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Determinants of hand hygiene behaviour based on the Theory of Interpersonal Behaviour

Kupfer, Tom R., Wyles, Kayleigh J., Watson, Fraje, La Ragione, Roberto Marcello, Chambers, Mark A. and Macdonald, Alastair S. (2019) Determinants of hand hygiene behaviour based on the Theory of Interpersonal Behaviour Journal of Infection Prevention.

Kupfer et al (2019) - proofs JIP846286.pdf - Accepted version Manuscript

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Background: Many investigations into the determinants of hand hygiene (HH) behaviour have explored only individual predictors or were designed according to arguably overly simplistic models of behaviour. Consequently, important influences on HH behaviour, including habit and emotion, are sometimes neglected. This study is the first to employ the Theory of Interpersonal Behaviour as a comprehensive model for understanding the determinants of HH behaviour. Method: A self-report questionnaire was conducted with staff from two large UK veterinary referral practices. Participants (n = 75) reported their HH behaviour and responded to statements rating the importance of social norms, self-protection, patient protection, time pressures, access to equipment, habit and disgust, to their HH behaviour. Results: Regression analysis showed that, overall, determinants explained 46% of variance (p < .001) in self-reported HH behaviour, with time constraints being the strongest predictor (β = −.47, p < .001) followed by difficulty finding equipment (β = −.21, p = .05). Discussion: Time constraints may be the most important influence on HH adherence among the determinants investigated. Future researchers should consider employing theoretical models to aid a more comprehensive understanding of the psychology underlying HH adherence and HH interventions.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Psychology
Authors :
Kupfer, Tom R.
Wyles, Kayleigh
Watson, Fraje
La Ragione, Roberto
Chambers, Mark
Macdonald, Alastair S.
Date : 26 May 2019
Funders : Arts and Humanities Research Council (AHRC)
DOI : 10.1177/1757177419846286
Grant Title : Antimicrobial resistance (AMR) grant
Copyright Disclaimer : © The Author(s) 2019 This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (
Uncontrolled Keywords : Infection control; Hygiene; Habit; Disgust; Predictors
Depositing User : Diane Maxfield
Date Deposited : 28 Aug 2019 09:56
Last Modified : 29 Aug 2019 09:11

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