007
- Status last verified
- Mar 2025
- First submitted
- 7 Apr 2025
- Last updated
- 30 Apr 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: for personal privacy reason
Study at a glance
From the registry record, last updated by the sponsor on 30 Apr 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effectiveness of Multimodal Information Technology-enhanced Hand Hygiene Improvement Strategy on Healthcare-associated Infections in Nursing Homes
- ClinicalTrials.gov ID
- NCT06925620
- Acronym / sponsor ID
- KMUHIRB-F(I)-20220007
- Conditions
- Accuracy, Compliance, Healthcare-associated Infections
- Keywords
- Accuracy, Compliance, Density of Healthcare-Associated Infections, Information Technology, Knowledge, Multimodal Hand Hygiene Improvement Strategies, Nursing Homes
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 91 participants (actual)
- Lead sponsor
- Kaohsiung Medical University Chung-Ho Memorial HospitalUniversity, hospital or other
- Study start
- 17 Mar 2022 (actual)
- Primary completion
- 1 Dec 2022 (actual)
- Study completion
- 1 Dec 2022 (actual)
- First posted
- 13 Apr 2025 (actual)
- 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.
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.
Detailed description
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.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Experimental group | Experimental | Other: Multimodal Information Technology-based Hand Hygiene Strategiesreceived a three-month IT-enhanced program. |
| Control group | No intervention | –Continued routine care and only took part in the same measurements |
Who may qualify
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (2 listed)
- Full-time nurses or nursing assistants in the participating nursing homes
- Proficiency in Mandarin or Taiwanese
Key exclusion criteria (1 listed)
- Confirmed or anticipated resignation
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Multimodal Information Technology-based Hand Hygiene StrategiesThe 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. | Other | Experimental group |
Primary outcome
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.
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"(%)
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"(%)
Density of healthcare-associated infections
Time frame: 4 month
A facility's "density of HAI" followed Taiwan's Centers for Disease Control (2012) guidelines(‰)
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 30 Apr 2025.
- Individual participant dataSharing planned: No. for personal privacy reason
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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.
The record lists no contact. Use the official record to reach the sponsor.
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Multimodal Information Technology-based Hand Hygiene Strategies in people with Accuracy and Compliance, run by Kaohsiung Medical University Chung-Ho Memorial Hospital at 2 sites in Taiwan.
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 2 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 30 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Taiwan. 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?
Hand Hygiene Knowledge (time frame: 1 month). The study lists 4 primary outcomes in all. 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 30 Apr 2025.