Evaluating healthcare workers’ hand hygiene performance using first-person view video observation in a standardized patient-care scenario

Diefenbacher, Svenja; Sassenrath, Claudia; Tatzel, Johannes; Keller, Johannes

doi:10.1016/j.ajic.2019.11.032

Cited by 15 publications

(10 citation statements)

References 27 publications

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“…Only between-person self-monitoring was a consistent and positive hand washing correlate, indicating that participants with higher self-monitoring throughout the study period were more likely to report higher next-week hand washing. This finding is in line with previous research [ 25 , 36 ] highlighting the importance to promote individuals’ continuous self-monitoring by interventions and its role as the most proximal predictor of engagement in health behaviors [ 16 ]. Not in line with our assumptions and when adjusting for covariates, a non-significant association between within-person self-monitoring and next-week hand washing was observed.…”

Section: Discussionsupporting

confidence: 92%

Hand Washing and Related Cognitions Following a Brief Behavior Change Intervention During the COVID-19 Pandemic: a Pre-Post Analysis

et al. 2021

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Background Effective hand washing (for at least 20 s, with water and soap) is one of the health behaviors protecting against infection transmissions. Behavior change interventions supporting the initiation and maintenance of hand washing are crucial to prevent infection transmissions. Based on the Health Action Process Approach, the aim of this research was to conduct a pre-post analysis of hand washing and related cognitions (i.e., intention, self-efficacy, self-monitoring), measured up to 100 days following an intervention. Methods A convenience sample of N = 123 participants (age: M = 23.96 years; SD = 5.82; 80% women) received a brief intervention (key behavior change techniques: information about health consequences of hand washing; action planning) and responded to daily diaries and questionnaires up to a 100-day follow-up. Two-level models were used to analyze data of n = 89 participants who provided longitudinal data. Results Hand washing and self-monitoring increased, whereas intention and self-efficacy decreased over time. Only self-monitoring was a consistent positive correlate of hand washing on a between-person level. Conclusions Hand washing and self-monitoring considerably increased over several weeks following the intervention. Future research testing the intervention against a control condition is needed to rule out that changes in behavior and cognitions might have been prompted by completing the daily diaries. Trial Registration German Clinical Trials Register; https://www.drks.de; registration number: DRKS00022067.

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Section: Discussionsupporting

confidence: 92%

Hand Washing and Related Cognitions Following a Brief Behavior Change Intervention During the COVID-19 Pandemic: a Pre-Post Analysis

et al. 2021

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“…All the 89 reviewed studies were published between 2009 and 2020, with 9 (10%) dated in or before 2010 [ 42 , 46 , 56 , 60 , 81 , 83 , 86 , 92 , 113 ], 38 (43%) dated between 2011 and 2015 [ 32 , 33 , 36 , 38 , 39 , 45 , 48 , 49 , 51 , 52 , 54 , 59 , 61 , 63 - 65 , 67 , 68 , 72 , 73 , 78 - 80 , 82 , 84 , 87 - 89 , 93 - 97 , 99 - 101 , 108 , 116 ], and 42 (47%) dated in or after 2016 [ 25 , 29 - 31 , 34 , 35 , 37 , 40 , 41 , 43 , 44 , 47 , 50 , 53 , 55 , 57 , 58 , 62 , 66 , 69 - 71 , 74 - 77 , 85 , 90 , 91 , 98 , 102 -…”

Section: Resultsmentioning

confidence: 99%

“…The demographic information of participants was provided in only 70% (62/89) of studies. Most studies (50/89, 56%) recruited HCWs from hospitals or clinics [ 29 , 30 , 32 - 40 , 44 , 46 - 57 , 59 , 61 , 66 - 68 , 73 - 75 , 77 - 80 , 82 , 84 , 86 , 87 , 89 - 91 , 95 , 96 , 98 - 100 , 103 , 106 ], and few (2/89, 2%) studies also involved patients from hospitals [ 66 , 94 ]. The remaining studies recruited the general public (7/89, 8%) [ 45 , 60 , 64 , 65 , 109 - 111 ] or students (4/89, 4%) [ 76 , 104 , 114 , 115 ] from communities or educational settings.…”

Section: Resultsmentioning

confidence: 99%

“…In contrast with application-assisted direct observation, which solely relies on human auditors, studies with camera-assisted observation could rely on either human auditors [ 34 - 40 ] or algorithms [ 41 - 43 ] for analysis (details included in Table 2 ). Approximately 30% (3/10) of studies installed cameras inside and outside patient rooms to capture all five hand hygiene moments [ 34 - 36 ].…”

Section: Resultsmentioning

confidence: 99%

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Electronic Monitoring Systems for Hand Hygiene: Systematic Review of Technology

Wang¹,

Jiang²,

Yang³

et al. 2021

J Med Internet Res

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Background Hand hygiene is one of the most effective ways of preventing health care–associated infections and reducing their transmission. Owing to recent advances in sensing technologies, electronic hand hygiene monitoring systems have been integrated into the daily routines of health care workers to measure their hand hygiene compliance and quality. Objective This review aims to summarize the latest technologies adopted in electronic hand hygiene monitoring systems and discuss the capabilities and limitations of these systems. Methods A systematic search of PubMed, ACM Digital Library, and IEEE Xplore Digital Library was performed following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Studies were initially screened and assessed independently by the 2 authors, and disagreements between them were further summarized and resolved by discussion with the senior author. Results In total, 1035 publications were retrieved by the search queries; of the 1035 papers, 89 (8.60%) fulfilled the eligibility criteria and were retained for review. In summary, 73 studies used electronic monitoring systems to monitor hand hygiene compliance, including application-assisted direct observation (5/73, 7%), camera-assisted observation (10/73, 14%), sensor-assisted observation (29/73, 40%), and real-time locating system (32/73, 44%). A total of 21 studies evaluated hand hygiene quality, consisting of compliance with the World Health Organization 6-step hand hygiene techniques (14/21, 67%) and surface coverage or illumination reduction of fluorescent substances (7/21, 33%). Conclusions Electronic hand hygiene monitoring systems face issues of accuracy, data integration, privacy and confidentiality, usability, associated costs, and infrastructure improvements. Moreover, this review found that standardized measurement tools to evaluate system performance are lacking; thus, future research is needed to establish standardized metrics to measure system performance differences among electronic hand hygiene monitoring systems. Furthermore, with sensing technologies and algorithms continually advancing, more research is needed on their implementation to improve system performance and address other hand hygiene–related issues.

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“…One of the most valuable ways to convey messages and observe behaviors related to handwashing is through visual display [28][29][30][31]. The value of visual learning has been well established [32], for example using video for educational purposes and to enhance learning [33].…”

Section: Introductionmentioning

confidence: 99%

Handwashing videos on TikTok during the COVID-19 pandemic: Potential for disease prevention and health promotion

Basch

Fera

Pellicane

et al. 2022

Infection, Disease & Health

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Evaluating healthcare workers’ hand hygiene performance using first-person view video observation in a standardized patient-care scenario

Cited by 15 publications

References 27 publications

Hand Washing and Related Cognitions Following a Brief Behavior Change Intervention During the COVID-19 Pandemic: a Pre-Post Analysis

Hand Washing and Related Cognitions Following a Brief Behavior Change Intervention During the COVID-19 Pandemic: a Pre-Post Analysis

Electronic Monitoring Systems for Hand Hygiene: Systematic Review of Technology

Handwashing videos on TikTok during the COVID-19 pandemic: Potential for disease prevention and health promotion

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