COVID-19 Clinical Trial
— BGCTSOfficial title:
A Blended Gaming COVID-19 Training System (BGCTS) With WHO Guidelines for Staff in Residential Care Homes: A Cluster Randomized Controlled Trial
188 healthcare personnel from 20 residential care homes (RCHs) will be recruited to assess the effect of 2-week implementation of Blended Gaming COVID-19 Training System (BGCTS) on RCH staffs' infection control practices. These clusters (RCHs) will be randomly allocated to two study groups (the intervention group, IG; and the control group, CG) to assess 1. whether more staff in the IG perform infection control practices (by on-site observations) than the staff in the CG after receiving BGCTS and 2. whether more staff in the IG have infection control knowledge, positive attitudes towards infection control, and self-reported compliance rates than the staff in the CG. 5 Hypothesis have been set up for this study: H1. After using BGCTS, a higher proportion of the staff in the IG will exhibit performance in complying with hand hygiene measures than those in the CG. H2. After using BGCTS, a higher proportion of the staff in the IG will exhibit performance in complying with other infection control practices than those in the CG. H3. After using BGCTS, a higher proportion of the staff in the IG will have high level of knowledge of infection control than those in the CG. H4. After using BGCTS, a higher proportion of the staff in the IG will have positive attitudes towards infection control than those in the CG. H5. After using BGCTS, a higher proportion of the staff in the IG will have a high self-reported compliance rate with infection control measures than those in the CG. Infection control practices conducted by RCH staffs will be measured through unobtrusive on-site non-participatory observations. RCH staffs' knowledge, attitudes about infection control practice, and self-reported infection control practices will be assessed via an electronic quiz.
Status | Recruiting |
Enrollment | 188 |
Est. completion date | March 31, 2022 |
Est. primary completion date | March 31, 2022 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility | Inclusion Criteria: 1. Healthcare personnel who are working in the selected Residential care homes (RCHs) 2. Able to read Chinese, and 3. Possess an electronic device (smartphone or tablet) with which to download the BGCTS system. Exclusion Criteria: 1. Temporary staff who are about to cease employment, be on maternity leave, or go on a long vacation during the data collection period; 2. Students or trainees (including nursing students, physiotherapy students, and health-related trainees), because training institutions are responsible for students' training, and such training may affect students' performance; 3. Volunteer personnel who come to the RCHs at a specific period (for example, to organize activities for the residents during festivals); 4. Clerical and administrative staff, kitchen staff, security staff, and engineering and facilities management staff; 5. Ambulance officers who come to the RCHs to take residents to or from hospitals. |
Country | Name | City | State |
---|---|---|---|
Hong Kong | The Hong Kong Polytechnic University | Hong Kong |
Lead Sponsor | Collaborator |
---|---|
The Hong Kong Polytechnic University |
Hong Kong,
Center for Health Protection. Guidelines for residential care homes for the elderly or persons with disabilities for the prevention of Coronavirus disease (COVID-19). 2020. https://www.chp.gov.hk/files/pdf/advice_to_rche_rchd_on_prevention_of_nid_eng.pdf (accessed 7 Jun 2020).
Cesari M, Proietti M. Editorial: Geriatric medicine in Italy in the time of COVID-19. J Nutr Health Aging. 2020;24(5):459-460. doi: 10.1007/s12603-020-1354-z. — View Citation
Gentry SV, Gauthier A, L'Estrade Ehrstrom B, Wortley D, Lilienthal A, Tudor Car L, Dauwels-Okutsu S, Nikolaou CK, Zary N, Campbell J, Car J. Serious Gaming and Gamification Education in Health Professions: Systematic Review. J Med Internet Res. 2019 Mar 28;21(3):e12994. doi: 10.2196/12994. — View Citation
Hagel S, Reischke J, Kesselmeier M, Winning J, Gastmeier P, Brunkhorst FM, Scherag A, Pletz MW. Quantifying the Hawthorne Effect in Hand Hygiene Compliance Through Comparing Direct Observation With Automated Hand Hygiene Monitoring. Infect Control Hosp Epidemiol. 2015 Aug;36(8):957-62. doi: 10.1017/ice.2015.93. Epub 2015 Apr 23. — View Citation
Karabay M, Kaya G, Hafizoglu T, Karabay O. Effect of camera monitoring and feedback along with training on hospital infection rate in a neonatal intensive care unit. Ann Clin Microbiol Antimicrob. 2019 Nov 13;18(1):35. doi: 10.1186/s12941-019-0332-y. — View Citation
Sardi L, Idri A, Fernández-Alemán JL. A systematic review of gamification in e-Health. J Biomed Inform. 2017 Jul;71:31-48. doi: 10.1016/j.jbi.2017.05.011. Epub 2017 May 20. Review. — View Citation
Social Welfare Department. Resources of code of practice for residential care homes (Elderly Persons). Hong Kong: Social Welfare Department January 2020. https://www.swd.gov.hk/en/index/site_pubsvc/page_lr/sub_rche/id_copref/ (accessed 7 Jun 2020).
Vlachopoulos D, Makri A. The effect of games and simulations on higher education: a systematic literature review. Int J Edu Tech in Higher Edu 2017;14. doi:10.1186/s41239-017-0062-1
World Health Organization (WHO) Western Pacific Region Office (WPRO). The COVID-19 Risk Communication Package for Healthcare Facilities. The COVID-19 risk communication package for healthcare facilities. March 2020. https://iris.wpro.who.int/handle/10665.1/14482 (accessed 6 Jun 2020).
World Health Organization (WHO). 5 Moments for Hand Hygiene. May 2009. https://www.who.int/gpsc/5may/Your_5_Moments_For_Hand_Hygiene_Poster.pdf (accessed 8 Feb 2021).
World Health Organization (WHO). World Health Organization Guidelines on Hand Hygiene in Health Care. Geneva: WHO 2019. https://www.who.int/publications/i/item/who-guidelines-on-hand-hygiene-in-health-care (accessed 6 Jun 2020).
* Note: There are 11 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Number of log-ins on Blended Gaming COVID-19 Training System (BGCTS) | The number of log-ins to the BGCTS | T1 (During the intervention: at Week 2) | |
Other | Number of attempts on Blended Gaming COVID-19 Training System (BGCTS) | The number of attempts at each game | T1 (During the intervention at Week 2) | |
Other | Time spent on Blended Gaming COVID-19 Training System (BGCTS) | The time spent on each game | T1 (During the intervention at Week 2) | |
Other | Gaming result on Blended Gaming COVID-19 Training System (BGCTS) | The results of each game | T1 (During the intervention at Week 2) | |
Primary | Changes in unobtrusive observational-based compliance rate of infection control practices | Observed infection control practices will be recorded through a software called eRub, developed by PolyU with a Finnish company. eRub comprises two sets of checklists: 1.hand hygiene (HH)2.infection control practice (ICP).
Checklists are constructed based on the WHO's My 5 Moments list and COVID-19 risk communication package for healthcare facilities . The HH activities ( HH opportunities and its duration), will be rated as 'properly performed, performed, improperly performed, or missed performing'. Others infection control practices (eg. respiratory hygiene, disinfecting used surfaces/ equipment etc.), will also be rated. Staff with a rating of 'properly performed' and 'performed' will be classified as 'performed' while others will be regarded as 'not performed'. The content validity indices for the relevance and adequacy of the eRub items were greater than 0.83 (range, 0.83-1.00), indicating satisfactory content validity. |
T0 (baseline) and T2 (after the intervention at Week 3) | |
Secondary | Knowledge and attitudes towards respiratory infection (KARI) | a 24-item self-administered survey with 12 items about knowledge and 12 items on attitudes. It covers four areas: Clinical burden and the transmission of acute respiratory infection (7 items); Personal protective equipment and hand hygiene (6 items), Facility infection prevention and control policies for acute respiratory infection (6 items), and Influenza vaccination (5 items). The last five items will be omitted because these are not relevant to the COVID-19.
For each knowledge item, respondents will be classified as (1) 'having knowledge' if 'strongly agree' or 'agree' are answered to the positive statements and 'strongly disagree' or 'disagree' to the negative statements, or (2) 'lack of knowledge' if otherwise. For each attitude item, respondents will be classified as (1) 'positive attitudes' if 'strongly agree' or 'agree' are answered to the positive statements and 'strongly disagree' or 'disagree' to the negative statements, or (2) 'negative attitudes' if otherwise. |
T0 (baseline) and T2 (after the intervention at Week 3) | |
Secondary | Self-reported Infection Control Practice (SICP) | a 10-item self-administered survey asking healthcare personnel to indicate whether RCH staffs would always, usually, sometimes, rarely, or never perform the said actions as part of staffs' usual practice . For self-reported infection control practices, 'satisfactory' will be defined as (1) if respondents' answers are either 'always' or 'usually' to the positive statements and (2) 'sometimes', 'rarely', or 'never' to the negative statements, while 'unsatisfactory' will be defined as otherwise. | T0 (baseline) and T2 (after the intervention at Week 3) | |
Secondary | Demographic data | Age, employment mode (full time vs part time), professional discipline (doctor, nurse, physiotherapist, occupational therapist, health workers, personal care worker), types of working unit (nursing home, care and attention home, hostel for the elderly, respite services, infirmary care supplement), staff-to-client ratio. | T0 (baseline) | |
Secondary | Data on experience | Working experience in residential care homes in terms of years, working experience in other healthcare settings in terms of years, and experience in infection control training (whether the staff member has received any type of infection control training, the date of the last training session, the duration of the last training session, the contents of the last training session). | T0 (baseline) |
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