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. 2012 Sep 14;7:92. doi: 10.1186/1748-5908-7-92

Table 3.

Selection* of the most relevant techniques and their determinant with this overview

Determinant Behaviour change technique Description of the activity in studies
Knowledge
Provide general information
Educational sessions or educational materials
Increase memory or understanding of information
Group discussion, answering questions, clarification
Awareness
Risk communication
Information about risks of non adherence or inadequate hand hygiene (infection rates, costs)
Delayed feedback of behaviour
Overview of recorded hand hygiene behaviour
Direct feedback of behaviour
Using a system to make professionals aware of their hand hygiene behaviour soon after planned execution
Feedback of clinical outcomes
Overview of nosocomial infections
Social influence
Provide information about peer behaviour
Information about peers’ opinions of correct hand hygiene
Provide opportunities for social comparison
Group sessions with peers in which discussion and social comparison of hand hygiene practices can occur
Mobilise social norm:
Exposing the professional to the social norm of important others (not peers) such as opinion leaders
Attitude
Persuasive communication
Positive consequences of proper hand hygiene
Reinforcement of behavioural progress
Praise, encouragement, or material rewards
Self-efficacy
Modeling
Use of a role model. Demonstration of proper hand hygiene behaviour in group, class, or team
Verbal persuasion
Messages designed to strengthen control beliefs about the way of performing correct hand hygiene
Guided practice
Teaching skills and providing feedback. Specific instruction for correct hand hygiene behaviour
Plan coping responses
Identification and coping with potential barriers
Set graded tasks, goal setting:
Desired hand hygiene behaviour is achieved with a stepwise model
Intention
General intention information
Explanation of the goals and targets concerning hand hygiene
Agree to behavioural contract
Contract or commitment with formulated goals of hand hygiene behaviour
Action control
Use of cues
Reminders
Maintenance
Following behavioural change
Not addressed
Facilitation of behaviour
Provide materials to facilitate behaviour
Supportive materials are provided for the healthcare workers
  Continuous professional support Involves service provided by infection control team or working group, and/or an additional nurse who attends the implementation

* Only terms and definitions for techniques identified in the studies on promoting hand hygiene in healthcare workers are presented.