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.