ClinicalTrials.gg
CompletedNCT07924696Updated Nov 9, 2026

Effect of AI-Assisted Hand Hygiene Training on Hand Hygiene Competency in Newly Hired Workers

An interventional study of AI-assisted hand hygiene training with real-time visual feedback and Conventional instructor-led hand hygiene training in Healthy Adult Participants, sponsored by Sir Run Run Shaw Hospital. Completed at 1 site in China. Per ClinicalTrials.gov, last updated 2026-11-09.

Sponsored by Sir Run Run Shaw Hospital · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 3 months after the study started (first participant enrolled Aug 2026, registered Nov 2026).
Updated Nov 9, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
260
Allocation
Randomized
Sex
All
01

Study summary

The goal of this clinical trial is to learn if artificial intelligence (AI)-assisted training works better than usual training. The training aims to improve handwashing skill in newly hired healthcare workers. The AI-assisted training uses a screen that shows feedback right away.

The main questions it aims to answer are:

Does AI-assisted training lead to higher overall handwashing skill scores than usual training? Does AI-assisted training improve harder handwashing steps? These include interlaced fingers, locked fingers, and fingertip rubbing.

Researchers will compare AI-assisted training to usual instructor-led training. They will see if AI-assisted training improves handwashing skill.

Participants will:

Attend a 30-minute class on the World Health Organization (WHO) seven-step handwashing method. The class also explains how the skill test works.

Be assigned by chance to usual training or AI-assisted training. Both trainings last 45 minutes.

In the AI-assisted group, use a camera and screen. The screen shows their hand movements and gives feedback right away. This helps them correct their movements.

Take a final handwashing skill test. The same AI system scores 12 parts of the WHO seven-step method.

Two hundred sixty newly hired healthcare workers joined this study at one hospital in China. They included doctors, nurses, research staff, lab staff, and support staff.

02

Conditions studied

  • Healthy Adult Participants

Keywords

  • Hand hygiene
  • Artificial intelligence
03

In context

Lead sponsor

Sir Run Run Shaw Hospital is the lead sponsor of 135 studies on the registry; 72 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Full-time employment at Sir Run Run Shaw Hospital, Zhejiang University School of Medicine; starting employment within the August 2025 new employee orientation cohort; voluntary participation with written

Exclusion criteria

Exclusion Criteria:

  • Prior attainment of any formal hand hygiene operation certification; previous participation in structured competency-based hand hygiene training with objective skill assessment; prior employment as a licensed healthcare worker in any clinical setting
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
260 participants (actual)

Study arms

  • Experimental
    AI-assisted training with real-time visual feedback

    Participants (n=130) received a standardized 30-minute didactic session on hand hygiene standard operating procedures and assessment criteria. They then received 45 minutes of AI-assisted practical training. An overhead camera and edge-computing unit captured handwashing movements at 12 frames per second. A real-time display screen showed visual feedback, allowing participants to monitor their performance and correct movements immediately. The AI platform evaluated the WHO seven-step technique, decomposed into 12 sub-steps. Post-training competency was assessed using the same AI platform under standardized conditions.

    Behavioral: AI-assisted hand hygiene training with real-time visual feedback

  • Active comparator
    Conventional instructor-led training

    Participants (n=130) received the same standardized 30-minute didactic session on hand hygiene standard operating procedures and assessment criteria. They then received 45 minutes of conventional instructor-led practical training without AI-based real-time visual feedback. Training was delivered by instructors under the usual apprenticeship-style teaching model. Post-training competency was assessed using the same AI platform under standardized conditions.

    Behavioral: Conventional instructor-led hand hygiene training

Interventions

  • BehavioralAI-assisted hand hygiene training with real-time visual feedback

    Participants received a standardized 30-minute didactic session on hand hygiene standard operating procedures and assessment criteria. They then received 45 minutes of AI-assisted practical training. An overhead camera and edge-computing unit captured handwashing movements at 12 frames per second. A real-time display screen provided visual feedback, allowing participants to monitor their performance and correct movements immediately. The AI platform evaluated the WHO seven-step technique, decomposed into 12 sub-steps. Post-training competency was assessed using the same AI platform under standardized conditions.

  • BehavioralConventional instructor-led hand hygiene training

    Participants received the same standardized 30-minute didactic session on hand hygiene standard operating procedures and assessment criteria. They then received 45 minutes of conventional instructor-led practical training without AI-based real-time visual feedback. Training was delivered by instructors under the usual apprenticeship-style teaching model. Post-training competency was assessed using the same AI platform under standardized conditions.

06

What researchers measure

Primary outcomes

  1. Overall hand hygiene competency score

    Hand hygiene competency was assessed immediately after training using an AI-based platform. The platform evaluated the WHO seven-step handwashing technique, decomposed into 12 sub-steps: palm-to-palm rubbing; palm-to-opisthenar rubbing (left and right); interlaced fingers; locked fingers (left and right); thumb rubbing (left and right); fingertip rubbing (left and right); and wrist rubbing (left and right). A sub-step was confirmed when cumulative detection exceeded 24 frames (\>2 seconds). Each confirmed sub-step was scored from 0 to 100 based on the mean retained confidence scores. If fewer than 24 confidence entries were retained, the sub-step score was 0. The overall score was the arithmetic mean of all 12 sub-step scores, rounded to one decimal place. Higher scores indicate better hand hygiene competency.

    Time frame: Immediately after the 45-minute practical training session

07

Study locations

1 site
  • Sir Run Run Shaw Hospital
    Hangzhou, Zhejiang 310016, China
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Nov 9, 2026
Show all 1 update
  1. Nov 9, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07924696
Responsible party
Sponsor
First posted
Nov 9, 2026
Start date
Aug 1, 2026
Primary completion
Aug 31, 2026
Completion
Aug 31, 2026
Last update
Nov 9, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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