title: Implementation of recommendations for hand eczema through a multifaceted strategy. A process evaluation among health care workers.
abstract: Process data give important insights into how an intervention is implemented. The aim of the present study is to conduct a process evaluation, alongside a randomised controlled trail, on the implementation of recommendations for the prevention of hand eczema. The intervention was carried out in healthcare workers' departments and consisted of working groups and role models. The role models were selected based on their representativeness, their influence on colleagues, and their motivation. The focus of the working group was to implement recommendations for hand eczema at the department by choosing solutions to overcome barriers for implementation. Out of the 104 solutions, 87 were realised. Solutions regarding moisturisers and use of cotton under gloves, were used by 90.9% and 30.8% of the employees, respectively. Of all participants, 58.2% actively engaged with the role models. This process evaluation showed that the intervention was executed according to protocol and that the solutions were implemented well. However, the role model component in the intervention should be improved.
authors.affiliation: Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands.
authors.forename: Esther W C
authors.initials: EW
authors.lastname: van der Meer
authors.forename: Cécile R L
authors.initials: CR
authors.lastname: Boot
authors.forename: Frank H W
authors.initials: FH
authors.lastname: Jungbauer
authors.forename: Pieter Jan
authors.initials: PJ
authors.lastname: Coenraads
authors.forename: Joost W J
authors.initials: JW
authors.lastname: van der Gulden
authors.forename: Johannes R
authors.initials: JR
authors.lastname: Anema
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D032561:Cotton Fiber; D004485:Eczema / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D004867:Equipment Design; D005260:Female; D017575:Gloves, Protective; D019983:Guideline Adherence; D006229:Hand Dermatoses / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000193:education / Q000523:psychology / Q000592:standards; D006801:Humans; D007318:Inservice Training; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D009784:Occupational Diseases / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D016272:Occupational Health / Q000193:education / Q000592:standards; D010174:Pamphlets; D010549:Personal Satisfaction; D017410:Practice Guidelines as Topic; D017064:Process Assessment, Health Care; D015397:Program Evaluation; D016032:Randomized Controlled Trials as Topic; D063465:Skin Cream / Q000008:administration & dosage; D011795:Surveys and Questionnaires; D013997:Time Factors