Table of Contents
Key references:
Lydon, S., Greally, C., Tujjar, O., Reddy, K., Lambe, K. Madden, C., Walsh, C., Fox, S. O’Connor, P. (under review). Psychometric evaluation of a theory-based measure of factors influencing hand hygiene behaviour.
Primary use / Purpose:
COM-B Hand Hygiene Behavior Questionnaire
| Please read each item below and circle the number that best captures the extent to which you agree with each statement.
| 5. Strongly agree | |||||||
| 4. Agree | ||||||||
| 3. Neither | ||||||||
| 2. Disagree | ||||||||
| 1. Strongly disagree | ||||||||
| 1. Capability | |||||
| a) I have received adequate training in hand hygiene practices in this unit | 1 | 2 | 3 | 4 | 5 |
| b) I know the moments when hand hygiene is required | 1 | 2 | 3 | 4 | 5 |
| c) I know how to conduct a complete hand wash or rub | 1 | 2 | 3 | 4 | 5 |
| d) I engage in hand hygiene without thinking | 1 | 2 | 3 | 4 | 5 |
| e) I find it easy to adhere to hand hygiene recommendations in this unit | 1 | 2 | 3 | 4 | 5 |
| 2. Opportunity | |||||
| a) I have enough time to engage in hand hygiene | 1 | 2 | 3 | 4 | 5 |
| b) This unit has adequate facilities for hand hygiene | 1 | 2 | 3 | 4 | 5 |
| c) Nurses in this unit always engage in hand hygiene when required | 1 | 2 | 3 | 4 | 5 |
| d) Doctors in this unit always engage in hand hygiene when required | 1 | 2 | 3 | 4 | 5 |
| e) Healthcare providers visiting this unit always wash their hands when required | 1 | 2 | 3 | 4 | 5 |
| f) The hand hygiene protocols for this unit are clear | 1 | 2 | 3 | 4 | 5 |
| g) There are prompts to remind staff to engage in hand hygiene in this unit | 1 | 2 | 3 | 4 | 5 |
| 3. Motivation | |||||
| a) Hand hygiene compliance is considered important by staff in this unit | 1 | 2 | 3 | 4 | 5 |
| b) Hand hygiene compliance is considered important by my seniors in this unit | 1 | 2 | 3 | 4 | 5 |
| c) I strive for complete compliance with the five moments of hand hygiene | 1 | 2 | 3 | 4 | 5 |
| d) We remind each other to engage in hand hygiene in this unit | 1 | 2 | 3 | 4 | 5 |
| e) Infection control audits encourage me to adhere to hand hygiene protocols in this unit Behaviour | 1 | 2 | 3 | 4 | 5 |
| 4. Behaviour | |||||
| I wash my hands: | |||||
| a) Before patient contact | 0 | 1 | 2 | 3 | 4 |
| b) Before aseptic technique | 0 | 1 | 2 | 3 | 4 |
| c) After body fluid exposure risk | 0 | 1 | 2 | 3 | 4 |
| d) After patient contact | 0 | 1 | 2 | 3 | 4 |
| e) After contact with the patient surroundings | 0 | 1 | 2 | 3 | 4 |
Scoring Key
For each of the four subscales, add the item responses within that subscale together and then divide by the number of items in the subscale order to obtain a mean subscale score. For example, for the Capability subscale, add the responses to the five items and then divide by five in order to obtain the mean subscale score
Cite this article
mohammad looti (2026). COM-B Hand Hygiene Behavior Questionnaire. PSYCHOLOGICAL SCALES. Retrieved from https://scales.arabpsychology.com/s/com-b-hand-hygiene-behavior-questionnaire/
mohammad looti. "COM-B Hand Hygiene Behavior Questionnaire." PSYCHOLOGICAL SCALES, 1 Apr. 2026, https://scales.arabpsychology.com/s/com-b-hand-hygiene-behavior-questionnaire/.
mohammad looti. "COM-B Hand Hygiene Behavior Questionnaire." PSYCHOLOGICAL SCALES, 2026. https://scales.arabpsychology.com/s/com-b-hand-hygiene-behavior-questionnaire/.
mohammad looti (2026) 'COM-B Hand Hygiene Behavior Questionnaire', PSYCHOLOGICAL SCALES. Available at: https://scales.arabpsychology.com/s/com-b-hand-hygiene-behavior-questionnaire/.
[1] mohammad looti, "COM-B Hand Hygiene Behavior Questionnaire," PSYCHOLOGICAL SCALES, vol. X, no. Y, ص Z-Z, April, 2026.
mohammad looti. COM-B Hand Hygiene Behavior Questionnaire. PSYCHOLOGICAL SCALES. 2026;vol(issue):pages.