Cargando…

A hand hygiene intervention to decrease infections among children attending day care centers: design of a cluster randomized controlled trial

BACKGROUND: Day care center attendance has been recognized as a risk factor for acquiring gastrointestinal and respiratory infections, which can be prevented with adequate hand hygiene (HH). Based on previous studies on environmental and sociocognitive determinants of caregivers’ compliance with HH...

Descripción completa

Detalles Bibliográficos
Autores principales: Zomer, Tizza P, Erasmus, Vicki, Vlaar, Nico, van Beeck, Ed F, Tjon-A-Tsien, Aimée, Richardus, Jan Hendrik, Voeten, Hélène ACM
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3673827/
https://www.ncbi.nlm.nih.gov/pubmed/23731525
http://dx.doi.org/10.1186/1471-2334-13-259
_version_ 1782272282022903808
author Zomer, Tizza P
Erasmus, Vicki
Vlaar, Nico
van Beeck, Ed F
Tjon-A-Tsien, Aimée
Richardus, Jan Hendrik
Voeten, Hélène ACM
author_facet Zomer, Tizza P
Erasmus, Vicki
Vlaar, Nico
van Beeck, Ed F
Tjon-A-Tsien, Aimée
Richardus, Jan Hendrik
Voeten, Hélène ACM
author_sort Zomer, Tizza P
collection PubMed
description BACKGROUND: Day care center attendance has been recognized as a risk factor for acquiring gastrointestinal and respiratory infections, which can be prevented with adequate hand hygiene (HH). Based on previous studies on environmental and sociocognitive determinants of caregivers’ compliance with HH guidelines in day care centers (DCCs), an intervention has been developed aiming to improve caregivers’ and children’s HH compliance and decrease infections among children attending DCCs. The aim of this paper is to describe the design of a cluster randomized controlled trial to evaluate the effectiveness of this intervention. METHODS/DESIGN: The intervention will be evaluated in a two-arm cluster randomized controlled trial among 71 DCCs in the Netherlands. In total, 36 DCCs will receive the intervention consisting of four components: 1) HH products (dispensers and refills for paper towels, soap, alcohol-based hand sanitizer, and hand cream); 2) training to educate about the Dutch national HH guidelines; 3) two team training sessions aimed at goal setting and formulating specific HH improvement activities; and 4) reminders and cues to action (posters/stickers). Intervention DCCs will be compared to 35 control DCCs continuing usual practice. The primary outcome measure will be observed HH compliance of caregivers and children, measured at baseline and one, three, and six months after start of the intervention. The secondary outcome measure will be the incidence of gastrointestinal and respiratory infections in 600 children attending DCCs, monitored over six months by parents using a calendar to mark the days their child has diarrhea and/or a cold. Multilevel logistic regression will be performed to assess the effect of the intervention on HH compliance. Multilevel poisson regression will be performed to assess the incidence of gastrointestinal and respiratory infections in children attending DCCs. DISCUSSION: This is one of the first DCC intervention studies to assess HH compliance of both caregivers and children, as well as the incidence of gastrointestinal and respiratory infections in children, as outcome measures. When an effect of the intervention on improving HH compliance and/or reducing incidence of infections is shown, (inter)national dissemination of the intervention in other DCCs may be considered. TRIAL REGISTRATION: Netherlands trial registry: NTR3000
format Online
Article
Text
id pubmed-3673827
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-36738272013-06-06 A hand hygiene intervention to decrease infections among children attending day care centers: design of a cluster randomized controlled trial Zomer, Tizza P Erasmus, Vicki Vlaar, Nico van Beeck, Ed F Tjon-A-Tsien, Aimée Richardus, Jan Hendrik Voeten, Hélène ACM BMC Infect Dis Study Protocol BACKGROUND: Day care center attendance has been recognized as a risk factor for acquiring gastrointestinal and respiratory infections, which can be prevented with adequate hand hygiene (HH). Based on previous studies on environmental and sociocognitive determinants of caregivers’ compliance with HH guidelines in day care centers (DCCs), an intervention has been developed aiming to improve caregivers’ and children’s HH compliance and decrease infections among children attending DCCs. The aim of this paper is to describe the design of a cluster randomized controlled trial to evaluate the effectiveness of this intervention. METHODS/DESIGN: The intervention will be evaluated in a two-arm cluster randomized controlled trial among 71 DCCs in the Netherlands. In total, 36 DCCs will receive the intervention consisting of four components: 1) HH products (dispensers and refills for paper towels, soap, alcohol-based hand sanitizer, and hand cream); 2) training to educate about the Dutch national HH guidelines; 3) two team training sessions aimed at goal setting and formulating specific HH improvement activities; and 4) reminders and cues to action (posters/stickers). Intervention DCCs will be compared to 35 control DCCs continuing usual practice. The primary outcome measure will be observed HH compliance of caregivers and children, measured at baseline and one, three, and six months after start of the intervention. The secondary outcome measure will be the incidence of gastrointestinal and respiratory infections in 600 children attending DCCs, monitored over six months by parents using a calendar to mark the days their child has diarrhea and/or a cold. Multilevel logistic regression will be performed to assess the effect of the intervention on HH compliance. Multilevel poisson regression will be performed to assess the incidence of gastrointestinal and respiratory infections in children attending DCCs. DISCUSSION: This is one of the first DCC intervention studies to assess HH compliance of both caregivers and children, as well as the incidence of gastrointestinal and respiratory infections in children, as outcome measures. When an effect of the intervention on improving HH compliance and/or reducing incidence of infections is shown, (inter)national dissemination of the intervention in other DCCs may be considered. TRIAL REGISTRATION: Netherlands trial registry: NTR3000 BioMed Central 2013-06-03 /pmc/articles/PMC3673827/ /pubmed/23731525 http://dx.doi.org/10.1186/1471-2334-13-259 Text en Copyright © 2013 Zomer et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Study Protocol
Zomer, Tizza P
Erasmus, Vicki
Vlaar, Nico
van Beeck, Ed F
Tjon-A-Tsien, Aimée
Richardus, Jan Hendrik
Voeten, Hélène ACM
A hand hygiene intervention to decrease infections among children attending day care centers: design of a cluster randomized controlled trial
title A hand hygiene intervention to decrease infections among children attending day care centers: design of a cluster randomized controlled trial
title_full A hand hygiene intervention to decrease infections among children attending day care centers: design of a cluster randomized controlled trial
title_fullStr A hand hygiene intervention to decrease infections among children attending day care centers: design of a cluster randomized controlled trial
title_full_unstemmed A hand hygiene intervention to decrease infections among children attending day care centers: design of a cluster randomized controlled trial
title_short A hand hygiene intervention to decrease infections among children attending day care centers: design of a cluster randomized controlled trial
title_sort hand hygiene intervention to decrease infections among children attending day care centers: design of a cluster randomized controlled trial
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3673827/
https://www.ncbi.nlm.nih.gov/pubmed/23731525
http://dx.doi.org/10.1186/1471-2334-13-259
work_keys_str_mv AT zomertizzap ahandhygieneinterventiontodecreaseinfectionsamongchildrenattendingdaycarecentersdesignofaclusterrandomizedcontrolledtrial
AT erasmusvicki ahandhygieneinterventiontodecreaseinfectionsamongchildrenattendingdaycarecentersdesignofaclusterrandomizedcontrolledtrial
AT vlaarnico ahandhygieneinterventiontodecreaseinfectionsamongchildrenattendingdaycarecentersdesignofaclusterrandomizedcontrolledtrial
AT vanbeeckedf ahandhygieneinterventiontodecreaseinfectionsamongchildrenattendingdaycarecentersdesignofaclusterrandomizedcontrolledtrial
AT tjonatsienaimee ahandhygieneinterventiontodecreaseinfectionsamongchildrenattendingdaycarecentersdesignofaclusterrandomizedcontrolledtrial
AT richardusjanhendrik ahandhygieneinterventiontodecreaseinfectionsamongchildrenattendingdaycarecentersdesignofaclusterrandomizedcontrolledtrial
AT voetenheleneacm ahandhygieneinterventiontodecreaseinfectionsamongchildrenattendingdaycarecentersdesignofaclusterrandomizedcontrolledtrial
AT zomertizzap handhygieneinterventiontodecreaseinfectionsamongchildrenattendingdaycarecentersdesignofaclusterrandomizedcontrolledtrial
AT erasmusvicki handhygieneinterventiontodecreaseinfectionsamongchildrenattendingdaycarecentersdesignofaclusterrandomizedcontrolledtrial
AT vlaarnico handhygieneinterventiontodecreaseinfectionsamongchildrenattendingdaycarecentersdesignofaclusterrandomizedcontrolledtrial
AT vanbeeckedf handhygieneinterventiontodecreaseinfectionsamongchildrenattendingdaycarecentersdesignofaclusterrandomizedcontrolledtrial
AT tjonatsienaimee handhygieneinterventiontodecreaseinfectionsamongchildrenattendingdaycarecentersdesignofaclusterrandomizedcontrolledtrial
AT richardusjanhendrik handhygieneinterventiontodecreaseinfectionsamongchildrenattendingdaycarecentersdesignofaclusterrandomizedcontrolledtrial
AT voetenheleneacm handhygieneinterventiontodecreaseinfectionsamongchildrenattendingdaycarecentersdesignofaclusterrandomizedcontrolledtrial