The 3-Moments of Skin Care

A Universal Standard For Skin Care Behaviour in The Workplace

The ‘3-Moments of Skin Care’ is an evidence-based, practical universal guideline created by an international expert group of dermatologists to drive implementation of skin care best practice that can be adapted to any workplace.

This website is designed to help with understanding of the guideline and implementation.

“Contact dermatitis is one of the most common occupational diseases, with serious impact on quality of life, lost days at work, and a condition that may be chronically relapsing”

Hines J et al. JEADV, 2016.

3moments-creams-image-minA skin care regime integrating hand creams with appropriate cleansers is widely acknowledged to be an effective prevention strategy against occupational contact dermatitis, however compliance rates remain low.

Until now, no clear guidelines have existed for skin care implementation and compliance.

A Universal Standard for Skin Care

Using a multi-modal scientific study with analysis and review of 75 published occupational skin care studies, the panel of experts created ‘The 3-Moments of Skin Care’ guideline as a user-centric approach to occupational skin care, where it is accepted that skin exposure to contaminants and environmental conditions whilst at work cannot be avoided.

The basis of the guideline is that each of the 3-Moments represents an occasion where skin care measures should be taken and integrates the use of protect and restore creams within the daily work routine.

The '3-Moments of Skin Care' Guideline

Application of skin protection cream to help protect the skin from exposure.

Following contamination or at the end of each period, hands should be washed with an appropriate hand cleanser and then followed with the application of protection or restore cream.

Application of restore cream to help recover skin strength and health.


Creating an Environment for Skin Care BEHAVIOUR CHANGE

The full implementation of the ‘3-Moments’ standard in the workplace requires a clear and practical approach to create skin care behaviour change

The panel of experts recommends adapting Kotter’s principles of change management into 4 implementation stages:

Establish a need and assign leadership

The first step is to gain buy-in from stakeholders and key-influencers such as management and worker representatives. Then conduct an organisation-wide audit to identify worker groups at risk of occupational skin disease (OSD) who can be monitored to establish information about their skin health.

Finally, agree the success criteria to measure actual results against.

Develop a strategy and communicate it to employees

Create a tailored implementation programme for the workplace which should include:

Appropriate skin care products, dispensing locations, formats and measurement methods.
Communicate and educate employees on the importance of skin care, the risks and early symptoms of poor practice, and the long-term benefits of following best practices, combining training with practical demonstrations.

Empower the change movement through measurement and feedback

Monitoring skin care compliance using either electronic dispensers, or a manual monitoring calculator, should be used to reinforce that the ‘3-Moments’ method is producing positive change in the workplace.

Data generated should be fed-back to the worker groups to demonstrate the importance of skin care, the responsibility of workers to comply with the standard and that ‘3-Moments’ is creating positive change.

Enhance compliance and embed behaviour change

In the final stage of behaviour change, the 3-moments program should be embedded in the organisation’s culture and health and safety guidelines, regularly communicating about skin care and compliance through broadly accessible communication channels, and providing refresher activities.

Download the following resources to help you implement 3-Moments of Skin Care in your organisation:

  • Skin-health Audit Checklist
  • Example of Pre-Change Behavior and Attitudes Assessment Questionnaire
  • Example of Post-Change Behavior and Attitudes Assessment Questionnaire
  • Example Manual Skin Care Compliance Calculator
View The Resources

3-Moments of Skin Care was published in the Journal of the European Academy of Dermatology and Venereology:

The 3-Moments of Skin Cream Application: An Evidence-Based Proposal for Use of Skin Creams in the Prevention of Irritant Contact Dermatitis in the Workplace’

View The Publication

View the ESCD 2016 Symposium on ‘The 3-Moments of Skin Care’:

The Authors of 3-Moments of Skin Care:

J Hines

Deb Group Ltd., Research & Development, Denby UK

S M Wilkinson

Leeds Teaching Hospitals NHS Trust, Leeds, UK

S M John

University of Osnabrueck, Dept. of Dermatology, Environmental Medicine, Health Theory, Osnabrueck, Germany

T L Diepgen

University of Heidelberg, Dept. of Social Medicine, Occupational and Environmental Dermatology, Heidelberg, Germany

J English

Nottingham NHS Treatment Center, Nottingham, UK

T Rustemeyer

VU University Medical Center Amsterdam, Dept. of Dermatology and Allergology, Amsterdam, Netherlands

S Wassilew

Hautarztzentrum Krefeld, Krefeld, Germany

S Kezic

Coronel Institute of Occupational Health, Academic Medical Centre, Amsterdam, Netherlands

H I Maibach

University of California San Francisco, Dermatology Dept., San Francisco, CA, USA

3-Moments is an independent proposal supported by the following organisations & associations:


Deb Group Ltd.


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