Hands4U: A multifaceted strategy to implement guideline-based recommendations to prevent hand eczema in health care workers: design of a randomised controlled trial and (cost) effectiveness evaluation

BMC Public Health

Study Protocol

Thomas Rustemeyer¹  Joost W van der Gulden²  Esther WC van der Meer³  Cécile RL Boot⁴  Johannes R Anema⁵  Frank HW Jungbauer⁶  Jac JL van der Klink⁶  Pieter Jan Coenraads⁷ 

[1] Department of Dermatology, VU University Medical Center, Amsterdam, The Netherlands;Department of Primary and Community Care, Centre for Family Medicine, Geriatric care and Public Health, Radboud University Nijmegen Medical Centre, PO Box 9101, 6500, Nijmegen, HB, The Netherlands;Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, 1081, Amsterdam, BT, The Netherlands;Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, 1081, Amsterdam, BT, The Netherlands;Body@Work, Research Center Physical Activity, Work and Health, TNO-VU University Medical Center, Amsterdam, The Netherlands;Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, 1081, Amsterdam, BT, The Netherlands;Body@Work, Research Center Physical Activity, Work and Health, TNO-VU University Medical Center, Amsterdam, The Netherlands;Research Center for Insurance Medicine AMC-UWV-VU University Medical Center, Amsterdam, The Netherlands;Department of Public and Occupational Health, Groningen University Medical Center, The Netherlands;Dermatology Department, University Medical Center Groningen, University of Groningen, The Netherlands;

关键词: Sick Leave;    Health Care Worker;    Department Manager;    Nominal Group Technique;    Hand Eczema;   

DOI  :  10.1186/1471-2458-11-669

 received in 2011-07-07, accepted in 2011-08-25,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundWorkers in wet work occupations have a risk for developing hand eczema. Prevention strategies exist, but compliance to the proposed recommendations is poor. Therefore, a multifaceted implementation strategy (MIS) is developed to implement these recommendations to reduce hand eczema among health care workers performing wet work.Methods/DesignThis study is a randomised controlled trial in three university hospitals in the Netherlands. Randomisation to the control or intervention group is performed at department level. The control group receives a leaflet containing the recommendations only. The intervention group receives the MIS which consists of five parts: 1) within a department, a participatory working group is formed to identify problems with the implementation of the recommendations, to find solutions for it and implement these solutions; 2) role models will help their colleagues in performing the desired behaviour; 3) education to all workers will enhance knowledge about (the prevention of) hand eczema; 4) reminders will be placed at the department reminding workers to use the recommendations; 5) workers receive the same leaflet as the control group containing the recommendations. Data are collected by questionnaires at baseline and after 3, 6, 9 and 12 months. The primary outcome measure is self-reported hand eczema. The most important secondary outcome measures are symptoms of hand eczema; actual use of the recommendations; sick leave; work productivity; and health care costs.Analyses will be performed according to the intention to treat principle. Cost-effectiveness of the MIS will be evaluated from both the societal and the employer's perspective.DiscussionThe prevention of hand eczema is important for the hospital environment. If the MIS has proven to be effective, a major improvement in the health of health care workers can be obtained. Results are expected in 2014.Trial registration numberNTR2812

【 授权许可】

Unknown   
© van der Meer et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. 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.