This study aimed to identify factors influencing hand hygiene compli-ance among long-term care workers in long-term care facilities based on the theory of planned behavior (TPB). A cross-sectional survey was conducted with 133 long-term care workers from four long-term care facilities in Daegu Metropolitan City and Gyeongsangbuk-do, South Ko-rea. Self-reported questionnaires assessed hand hygiene-related belief factors (behavioral, normative, and control beliefs), core TPB factors (attitude toward behavior, subjective norms, and perceived behavioral control), intention, and hand hygiene compliance. Descriptive statistics, t-tests, analysis of variance, Pearson correlation, and multiple regres-sion analysis were performed. The mean scores for hand hygiene atti-tude, subjective norms, and behavioral intention exceeded the scale midpoint, whereas the scores for control beliefs and perceived behav-ioral control were relatively lower. Hand hygiene compliance was sig-nificantly correlated with behavioral beliefs (r=0.23, P=0.008), control beliefs (r=0.26, P=0.002), attitude toward behavior (r=0.18, P=0.038), perceived behavioral control (r=0.41, P<0.001), and intention (r=0.31, P<0.001). Multiple regression analysis identified perceived behavioral control (β=0.33, P=0.002) and intention (β=0.23, P=0.006) as significant predictors of compliance, explaining 19.1% of the variance (Adjusted R2=0.191). Perceived behavioral control and intention were identified as significant predictors of hand hygiene compliance. Interventions should not only enhance knowledge but also address structural and or-ganizational factors to strengthen caregivers’ perceived control and translate intention into practice.
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Abstract INTRODUCTION MATERIALS AND METHODS Participants TPB belief factors Core TPB constructs Hand hygiene compliance intention Hand hygiene compliance behavior Data collection procedures Data analysis Ethical considerations RESULTS General and hand hygiene-related characteristics of participants Levels of hand hygiene TPB belief factors, core TPB constructs, intention, and compliance behavior Differences in hand hygiene-related variables by participant characteristics Correlations among hand hygiene TPB belief factors/core TPB constructs, intention, and compliance behavior Factors influencing hand hygiene compliance behavior DISCUSSION CONFLICT OF INTEREST ACKNOWLEDGMENTS REFERENCES