Presentation W P27

W P27 (Poster Presentation):
Hands4U: The effects of a multifaceted implementation strategy on hand eczema prevalence in a healthcare setting. Results of a randomised controlled trial

Presented by: Esther Wilhelmina Cornelia van der Meer


van der Meer EWC1, Boot CRL1,2, van der Gulden JWJ3, Knol DL4, Jungbauer FHW5, Coenraads PJ6, Anema JR1,2,7

  1. 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
  2. Body@Work, Research Center Physical Activity, Work and Health, TNO-VU University Medical Center, Amsterdam, the Netherlands
  3. Department of Primary and Community Care, Centre for Family Medicine, Geriatric care and Public Health, Radboud University Nijmegen Medical Centre, PO Box 9101, 6500 HB Nijmegen, the Netherlands
  4. Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU University Medical Centre, 1081 HV Amsterdam, The Netherlands
  5. Department of Occupational Health, University of Groningen, Groningen University Medical Center, the Netherlands
  6. Dermatology Department, University Medical Center Groningen, University of Groningen, the Netherlands
  7. Research Center for Insurance Medicine AMC-UWV-VU University Medical Center, Amsterdam, the Netherlands



Healthcare workers have an increased risk of developing hand eczema. Therefore, the Netherlands Society of Occupational Medicine developed a guideline to prevent hand eczema in an occupational setting. Unfortunately, guidelines are often not well implemented into practice. We developed a multifaceted implementation strategy to implement this guideline among healthcare workers in the Netherlands. The aim of the present study is to investigate the effects of the strategy on 1) self-reported hand eczema, and 2) preventive behaviour.


The study is a randomized controlled trial that was performed at several hospitals throughout the Netherlands. Participants were healthcare workers of the participating hospitals. A total of 48 departments (n=1649 workers) were randomly allocated to the multifaceted implementation strategy or the control group (minimal implementation strategy). The strategy consisted of education, participatory working groups, role models, and reminders. Outcome measures were self-reported hand eczema and behaviour related to the prevention of hand eczema. Data were collected at baseline, and after 3, 6, 9, and 12 month follow-up. Data collection started in April 2011 and ended in June 2013.


The intervention group was significantly more likely to report hand eczema than the control group, 12 months after baseline (OR: 1.45; 95% CI 1.03; 2.04). The intervention group reported less hand washing (B: -0.38; 95% CI -0.48; -0.27), more frequent use of a moisturizer (B: 0.30; 95% CI 0.22; 0.39), and were significantly more likely to report wearing cotton under gloves (OR: 6.33; 95% CI 3.23; 12.41) compared to the control group 12 months after baseline.


The multifaceted implementation strategy can be used in practice to implement the guideline for the prevention of hand eczema, as it showed positive effects on preventive behaviour. We hypothesize that our multifaceted implementation strategy might have increased awareness for hand eczema, resulting in an increase in self-reported hand eczema, independently of the clinical status of their hands.

Schedule Details

Wednesday October 1
13:00 - 14:00 Poster Viewing
Session: Varia