Evidence map›Paper›PMID 41354274›Full record

ArticleAmerican journal of infection control2026

Infection prevention and control knowledge, attitudes, and practices among home health care patients and their family caregivers: Findings from a multisite survey.

David Russell, Margaret V McDonald, Ashley M Chastain, Zidu Xu, Sasha M Vergez, Nicole Onorato, Judith Brasch, Evette Ramos, Jinjiao Wang, Uduwanage Gayani E Perera and 2 more

Abstract read
In one paragraph

Article in American journal of infection control, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

12 authors.

David RussellDepartment of Sociology, Appalachian State University, Boone, NC; Center for Home Care Policy & Research, VNS Health, New York, NY. Electronic address: russelldj@appstate.edu.
Margaret V McDonaldCenter for Home Care Policy & Research, VNS Health, New York, NY.
Ashley M ChastainCenter for Health Policy, Columbia University School of Nursing, New York, NY.
Zidu XuCenter for Health Policy, Columbia University School of Nursing, New York, NY.
Sasha M VergezCenter for Home Care Policy & Research, VNS Health, New York, NY.
Nicole OnoratoCenter for Home Care Policy & Research, VNS Health, New York, NY.
Judith BraschUniversity of Rochester School of Nursing, Rochester, NY.
Evette RamosUniversity of Rochester School of Nursing, Rochester, NY.
Jinjiao WangSchool of Nursing, the University of Texas Health Science Center at San Antonio, San Antonio, TX.
Uduwanage Gayani E PereraCenter for Health Policy, Columbia University School of Nursing, New York, NY.
Mary McGoldrickHome Health Systems, Inc., Naples, FL.
Jingjing ShangCenter for Health Policy, Columbia University School of Nursing, New York, NY.

Funding

AHRQ HHS R01 HS028637
6 · The paper itself

Abstract

backgroundHome health care (HHC) patients face elevated infection risks, yet adherence to infection prevention and control (IPC) practices by patients and caregivers remains understudied. This study assessed IPC-related knowledge, attitudes and practices in this population.

methodsSurveys were administered to HHC patients at high/very high infection risk or their family caregivers from two large Medicare-certified HHC agencies in New York State.

resultsAmong 250 respondents (132 HHC patients, 118 caregivers), participants demonstrated adequate IPC knowledge (mean proportion = 0.77), attitudes (mean proportion = 0.88), and adherence (mean proportion = 0.79). However, handwashing knowledge needed improvement (mean proportion = 0.63). Regression analyses showed higher IPC knowledge and more favorable attitudes predicted better IPC practice adherence. DISCUSSION: Unlike prior research among HHC nurses where only attitudes predicted practices, both knowledge and attitudes were associated with adherence among patients and caregivers.

conclusionsInterventions should enhance IPC knowledge, particularly proper handwashing, and emphasizing infection prevention importance to improve adherence among HHC patients and caregivers, especially older populations.

Indexed as

CaregiversHealth Knowledge, Attitudes, PracticeHome Care ServicesInfection ControlAdultAgedAged, 80 and overFemaleGuideline AdherenceHumansMaleMiddle AgedNew YorkPatientsSurveys and QuestionnairesHand hygieneHealth care-associated infectionsHome environmentPatient and caregiver educationSelf-reported adherence

Identifiers

PMID41354274
PMCPMC12698118

What OpenQuestion holds

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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.