{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T08:27:13Z","timestamp":1771230433117,"version":"3.50.1"},"reference-count":33,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2014,11,27]],"date-time":"2014-11-27T00:00:00Z","timestamp":1417046400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0\/"}],"funder":[{"name":"Netherlands Orgnization for Health Research and Development (ZonMW)"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Contact Dermatitis"],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Healthcare workers have an increased risk of developing hand eczema. A multifaceted implementation strategy was developed to implement a guideline to prevent hand eczema among healthcare workers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To investigate the effects of the implementation strategy on self\u2010reported hand eczema and preventive behaviour.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A randomized controlled trial was performed. A total of 48 departments (n = 1649) were randomly allocated to the multifaceted implementation strategy or the control group. The strategy consisted of education, participatory working groups, and role models. Outcome measures were self\u2010reported hand eczema and preventive behaviour. Data were collected at baseline, and 3, 6, 9 and 12 months of follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants in the intervention group were significantly more likely to report hand eczema [odds ratio (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>) 1.45; 95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>) 1.03\u20132.04], and they reported significantly less hand washing (<jats:italic>B<\/jats:italic>, \u2212 0.38; 95%CI: \u2212 0.48 to \u2212 0.27), reported significantly more frequent use of a moisturizer (<jats:italic>B<\/jats:italic>, 0.30; 95%CI: 0.22\u20130.39) and were more likely to report wearing cotton undergloves (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 6.33; 95%CI: 3.23\u201312.41) than participants in the control group 12 months after baseline.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The strategy implemented can be used in practice, as it showed positive effects on preventive behaviour. More research is needed to investigate the unexpected effects on hand eczema.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cod.12313","type":"journal-article","created":{"date-parts":[[2014,11,27]],"date-time":"2014-11-27T08:19:21Z","timestamp":1417076361000},"page":"312-324","source":"Crossref","is-referenced-by-count":32,"title":["Hands4U: the effects of a multifaceted implementation strategy on hand eczema prevalence in a healthcare setting. Results of a randomized controlled trial"],"prefix":"10.1111","volume":"72","author":[{"given":"Esther W. C.","family":"van der Meer","sequence":"first","affiliation":[{"name":"Department of Public and Occupational Health EMGO Institute for Health and Care Research, VU University Medical Centre  van der Boechorststraat 7 1081 BT Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e9cile R. L.","family":"Boot","sequence":"additional","affiliation":[{"name":"Department of Public and Occupational Health EMGO Institute for Health and Care Research, VU University Medical Centre  van der Boechorststraat 7 1081 BT Amsterdam The Netherlands"},{"name":"Body\u00a9Work, Research Centre Physical Activity, Work and Health, TNO\u2010VU University Medical Centre  van der Boechorststraat 7 1081 BT Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joost W. 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