TY - JOUR AU - Suppan, Mélanie AU - Abbas, Mohamed AU - Catho, Gaud AU - Stuby, Loric AU - Regard, Simon AU - Achab, Sophia AU - Harbarth, Stephan AU - Suppan, Laurent PY - 2021 DA - 201/3/25 TI -一场严肃游戏(逃离COVID-19)对改变长期护理机构员工COVID-19控制做法的意图的影响:基于网络的随机对照试验乔- J地中海互联网Res SP - e27443六世- 23 - 3 KW - COVID-19 KW -传输KW -严肃游戏KW -感染预防KW -医护工作者KW - SARS-CoV-2 KW -疗养院KW -随机对照试验KW -长期护理设施KW -影响KW -游戏KW -意图KW -控制KW -老年AB -背景:大多数居民长期护理设施(LTCFs)后并发症和死亡的高危SARS-CoV-2感染。在这些设施中，人力和物质资源短缺可能会促进病毒传播，从而导致感染预防和控制程序的应用不佳。为了促进COVID-19 IPC指南的传播，我们使用尼克尔森的有意义游戏化配方开发了一款名为“逃离COVID-19”的严肃游戏，因为吸引人的严肃游戏有可能诱导行为改变。目的:由于执行行动的概率与执行行动的意图密切相关，本研究的目的是确定LTCF员工在玩“逃离COVID-19”游戏后是否愿意改变其IPC实践。方法:这是一项基于网络的三盲随机对照试验，于2020年11月5日至12月4日进行。瑞士日内瓦卫生当局要求其管辖范围内所有长期医疗中心的管理人员将有关这项研究的信息转发给其所有员工，无论其职业地位如何。参与者没有意识到他们在注册时将被随机分配到两个不同的学习路径之一。在对照组中，参与者填写了第一份问卷，旨在收集人口统计数据并在访问常规在线IPC指南之前评估基线知识。然后，他们回答了第二份问卷，该问卷评估了他们改变IPC实践的意愿，并确定了他们做出决定的原因。 They were then granted access to the serious game. Conversely, the serious game group played “Escape COVID-19” after answering the first questionnaire but before answering the second one. This group accessed the control material after answering the second set of questions. There was no time limit. The primary outcome was the proportion of LTCF employees willing to change their IPC practices. Secondary outcomes included the factors underlying participants’ decisions, the domains these changes would affect, changes in the use of protective equipment items, and attrition at each stage of the study. Results: A total of 295 answer sets were analyzed. Willingness to change behavior was higher in the serious game group (82% [119/145] versus 56% [84/150]; P<.001), with an odds ratio of 3.86 (95% CI 2.18-6.81; P<.001) after adjusting for professional category and baseline knowledge, using a mixed effects logistic regression model with LTCF as a random effect. For more than two-thirds (142/203) of the participants, the feeling of playing an important role against the epidemic was the most important factor explaining their willingness to change behavior. Most of the participants unwilling to change their behavior answered that they were already applying all the guidelines. Conclusions: The serious game “Escape COVID-19” was more successful than standard IPC material in convincing LTCF employees to adopt COVID-19–safe IPC behavior. International Registered Report Identifier (IRRID): RR2-10.2196/25595 SN - 1438-8871 UR - //www.mybigtv.com/2021/3/e27443 UR - https://doi.org/10.2196/27443 UR - http://www.ncbi.nlm.nih.gov/pubmed/33685854 DO - 10.2196/27443 ID - info:doi/10.2196/27443 ER -