Intervention (Training) ConditionAHIEVRANNCT07506915
The Effect of Cognitive Behavioral Therapy
A study testing Hand hygiene training using cognitive behavioural therapy techniques in people with Intervention (Training) Condition, run by Kirsehir Ahi Evran Universitesi at 1 site in Turkey (Türkiye).
Trial summary
The aim of this study is to investigate the effect of hand hygiene training applied using cognitive behavioural therapy techniques on healthcare workers' attitudes and beliefs regarding nosocomial infections. Read more about this study
- Who is it for?
- Ages 18 to 65 yearsHealthy volunteers can take part
- Conditions the study is for
- Intervention (Training) Condition
- What is being tested?
- Hand hygiene training using cognitive behavioural therapy techniques
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 140 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 29 Jun 2026to 29 Sep 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 18 to 65 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Being a healthcare worker
- To have been actively working in a hospital for at least 1 year
- Agreeing to participate in the research
Who cannot join
- Working on the infection control committee
- Refusing to participate in the research
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Turkey (Türkiye)1 site
Kırşehir Ahi Evran University
Kırşehir, Kırşehir, 40100
About this study
Official title: The Effect of Hand Hygiene Education With Cognitive Behavioral Therapy on Hospital Infection Awareness: a Randomized Controlled Trial
The aim of this study is to investigate the effect of hand hygiene training applied using cognitive behavioural therapy techniques on healthcare workers' attitudes and beliefs regarding nosocomial infections. Another aim is to increase the effectiveness of hand hygiene training and to instil correct hand hygiene behaviour by utilising cognitive behavioural therapy to raise awareness of nosocomial infections among healthcare workers. This is a single-centre, double-blind, randomised, controlled trial with a single parallel group. The hypothesis is that hand hygiene training using cognitive behavioural therapy techniques will influence healthcare workers' attitudes and beliefs regarding nosocomial infections.
Read the detailed description
Although hand hygiene is a significant factor contributing to nosocomial infections, the problem of failure to implement effective hand hygiene has not yet been fully resolved. Hospital infections are generally defined as infections that develop in a patient who has been admitted to hospital for reasons other than infection. If the patient is not in the incubation period when admitted to hospital or does not have the signs and symptoms of that infection, infections that occur in hospital are hospital-acquired infections. Supporting hand hygiene training with Cognitive Behavioural Therapy represents a relatively new approach in the literature. Like many health behaviour interventions developed based on Ajzen's Theory of Planned Behaviour, this study also aimed to achieve lasting behavioural change by targeting cognitive attitudes and norms. Similar interventions have been found to be effective particularly in areas such as diabetes management, smoking cessation, and increasing physical activity. Von Lengerke et al. observed hand hygiene behaviour in their randomised controlled trials. Boscart et al. also utilised psychological theories to promote hand hygiene behaviour. However, the number of studies employing a cognitive behavioural therapy-based approach specifically for hand hygiene is limited. In this respect, this study makes an important contribution to the literature. This study goes beyond classical education models and focuses on transforming healthcare workers' attitudes towards nosocomial infections through an education approach based on a cognitive behavioural foundation. Given the scarcity of hand hygiene training supported by Cognitive Behavioural Therapy in the current literature, this study presents a novel theoretical approach and proposes a robust strategy for preventing hospital infections in practice.
- Conditions
- Intervention (Training) Condition
- Being tested
- Hand hygiene training using cognitive behavioural therapy techniques
- Keywords
- Nosocomial infection, Hand hygiene, Cognitive behavioural therapy
- Medical subject headings
- Cross Infection
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Hand hygiene training using cognitive behavioural therapy techniquesBehavioural
The intervention group will receive hand hygiene training using cognitive behavioural therapy techniques. Hand hygiene training using cognitive behavioural therapy techniques will be delivered by a specialist psychologist certified in cognitive behavioural therapy from among the researchers. The training consists of three 1-hour sessions. The information on hand hygiene included in the training has been obtained from data provided by the Turkish Ministry of Health and the World Health Organisation.
The aim of this training is to convince healthcare workers of the importance of hand hygiene in the prevention of hospital-acquired infections and to boost their confidence in their ability to adhere to hand hygiene guidelines. A strong commitment to hand hygiene will be possible through the development of self-regulatory behaviour. The objective is to foster self-regulatory behaviour through hand hygiene training integrated with Cognitive Behavioural Therapy techniques.
| Study group | Role | What they receive |
|---|---|---|
| Hand hygiene training using cognitive behavioural therapy techniques | Experimental | The intervention group will receive hand hygiene training using cognitive behavioural therapy techniques. Hand hygiene training using cognitive behavioural therapy techniques will be delivered by a specialist psychologist certified in cognitive behavioural therapy from among the researchers. The training consists of three 1-hour sessions. The information on hand hygiene included in the training has been obtained from data provided by the Turkish Ministry of Health and the World Health Organisation.
The aim of this training is to convince healthcare workers of the importance of hand hygiene in the prevention of nosocomial infections and to boost their confidence in their ability to adhere to hand hygiene guidelines. A strong commitment to hand hygiene will be possible through the development of self-regulatory behaviour. The objective is to foster self-regulatory behaviour through hand hygiene training integrated with Cognitive Behavioural Therapy techniques. Receives: Behavioral: Hand hygiene training using cognitive behavioural therapy techniques |
| Routine hand hygiene training | No intervention | The control group will receive routine in-service training provided by the hospital training unit, the content of which has been approved by the Ministry of Health. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Initial values obtained from the Nosocomial Infection Belief and Attitude Scale
The independent variables of the study are socio-demographic variables, while the dependent variables consist of items from the Nosocomial Infection Belief and Attitude Scale. Isolation, hand hygiene, ventilator-associated pneumonia, surgical site infection, and invasive procedures are measured using a five-point Likert scale consisting of 35 items, which assesses healthcare workers' beliefs and attitudes towards nosocomial infections. In the scale assessment, a score approaching 1 indicates low awareness of hospital-acquired infections, whilst a score approaching 5 indicates high awareness of nosocomial infections.
Measured: The first measurement will be taken on the same day following the training provided to healthcare workers.
Secondary outcomes (1)
Three-month change following the Nosocomial Infection Belief and Attitude Scale measurement
Following the provision of hand hygiene training via Cognitive Behavioural Therapy, the Nosocomial Infection Belief and Attitude Scale will be administered again.
Measured: The second assessment will take place three months after the training provided to healthcare workers.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Apr 2026
- Study start29 Jun 2026 (estimated)
- Primary completion29 Jun 2026 (estimated)
- Study completion29 Sep 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Intervention (Training) ConditionStudies of the same condition, open and under way.
- 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
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- single-centred, parallel group
- Masking
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 140 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Kirsehir Ahi Evran Universitesi
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Ayşegül Turan, Kirsehir Ahi Evran Universitesi
- Investigators
- AYŞEGÜL TURAN, Principal investigator, Kirsehir Ahi Evran UniversitesiFurkan Turan, Study chair, Kapadokya ÜniversitesiMustafa Gökhan Gözel, Study chair, Kirsehir Ahi Evran Universitesi
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07506915
- Sponsor's protocol ID
- AHIEVRAN-2025- HAND HYGIENE
- Acronym
- AHIEVRAN
- Status last verified
- Mar 2026
- First submitted
- 25 Dec 2025
- Last updated
- 2 Apr 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Study Protocol
Publications
von Lengerke T, Lutze B, Krauth C, Lange K, Stahmeyer JT, Chaberny IF. Promoting Hand Hygiene Compliance: PSYGIENE-a Cluster-Randomized Controlled Trial of Tailored Interventions. Dtsch Arztebl Int. 2017 Jan 20;114(3):29-36. doi: 10.3238/arztebl.2017.0029.
PubMed 28179049Michie S, Abraham C, Whittington C, McAteer J, Gupta S. Effective techniques in healthy eating and physical activity interventions: a meta-regression. Health Psychol. 2009 Nov;28(6):690-701. doi: 10.1037/a0016136.
PubMed 19916637Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007 May;39(2):175-91. doi: 10.3758/bf03193146.
PubMed 17695343Boscart VM, Fernie GR, Lee JH, Jaglal SB. Using psychological theory to inform methods to optimize the implementation of a hand hygiene intervention. Implement Sci. 2012 Aug 28;7:77. doi: 10.1186/1748-5908-7-77.
PubMed 22929925Ajzen I. The theory of planned behaviour: reactions and reflections. Psychol Health. 2011 Sep;26(9):1113-27. doi: 10.1080/08870446.2011.613995.
PubMed 21929476
Study at a glance
From the registry record, last updated by the sponsor on 2 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Hand Hygiene Education With Cognitive Behavioral Therapy on Hospital Infection Awareness: a Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT07506915
- Acronym / sponsor ID
- AHIEVRAN / AHIEVRAN-2025- HAND HYGIENE
- Conditions
- Intervention (Training) Condition
- Keywords
- Nosocomial infection, Hand hygiene, Cognitive behavioural therapy
- Study type
- Interventional
- Recruitment status
- Enrolling by invitation
- Enrolment
- 140 participants (estimated)
- Lead sponsor
- Kirsehir Ahi Evran UniversitesiUniversity, hospital or other
- Study start
- 29 Jun 2026 (estimated)
- Primary completion
- 29 Jun 2026 (estimated)
- Study completion
- 29 Sep 2026 (estimated)
- First posted
- 2 Apr 2026 (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.
The aim of this study is to investigate the effect of hand hygiene training applied using cognitive behavioural therapy techniques on healthcare workers' attitudes and beliefs regarding nosocomial infections. Another aim is to increase the effectiveness of hand hygiene training and to instil correct hand hygiene behaviour by utilising cognitive behavioural therapy to raise awareness of nosocomial infections among healthcare workers. This is a single-centre, double-blind, randomised, controlled trial with a single parallel group. The hypothesis is that hand hygiene training using cognitive behavioural therapy techniques will influence healthcare workers' attitudes and beliefs regarding nosocomial infections.
Detailed description
Although hand hygiene is a significant factor contributing to nosocomial infections, the problem of failure to implement effective hand hygiene has not yet been fully resolved. Hospital infections are generally defined as infections that develop in a patient who has been admitted to hospital for reasons other than infection. If the patient is not in the incubation period when admitted to hospital or does not have the signs and symptoms of that infection, infections that occur in hospital are hospital-acquired infections. Supporting hand hygiene training with Cognitive Behavioural Therapy represents a relatively new approach in the literature. Like many health behaviour interventions developed based on Ajzen's Theory of Planned Behaviour, this study also aimed to achieve lasting behavioural change by targeting cognitive attitudes and norms. Similar interventions have been found to be effective particularly in areas such as diabetes management, smoking cessation, and increasing physical activity. Von Lengerke et al. observed hand hygiene behaviour in their randomised controlled trials. Boscart et al. also utilised psychological theories to promote hand hygiene behaviour. However, the number of studies employing a cognitive behavioural therapy-based approach specifically for hand hygiene is limited. In this respect, this study makes an important contribution to the literature. This study goes beyond classical education models and focuses on transforming healthcare workers' attitudes towards nosocomial infections through an education approach based on a cognitive behavioural foundation. Given the scarcity of hand hygiene training supported by Cognitive Behavioural Therapy in the current literature, this study presents a novel theoretical approach and proposes a robust strategy for preventing hospital infections in practice.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 2
- Model description
- single-centred, parallel group
| Arm | Type | Receives |
|---|---|---|
| Hand hygiene training using cognitive behavioural therapy techniques | Experimental | Behavioral: Hand hygiene training using cognitive behavioural therapy techniquesThe intervention group will receive hand hygiene training using cognitive behavioural therapy techniques. Hand hygiene training using cognitive behavioural therapy techniques will be delivered by a specialist psychologist certified in cognitive behavioural therapy from among the researchers. The training consists of three 1-hour sessions. The information on hand hygiene included in the training has been obtained from data provided by the Turkish Ministry of Health and the World Health Organisation. The aim of this training is to convince healthcare workers of the importance of hand hygiene in the prevention of nosocomial infections and to boost their confidence in their ability to adhere to hand hygiene guidelines. A strong commitment to hand hygiene will be possible through the development of self-regulatory behaviour. The objective is to foster self-regulatory behaviour through hand hygiene training integrated with Cognitive Behavioural Therapy techniques. |
| Routine hand hygiene training | No intervention | –The control group will receive routine in-service training provided by the hospital training unit, the content of which has been approved by the Ministry of Health. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Being a healthcare worker
- To have been actively working in a hospital for at least 1 year
- Agreeing to participate in the research
Key exclusion criteria (2 listed)
- Working on the infection control committee
- Refusing to participate in the research
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 |
|---|---|---|
| Hand hygiene training using cognitive behavioural therapy techniquesThe intervention group will receive hand hygiene training using cognitive behavioural therapy techniques. Hand hygiene training using cognitive behavioural therapy techniques will be delivered by a specialist psychologist certified in cognitive behavioural therapy from among the researchers. The training consists of three 1-hour sessions. The information on hand hygiene included in the training has been obtained from data provided by the Turkish Ministry of Health and the World Health Organisation. The aim of this training is to convince healthcare workers of the importance of hand hygiene in the prevention of hospital-acquired infections and to boost their confidence in their ability to adhere to hand hygiene guidelines. A strong commitment to hand hygiene will be possible through the development of self-regulatory behaviour. The objective is to foster self-regulatory behaviour through hand hygiene training integrated with Cognitive Behavioural Therapy techniques. | Behavioural | Hand hygiene training using cognitive behavioural therapy techniques |
Primary outcome
Initial values obtained from the Nosocomial Infection Belief and Attitude Scale
Time frame: The first measurement will be taken on the same day following the training provided to healthcare workers.
The independent variables of the study are socio-demographic variables, while the dependent variables consist of items from the Nosocomial Infection Belief and Attitude Scale. Isolation, hand hygiene, ventilator-associated pneumonia, surgical site infection, and invasive procedures are measured using a five-point Likert scale consisting of 35 items, which assesses healthcare workers' beliefs and attitudes towards nosocomial infections. In the scale assessment, a score approaching 1 indicates low awareness of hospital-acquired infections, whilst a score approaching 5 indicates high awareness of nosocomial infections.
1 secondary outcome
Three-month change following the Nosocomial Infection Belief and Attitude Scale measurement
Time frame: The second assessment will take place three months after the training provided to healthcare workers.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Apr 2026.
- Background: PubMed 28179049von Lengerke T, Lutze B, Krauth C, Lange K, Stahmeyer JT, Chaberny IF. Promoting Hand Hygiene Compliance: PSYGIENE-a Cluster-Randomized Controlled Trial of Tailored Interventions. Dtsch Arztebl Int. 2017 Jan 20;114(3):29-36. doi: 10.3238/arztebl.2017.0029.
- Background: PubMed 19916637Michie S, Abraham C, Whittington C, McAteer J, Gupta S. Effective techniques in healthy eating and physical activity interventions: a meta-regression. Health Psychol. 2009 Nov;28(6):690-701. doi: 10.1037/a0016136.
- Background: PubMed 17695343Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007 May;39(2):175-91. doi: 10.3758/bf03193146.
- Background: PubMed 22929925Boscart VM, Fernie GR, Lee JH, Jaglal SB. Using psychological theory to inform methods to optimize the implementation of a hand hygiene intervention. Implement Sci. 2012 Aug 28;7:77. doi: 10.1186/1748-5908-7-77.
- Background: PubMed 21929476Ajzen I. The theory of planned behaviour: reactions and reflections. Psychol Health. 2011 Sep;26(9):1113-27. doi: 10.1080/08870446.2011.613995.
- Individual participant dataSharing planned: Yes. Study Protocol
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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.
AYŞEGÜL TURAN principal investigator
Kirsehir Ahi Evran Universitesi
Furkan Turan study chair
Kapadokya Üniversitesi
Mustafa Gökhan Gözel study chair
Kirsehir Ahi Evran Universitesi
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Hand hygiene training using cognitive behavioural therapy techniques in people with Intervention (Training) Condition, run by Kirsehir Ahi Evran Universitesi at 1 site in Turkey (Türkiye).
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 3 inclusion and 2 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: enrolling by invitation, as of the sponsor's last update on 2 Apr 2026. 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 Turkey (Türkiye). 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?
This study is still under way. Results are not available in the source record yet.
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?
Initial values obtained from the Nosocomial Infection Belief and Attitude Scale (time frame: The first measurement will be taken on the same day following the training provided to healthcare workers.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07506915, which also lists 5 linked publications.
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 2 Apr 2026.