Evidence map›Paper›PMID 26987818›Full record

Trial reportTrials2016

A behavioural change package to prevent hand dermatitis in nurses working in the national health service (the SCIN trial): study protocol for a cluster randomised controlled trial.

Ira Madan, Vaughan Parsons, Barry Cookson, John English, Tina Lavender, Paul McCrone, Caroline Murphy, Georgia Ntani, Lesley Rushton, Julia Smedley and 3 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Interventions for preventing occupational irritant hand dermatitis.The Cochrane database of systematic reviews · 2018
    Pooled it
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  4. Trial
  5. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 9 institutions in 1 country.

Ira MadanGuy's and St Thomas' NHS Foundation Trust, Occupational Health Service, St Thomas' Hospital, Westminster Bridge Rd, London, SE1 7EH, UK. ira.madan@kcl.ac.uk.
Vaughan ParsonsKing's College London, London, UK.
Barry CooksonRoyal Free Hampstead NHS Trust, London, UK.
John EnglishNottingham University Hospitals NHS Trust, Nottingham, UK.
Tina LavenderUniversity of Manchester, Manchester, UK.
Paul McCroneKing's College London, London, UK.
Caroline MurphyKing's College London, London, UK.
Georgia NtaniUniversity of Southampton, Southampton, UK.
Lesley RushtonImperial College London, London, UK.
Julia SmedleyUniversity Hospital Southampton NHS Foundation Trust, Southampton, UK.
Hywel WilliamsUniversity of Nottingham, Nottingham, UK.
Alison WrightKing's College London, London, UK.
David CoggonUniversity of Southampton, Southampton, UK.
King's College London · GBUniversity of Southampton · GBImperial College London · GBNottingham University Hospitals NHS Trust · GBRoyal Free London NHS Foundation Trust · GBSt Thomas' Hospital · GBUniversity Hospital Southampton NHS Foundation Trust · GBUniversity of Manchester · GBUniversity of Nottingham · GB

Funding

Arthritis Research UK 20665Department of Health 11/94/01Medical Research Council MC_U147585823Medical Research Council MC_UU_12011/5
6 · The paper itself

Abstract

backgroundHand dermatitis can be a serious health problem in healthcare workers. While a range of skin care strategies and policy directives have been developed in recent years to minimise the risk, their effectiveness and cost-effectiveness remain unclear. Evidence now suggests that psychological theory can facilitate behaviour change with respect to improved hand care practices. Therefore, we will test the hypothesis that a behavioural change intervention to improve hand care, based on the Theory of Planned Behaviour and implementation intentions, coupled with provision of hand moisturisers, can produce a clinically useful reduction in the occurrence of hand dermatitis, when compared to standard care, among nurses working in the UK National Health Service (NHS) who are particularly at risk. Secondary aims will be to assess impacts on participants' beliefs and behaviour regarding hand care. In addition, we will assess the cost-effectiveness of the intervention in comparison with normal care. METHODS/

designWe will conduct a cluster randomised controlled trial at 35 NHS hospital trusts/health boards/universities, focussing on student nurses with a previous history of atopic disease or hand eczema and on nurses in intensive care units. Nurses at 'intervention-light' sites will be managed according to what would currently be regarded as best practice, with provision of an advice leaflet about optimal hand care to prevent hand dermatitis and encouragement to contact their occupational health (OH) department early if hand dermatitis occurs. Nurses at 'intervention-plus' sites will additionally receive a behavioural change programme (BCP) with on-going active reinforcement of its messages, and enhanced provision of moisturising cream. The impact of the interventions will be compared using information collected by questionnaires and through standardised photographs of the hands and wrists, collected at baseline and after 12 months follow-up. In addition, we will assemble relevant economic data for an analysis of costs and benefits, and collect information from various sources to evaluate processes. Statistical analysis will be by multi-level regression modelling to allow for clustering by site, and will compare the prevalence of outcome measures at follow-up after adjustment for values at baseline. The principal outcome measure will be the prevalence of visible hand dermatitis as assessed by the study dermatologists. In addition, several secondary outcome measures will be assessed. DISCUSSION: This trial will assess the clinical and cost effectiveness of an intervention to prevent hand dermatitis in nurses in the United Kigdom.

trial registrationISRCTN53303171 : date of registration, 21 June 2013.

Indexed as

Health BehaviorState MedicineStudents, NursingAttitude of Health PersonnelEducation, NursingHand DermatosesHand DisinfectionHealth Knowledge, Attitudes, PracticeHumansNursing Staff, HospitalOccupational DiseasesOccupational HealthResearch DesignSkin CreamSurveys and QuestionnairesTime FactorsBehavioural changeDermatitisInterventionMoisturiserNursesOccupational healthPreventionRandomised controlled trial

Identifiers

PMID26987818
PMCPMC4797222
OpenAlexW2299666663

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.