Prevention of occupational skin disease: a workplace intervention study in geriatric nurses

Dulon, Madeleine; Pohrt, Ute; Skudlik, Christoph; Nienhaus, Albert

doi:10.1111/j.1365-2133.2009.09226.x

Cited by 61 publications

(63 citation statements)

References 30 publications

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“…Also, the efficiency of skin care programmes including an educational element has been examined. Both skin protection behaviour and objectively assessed symptoms were beneficially impacted in a group of health care personnel [18,19] and among employees in the food care industry [20,21]. However in general, interventional prevention trials have had methodological weaknesses and insufficient dimensions in terms of power [16,18] and only few studies have investigated skin protection programmes as a tertiary preventive measure.…”

Section: Introductionmentioning

confidence: 99%

Chronic hand eczema - self-management and prognosis: a study protocol for a randomised clinical trial

Mollerup

Veien²,

Johansen

2012

BMC Dermatol

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BackgroundHand eczema has a one-year prevalence of approximately 10 % in the general Danish population. Often the disease becomes chronic with numerous implications for the individual’s daily life, occupation and quality of life. However, no guidelines of self-management recommendations beyond the acute stage are given. Self-management of the disease is pivotal and involves self-monitoring of the condition, medication adherence, and preventive behaviour. Interventions best to support the individual in this ongoing process need to be developed.Methods/designThis paper describes the design of a randomised clinical trial to test a newly developed intervention of individual counselling versus conventional information. 300 patients consecutively referred to dermatologic treatment at two different settings are individually randomised to either the intervention programme, named ‘The Healthy Skin Clinic’ or to the control group. Block-wise randomisation according to setting and gender is carried out.The intervention offers a tool for self-monitoring; basic and specific individual counselling; the possibility of asynchronous communication with the intervention team; and an electronic patient dialogue forum. Primary outcome variable is objective assessment of the hand eczema severity performed at baseline prior to randomisation, and repeated at six months follow-up. Secondary outcome variables are dermatology related life quality and perceived global burden of disease.DiscussionThe trial aims at evaluating a newly developed guidance programme which is expected to support self-management of patients referred to dermatology treatment due to chronic hand eczema. The design of the protocol is pragmatic with blinding of neither participants nor the investigator. Thus, in the interpretation of the results, the investigator takes into account effects that may be attributed to actors of the interventions rather than the intervention per se as well of potential observer bias. Inclusion criterions are wide in order to increase transferability of the results.Trial registrationThe trial is registered in ClinicalTrials.Gov with registration number NCT01482663.

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Section: Introductionmentioning

confidence: 99%

Chronic hand eczema - self-management and prognosis: a study protocol for a randomised clinical trial

Mollerup

Veien²,

Johansen

2012

BMC Dermatol

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“…This has been identified as a barrier to hand hygiene compliance by multiple authors: Larson E et al ;18 Chamorey E et al ;5 Dulon, M et al ;9 Boyce, JM et al 3 and Williams C et al 33…”

Section: Lessons and Limitationsmentioning

confidence: 99%

SWITCH: Al Wakra Hospital Journey to 90% Hand Hygiene Practice Compliance, 2011 – 2015

Visan

Zakaria

Castro

et al. 2017

BMJ Qual Improv Report

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Hand Hygiene is the cheapest and simplest way to prevent the spread of infection, however international compliance is below than 40% (WHO, 2009). In the experience of Al Wakra Hospital, the improvement in hand hygiene compliance highlighted not just interventions towards training and education but also behavioral motivation and physical allocations of hand hygiene appliances and equipment.Through motivating the behavioral, emotional, physical and intellectual dimensions of the different healthcare worker professions, hand hygiene compliance has increased from 60.78% in 2011 to 94.14% by the end of December 2015. It took 25 months of continuous and collaborative work with different healthcare workers to reach the 90% hand hygiene target.“Together, we have reached our goals and together we fight against infections! Because we always strive for excellence in everything we do – that is our vision here in Al Wakra Hospital.”

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“…Overall, they have found a positive effect of secondary skin protection programmes on occupational hand eczema in patients from different professions such as health care workers [17-23], gut cleaners [24], and workers in the cheese-dairy industry [25]. However, since these studies did not focus on hand eczema patients, but on a mixture of healthy workers and workers with hand eczema, the results are not directly comparable.…”

Section: Introductionmentioning

confidence: 99%

Protocol for a randomised trial on the effect of group education on skin-protective behaviour versus treatment as usual among individuals with newly notified occupational hand eczema – the Prevention of Hand Eczema (PREVEX) Trial

et al. 2013

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BackgroundThe incidence of occupational hand eczema is approximately 0.32 per 1,000 person years. The burden of the disease is high, as almost 60% has eczema-related sick leave during the first year after notification, and 15% are excluded from the workforce 12 years after disease onset. New treatments and prevention strategies are needed.Methods/DesignTrial design: The PREVEX trial is a randomised, parallel-group, superiority trial.Participants: All individuals from the Capital Region of Denmark and Region Zealand with a suspected occupational skin disorder notified to the National Board of Industrial Injuries between June 2012 and December 2013 are invited to participate in the trial. Inclusion criteria are: self-reported hand eczema and informed consent. Exclusion criteria are: age <18 years or >65 years; permanent exclusion from the workforce; inability to understand the Danish language; any serious medical condition; and lack of written informed consent. We plan to randomise 742 participants. Interventions: The experimental intervention is an educational course in skin-protective behaviour and written information about skin care related to the participants' specific occupation. Also, a telephone hotline is available and a subgroup will be offered a work-place visit. The experimental and the control group have access to usual care and treatment. All participants are contacted every eighth week with questions regarding number of days with sick leave or other absence from work. 12 months after randomisation follow-up is completed. Objective: To assesses the effect of an educational course versus treatment as usual in participants with newly notified occupational hand eczema. Randomisation: Participants are centrally randomised according to a computer-generated allocation sequence with a varying block size concealed to investigators. Blinding: It is not possible to blind the participants and investigators, however, data obtained from registers, data entry, statistical analyses, and drawing of conclusions will be blinded. Outcomes: The three co-primary outcomes, assessed at 12 months, are: total number of self-reported days with sick leave; health-related quality of life; and subjective assessment of hand eczema severity. Explorative outcomes are: self-reported eczema-related sick leave, absence from work registered by the DREAM-register and by self-report, risk behaviour, knowledge of skin protection and performance management (self-efficacy; and self-evaluated ability to self-care).DiscussionThe PREVEX trial will be the first individually randomised trial to investigate the benefits and harms of group-based education in patients with newly notified occupational hand eczema.Trial registrationClinicalTrials.gov Identifier: NCT01899287

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Prevention of occupational skin disease: a workplace intervention study in geriatric nurses

Abstract: Effective implementation of an occupational skin care programme for geriatric nurses should include both the training of the nurses and an occupational advisory service for management.

Cited by 61 publications

References 30 publications

Chronic hand eczema - self-management and prognosis: a study protocol for a randomised clinical trial

Chronic hand eczema - self-management and prognosis: a study protocol for a randomised clinical trial

SWITCH: Al Wakra Hospital Journey to 90% Hand Hygiene Practice Compliance, 2011 – 2015

Protocol for a randomised trial on the effect of group education on skin-protective behaviour versus treatment as usual among individuals with newly notified occupational hand eczema – the Prevention of Hand Eczema (PREVEX) Trial

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