Imperial College London
Dr Lesley Rushton

DrLesleyRushton

Faculty of Medicine, School of Public Health

Emeritus Reader of Occupational Epidemiology
 
 
 
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Contact

 

l.rushton

 
 
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Location

 

Medical SchoolSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Madan:2019:10.3310/hta23580,
author = {Madan, I and Parsons, V and Ntani, G and Wright, A and English, J and Coggon, D and McCrone, P and Smedley, J and Rushton, L and Murphy, C and Cookson, B and Lavender, T and Williams, H},
doi = {10.3310/hta23580},
journal = {Health Technol Assess},
pages = {1--92},
title = {A behaviour change package to prevent hand dermatitis in nurses working in health care: the SCIN cluster RCT.},
url = {http://dx.doi.org/10.3310/hta23580},
volume = {23},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BACKGROUND: Although strategies have been developed to minimise the risk of occupational hand dermatitis in nurses, their clinical effectiveness and cost-effectiveness remain unclear. OBJECTIVES: The Skin Care Intervention in Nurses trial tested the hypothesis that a behaviour change package intervention, coupled with provision of hand moisturisers, could reduce the point prevalence of hand dermatitis when compared with standard care among nurses working in the NHS. The secondary aim was to assess the impact of the intervention on participants' beliefs and behaviour regarding hand care, and the cost-effectiveness of the intervention in comparison with normal care. DESIGN: Cluster randomised controlled trial. SETTING: Thirty-five NHS hospital trusts/health boards/universities. PARTICIPANTS: First-year student nurses with a history of atopic tendency, and full-time intensive care unit nurses. INTERVENTION: Sites were randomly allocated to be 'intervention plus' or 'intervention light'. Participants at 'intervention plus' sites received access to a bespoke online behaviour change package intervention, coupled with personal supplies of moisturising cream (student nurses) and optimal availability of moisturising cream (intensive care unit nurses). Nurses at 'intervention light' sites received usual care, including a dermatitis prevention leaflet. MAIN OUTCOME MEASURE: The difference between intervention plus and intervention light sites in the change of point prevalence of visible hand dermatitis was measured from images taken at baseline and at follow-up. RANDOMISATION: Fourteen sites were randomised to the intervention plus arm, and 21 sites were randomised to the intervention light arm. BLINDING: The participants, trial statistician, methodologist and the dermatologists interpreting the hand photographs were blinded to intervention assignment. NUMBERS ANALYSED: An intention-to-treat analysis was conducted on data from 845 student nurses and 1111 intensive care unit nu
AU  - Madan,I
AU  - Parsons,V
AU  - Ntani,G
AU  - Wright,A
AU  - English,J
AU  - Coggon,D
AU  - McCrone,P
AU  - Smedley,J
AU  - Rushton,L
AU  - Murphy,C
AU  - Cookson,B
AU  - Lavender,T
AU  - Williams,H
DO  - 10.3310/hta23580
EP  - 92
PY  - 2019///
SP  - 1
TI  - A behaviour change package to prevent hand dermatitis in nurses working in health care: the SCIN cluster RCT.
T2  - Health Technol Assess
UR  - http://dx.doi.org/10.3310/hta23580
UR  - https://www.ncbi.nlm.nih.gov/pubmed/31635689
VL  - 23
ER  -
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