The proposed skincare feedback program will reduce the clinical severity of hand dermatitis compared to the ‘care as usual’
ID
Bron
Aandoening
handeczema/ hand dermatitis
skincare
intervention
Ondersteuning
Meibergdreef 9
1105 AZ Amsterdam
Meibergdreef 9
1105 AZ Amsterdam
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
Hand Eczema Severity Index score (HECSI-score)
Achtergrond van het onderzoek
Background:
Healthcare Workers (HCW) are at high risk for developing occupational hand dermatitis (HD) due to
frequent exposure to wet work, including irritants and allergens. Amongst HCW, nurses are particularly at
high risk of HD, with an estimated point prevalence between 12-30%. The burden of disease is high with
risk of chronicity, sick leave, unemployment and impaired quality of life. Despite evidence from literature on
the importance of skin protection and care in the prevention of HD, compliance to skincare protocols in
practice is below 30%. New strategies are obviously needed.
Methods/design:
Trial design: This is a randomized clustered controlled trial.
Objectives: To assess effects of an intervention program on skin condition in HCW, consisting of regular
feedback on the consumption of provided hand creams.
Participants: The trial includes nurses performing wet work. A total of 34 wards in the Free
university academic center (VUmc, Amsterdam) are recruited as participating sites. The wards are
randomized to an intervention vs control group and followed up to18 months.
Intervention: The experimental intervention comprised provision of hand creams in dispensers at the
wards with regular training and feedback, including reports of the electronically monitored consumption.
Both the experimental and the control group receive basic education on skin protection (as care as usual).
Every six months all participants will fill in the questionnaires regarding exposure to irritants and skin
protective behavior.
Outcomes: The primary outcome is the change in Hand Eczema Severity Index (HECSI-score) from
baseline to 12 months. The secondary outcomes are the Natural Moisturizing Factor (NMF) levels in the
stratum corneum as a biomarker of skin barrier damage and the total consumption of creams per ward.
Conflicts of interest: The authors have declared no conflicts of interest
Doel van het onderzoek
The proposed skincare feedback program will reduce the clinical severity of hand dermatitis compared to the ‘care as usual’
Onderzoeksopzet
12 months
Onderzoeksproduct en/of interventie
intervention program, consisting of provision of skin care products and regular feedback on the skin condition in health care workers
Publiek
Maryam Soltanipoor
Meibergdreef 9
Amsterdam 1105 AZ
The Netherlands
m.soltanipoor@amc.uva.nl
Wetenschappelijk
Maryam Soltanipoor
Meibergdreef 9
Amsterdam 1105 AZ
The Netherlands
m.soltanipoor@amc.uva.nl
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
- Informed written consent
- Age between 18-65 years
- exposure to wet work activities
- employment as nurse at the participating wards
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
Not performing 'wet work'' -activities
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Register | ID |
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NTR-new | NL5430 |
NTR-old | NTR5564 |
CCMO | NL54372.018.15 |
OMON | NL-OMON44027 |