Imperial College London

DrLesleyRushton

Faculty of MedicineSchool 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:2016:10.1186/s13063-016-1255-y,
author = {Madan, I and Parsons, V and Cookson, B and English, J and Lavender, T and McCrone, P and Murphy, C and Ntani, G and Rushton, L and Smedley, J and Williams, H and Wright, A and Coggon, D},
doi = {10.1186/s13063-016-1255-y},
journal = {Trials},
title = {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},
url = {http://dx.doi.org/10.1186/s13063-016-1255-y},
volume = {17},
year = {2016}
}

RIS format (EndNote, RefMan)

TY  - JOUR
AB - Background: Hand dermatitis can be a serious health problem in healthcare workers. While a range of skin carestrategies and policy directives have been developed in recent years to minimise the risk, their effectiveness andcost-effectiveness remain unclear. Evidence now suggests that psychological theory can facilitate behaviour changewith respect to improved hand care practices. Therefore, we will test the hypothesis that a behavioural changeintervention 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 handdermatitis, when compared to standard care, among nurses working in the UK National Health Service (NHS) whoare particularly at risk. Secondary aims will be to assess impacts on participants’ beliefs and behaviour regardinghand care. In addition, we will assess the cost-effectiveness of the intervention in comparison with normal care.Methods/Design: We 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 nursesin intensive care units.Nurses at ‘intervention-light’ sites will be managed according to what would currently be regarded as best practice, withprovision of an advice leaflet about optimal hand care to prevent hand dermatitis and encouragement to contact theiroccupational health (OH) department early if hand dermatitis occurs. Nurses at ‘intervention-plus’ sites will additionallyreceive a behavioural change programme (BCP) with on-going active reinforcement of its messages, and enhancedprovision of moisturising cream.The impact of the interventions will be compared using information collected by questionnaires and throughstandardised photographs of the hands and wrists, collected at baseline and after 12 months follow-up. In addition,we
AU - Madan,I
AU - Parsons,V
AU - Cookson,B
AU - English,J
AU - Lavender,T
AU - McCrone,P
AU - Murphy,C
AU - Ntani,G
AU - Rushton,L
AU - Smedley,J
AU - Williams,H
AU - Wright,A
AU - Coggon,D
DO - 10.1186/s13063-016-1255-y
PY - 2016///
SN - 1745-6215
TI - 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
T2 - Trials
UR - http://dx.doi.org/10.1186/s13063-016-1255-y
UR - http://hdl.handle.net/10044/1/33005
VL - 17
ER -