Differing methodologies to measure microbe dispersal during hand drying

Background: Having previously investigated the dispersal by different hand drying methods of a chemical indicator, fungi and bacteria on the hands of users, this new study assessed the potential for viral dispersal. Aims/Objectives: To determine differences between hand drying methods in their capacity to disperse viruses on the hands of users to other occupants of public washrooms and into the washroom environment. Method: A harmless virus was used to artificially contaminate the hands of participants prior to using three different hand drying devices (jet air dryer, warm air dryer, paper towel dispenser). Viral dispersal was assessed at different heights and distances from the hand drying devices and also at different times after use by means of an air sampler. Results: The jet air dryer was shown to produce significantly more dispersal of virus than the warm air dryer or paper towels. After use of the jet air dryer, high numbers of virus were detected at a range of heights with maximum numbers between 0.61 and 1.22 metres. Virus was also detected at distances of up to 3 metres from the jet air dryer and in the air for up to 15 minutes after its use. The warm air dryer and paper towel dispenser produced low or zero viral counts at different heights, different distances and times after use. Conclusion: Jet air dryers have a greater potential than other hand drying methods to disperse viruses on the hands and contaminate other occupants of a public washroom and the washroom environment.

The Responsiveness, Content Validity, and Convergent Validity of the Measure Yourself Concerns and Wellbeing (MYCaW) Patient-Reported Outcome Measure

Objective Measure Yourself Concerns and Wellbeing (MYCaW) is a patient-centred questionnaire that allows cancer patients to identify and quantify the severity of their ‘Concerns’ and Wellbeing, as opposed to using a pre-determined list. MYCaW administration is brief and aids in prioritising treatment approaches. Our goal was to assess the convergent validity and responsiveness of MYCaW scores over time, the generalisability of the existing qualitative coding framework in different complementary and integrative healthcare settings and content validity. Methods Baseline and 6-week follow-up data (n=82) from MYCaW and FACIT-SpEx questionnaires were collected for a service evaluation of the ‘Living Well With The Impact of Cancer’ course at Penny Brohn Cancer Care. MYCaW construct validity was determined using Spearman's Rank Correlation test, and responsiveness indices assessed score changes over time. The existing qualitative coding framework was reviewed using a new dataset (n=158) and coverage of concern categories compared to items of existing outcome measures. Results Good correlation between MYCaW and FACIT-SpEx score changes were achieved (r= -0.57, p≥0.01). MYCaW Profile and Concern scores were highly responsive to change: SRM=1.02 and 1.08; effect size=1.26 and 1.22. MYCaW change scores showed the anticipated gradient of change according to clinically relevant degrees of change. Categories including ‘Spirituality’, ‘weight change’ and ‘practical concerns’ were added to the coding framework to improve generalisability. Conclusions MYCaW scores were highly responsive to change, allowing personalized patient outcomes to be quantified; the qualitative coding framework is generalisable across different oncology settings and has broader coverage of patient-identified concerns compared with existing cancer-related patient-reported outcome measures.