Evidence map›Paper›PMID 27553671›Full record

ArticleAmerican journal of infection control2016

Making infection prevention education interactive can enhance knowledge and improve outcomes: Results from the Targeted Infection Prevention (TIP) Study.

Evonne Koo, Sara McNamara, Bonnie Lansing, Russell N Olmsted, Ruth Anne Rye, Thomas Fitzgerald, Lona Mody, Targeted Infection Prevention (TIP) Study Team, Ann Arbor, Michigan

Open access · bronzeAbstract read
In one paragraph

Article in American journal of infection control, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Healthcare-associated infections.GMS hygiene and infection control · 2025
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  10. Antimicrobial Challenge in Acute Care Surgery.Antibiotics (Basel, Switzerland) · 2022
    Review
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  12. Review
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  15. Article
  16. 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

8 authors at 2 institutions in 1 country.

Evonne KooDivisions of Geriatric and Palliative Care Medicine, University of Michigan, Ann Arbor, MI.
Sara McNamaraDivisions of Geriatric and Palliative Care Medicine, University of Michigan, Ann Arbor, MI.
Bonnie LansingDivisions of Geriatric and Palliative Care Medicine, University of Michigan, Ann Arbor, MI.
Russell N OlmstedInfection Prevention and Control, Trinity Health, Livonia, MI.
Ruth Anne RyeLong-term Care Infection Prevention & Control Consultant, Hemlock, MI.
Thomas FitzgeraldDivisions of Geriatric and Palliative Care Medicine, University of Michigan, Ann Arbor, MI; Geriatric Research Education and Clinical Center, Veteran's Affairs Ann Arbor Healthcare System, Ann Arbor, MI.
Lona ModyDivisions of Geriatric and Palliative Care Medicine, University of Michigan, Ann Arbor, MI; Geriatric Research Education and Clinical Center, Veteran's Affairs Ann Arbor Healthcare System, Ann Arbor, MI. Electronic address: lonamody@umich.edu.
Targeted Infection Prevention (TIP) Study Team, Ann Arbor, Michigan
University of Michigan · USTrinity Health · US

Funding

Research Education CoreP30AG024824 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Neil Alexander · 2004 to 2026
$29.2M
Pathway from Functional Disability to Antimicrobial Resistance in Nursing HomesR01AG041780 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MODY, LONA · 2013 to 2017
$1.8M
Targeted Infection Prevention (TIP) Program in Nursing HomesR01AG032298 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MODY, LONA · 2009 to 2013
$1.7M
Preventing Infections and Antimicrobial Resistance in the Aging Population: Translational Research and Training ProgramK24AG050685 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Lona Mody · 2015 to 2026
$1.4M
NIA NIH HHS K24 AG050685NIA NIH HHS P30 AG024824NIA NIH HHS R01 AG032298NIA NIH HHS R01 AG041780
6 · The paper itself

Abstract

backgroundThe purpose of this study was to assess effectiveness of an interactive educational program in increasing knowledge of key infection prevention and control (IPC) principles with emphasis on indwelling device care, hand hygiene, and multidrug-resistant organisms (MDROs) among nursing home (NH) health care personnel (HCP).

methodsWe conducted a multimodal randomized controlled study involving HCP at 12 NHs. Ten comprehensive and interactive modules covered common IPC topics. We compared intervention and control scores to assess differences in pretest scores as a result of field interventions, pre- and post-test scores to assess knowledge gain, and magnitude of knowledge gain based on job categories.

resultsWe conducted over 200 in-services across 10 topics at six intervention sites over 36 months. There were 4,962 tests returned over the course of the study, ranging from 389-633 per module. Participants were mostly female certified nursing assistants (CNAs). Score improvement was highest for modules emphasizing hand hygiene, urinary catheter care, and MDROs (15.6%, 15.9%, and 22.0%, respectively). After adjusting for cluster study design, knowledge scores were significantly higher after each educational module, suggesting the education delivery method was effective. When compared with CNAs, nursing and rehabilitation personnel scored significantly higher in their knowledge tests.

conclusionsOur intervention significantly improved IPC knowledge in HCP, especially for those involved in direct patient care. This increase in knowledge along with preemptive barrier precautions and active surveillance has enhanced resident safety by reducing MDROs and infections in high-risk NH residents.

Indexed as

Health PersonnelProfessional CompetenceControlled Before-After StudiesCross InfectionEducation, MedicalFemaleHumansInfection ControlMaleNursing HomesRandom AllocationEducational interventionhealth care personnelinfection control and preventionknowledge improvementnursing homes

Identifiers

PMID27553671
PMCPMC5097010
OpenAlexW2509737608

What OpenQuestion holds

Textmetadata
LicenceTDM
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.