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05-08-2015

Social-cognitive factors mediating intervention effects on handwashing: a longitudinal study

Auteurs: Nadja Contzen, Jennifer Inauen

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 6/2015

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Abstract

Handwashing with soap effectively prevents diarrhoea, a leading cause of death in infants. Theory-based interventions are expected to promote handwashing more successfully than standard approaches. The present article investigates the underlying change processes of theory-based handwashing interventions. A nonrandomised field study compared a standard approach to two theory-based interventions that were tailored to the target population, the inhabitants of four villages in southern Ethiopia (N = 408). Data were collected before and after interventions by structured interviews and analysed by mediation analysis. In comparison to the standard approach (i.e., education only), education with public commitment and reminder was slightly more effective in changing social-cognitive factors and handwashing. Education with an infrastructure promotion and reminder was most effective in promoting handwashing through enhancing social-cognitive factors. The results confirm the relevance of testing interventions’ underlying change processes.
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Voetnoten
1
For the interventions’ main effects, which are not reported in the present article, please refer to Contzen et al. (2015).
 
2
Testing the processes that underlay behaviour change (Michie & Abraham, 2004) is a vital contribution that could not have been integrated into the article by Contzen et al. (2015).
 
3
Information on the socio-economic and socio-demographic characteristics of the excluded kebeles and thus on differences between excluded and included kebeles is not available.
 
4
During the interview respondents were informed by the interviewer that handwashing before handling food means handwashing before preparing food, eating, feeding or breastfeeding a child or handling drinking water, and that handwashing after contact with stool means handwashing after defecation, wiping a child’s bottom and other contact with stool.
 
5
That the scarf would serve as a reminder was assumed to be an additional effect.
 
6
Handwashing stations.
 
Literatuur
go back to reference Abraham, C. (2012). Mapping change mechanisms onto behaviour change techniques: A systematic approach to promoting behaviour change through text. In C. Abraham & M. Kools (Eds.), Writing health communication: An evidence-based guide (pp. 99–116). London: SAGE Publications Ltd. Abraham, C. (2012). Mapping change mechanisms onto behaviour change techniques: A systematic approach to promoting behaviour change through text. In C. Abraham & M. Kools (Eds.), Writing health communication: An evidence-based guide (pp. 99–116). London: SAGE Publications Ltd.
go back to reference Biran, A. (2011). Enabling technologies for handwashing with soap: A case study on the tippy-tap in Uganda. In Water and Sanitation Program (Ed.), Learning note. Washinton, DC: Water and Sanitation Program. Biran, A. (2011). Enabling technologies for handwashing with soap: A case study on the tippy-tap in Uganda. In Water and Sanitation Program (Ed.), Learning note. Washinton, DC: Water and Sanitation Program.
go back to reference Bittner, M. J., Rich, E. C., Turner, P. D., & Arnold, W. H, Jr. (2002). Limited impact of sustained simple feedback based on soap and paper towel consumption on the frequency of hand washing in an adult intensive care unit. Infection Control and Hospital Epidemiology, 23, 120–126. doi:10.1086/502020 CrossRefPubMed Bittner, M. J., Rich, E. C., Turner, P. D., & Arnold, W. H, Jr. (2002). Limited impact of sustained simple feedback based on soap and paper towel consumption on the frequency of hand washing in an adult intensive care unit. Infection Control and Hospital Epidemiology, 23, 120–126. doi:10.​1086/​502020 CrossRefPubMed
go back to reference Black, R. E., Cousens, S., Johnson, H. L., Lawn, J. E., Rudan, I., Bassani, D. G., & Mathers, C. (2010). Global, regional, and national causes of child mortality in 2008: A systematic analysis. The Lancet, 375, 1969–1987. doi:10.1016/S0140-6736(10)60549-1 CrossRef Black, R. E., Cousens, S., Johnson, H. L., Lawn, J. E., Rudan, I., Bassani, D. G., & Mathers, C. (2010). Global, regional, and national causes of child mortality in 2008: A systematic analysis. The Lancet, 375, 1969–1987. doi:10.​1016/​S0140-6736(10)60549-1 CrossRef
go back to reference Cairncross, S., Hunt, C., Boisson, S., Bostoen, K., Curtis, V., Fung, I. C. H., & Schmidt, W.-P. (2010). Water, sanitation and hygiene for the prevention of diarrhoea. International Journal of Epidemiology, 39, 193–205. doi:10.1093/ije/dyq035 CrossRef Cairncross, S., Hunt, C., Boisson, S., Bostoen, K., Curtis, V., Fung, I. C. H., & Schmidt, W.-P. (2010). Water, sanitation and hygiene for the prevention of diarrhoea. International Journal of Epidemiology, 39, 193–205. doi:10.​1093/​ije/​dyq035 CrossRef
go back to reference Contzen, N., & Mosler, H.-J. (2012). Factors determining the effectiveness of Oxfam’s public health promotion approach in Haiti. Working paper 2012-00. Duebendorf: Eawag. Contzen, N., & Mosler, H.-J. (2012). Factors determining the effectiveness of Oxfam’s public health promotion approach in Haiti. Working paper 2012-00. Duebendorf: Eawag.
go back to reference Contzen, N., & Mosler, H.-J. (2013). Impact of different promotional channels on handwashing behaviour in an emergency context: Haiti post-earthquake public health promotions and cholera response. Journal of Public Health, 21, 559–573. doi:10.1007/s10389-013-0577-4 CrossRef Contzen, N., & Mosler, H.-J. (2013). Impact of different promotional channels on handwashing behaviour in an emergency context: Haiti post-earthquake public health promotions and cholera response. Journal of Public Health, 21, 559–573. doi:10.​1007/​s10389-013-0577-4 CrossRef
go back to reference David, N., Mumuni, O. K., & Awuku, N. N. (2009). Participatory Hygiene and Sanitation Transformation (PHAST): A methodology for sustainable hygiene and sanitation behavior change with experience from the Bawku West District of Ghana. Accra: Paper presented at the West Africa regional sanitation and hygiene symposium. David, N., Mumuni, O. K., & Awuku, N. N. (2009). Participatory Hygiene and Sanitation Transformation (PHAST): A methodology for sustainable hygiene and sanitation behavior change with experience from the Bawku West District of Ghana. Accra: Paper presented at the West Africa regional sanitation and hygiene symposium.
go back to reference Debsu, D. N. (2013). Local institutions, external interventions, and adaptations to climate variability: The case of the Borana pastoralists in southern Ethiopia. In K. Pfeifer (Ed.), Oxfam America Research Backgrounder series. Oxfam America: Boston, MA. Debsu, D. N. (2013). Local institutions, external interventions, and adaptations to climate variability: The case of the Borana pastoralists in southern Ethiopia. In K. Pfeifer (Ed.), Oxfam America Research Backgrounder series. Oxfam America: Boston, MA.
go back to reference Devine, J., Karver, J., Coombes, Y., Chase, C., & Hernandez, O. (2012). Behavioral determinants of handwashing with soap among mothers and caretakers: Emergent learning from Senegal and Peru. Water and sanitation program: Learning note. Washington, DC: Water and Sanitation Program. Devine, J., Karver, J., Coombes, Y., Chase, C., & Hernandez, O. (2012). Behavioral determinants of handwashing with soap among mothers and caretakers: Emergent learning from Senegal and Peru. Water and sanitation program: Learning note. Washington, DC: Water and Sanitation Program.
go back to reference Devine, J., & Koita, S. N. (2010). Senegal: A hand-washing behavior change journey. In Water and sanitation program: Learning note. Washington, DC: Water and Sanitation Program. Devine, J., & Koita, S. N. (2010). Senegal: A hand-washing behavior change journey. In Water and sanitation program: Learning note. Washington, DC: Water and Sanitation Program.
go back to reference Federal Ministry of Health Ethiopia. (2011). Ethiopia national hand washing communication campaign strategy. Addis Ababa, Ethiopia: Federal Democratic Republic of Ethiopia. Federal Ministry of Health Ethiopia. (2011). Ethiopia national hand washing communication campaign strategy. Addis Ababa, Ethiopia: Federal Democratic Republic of Ethiopia.
go back to reference Fishbein, M., & Ajzen, I. (2010). Predicting and changing behavior: The reasoned action approach. New York, NY: Psychology Press. Fishbein, M., & Ajzen, I. (2010). Predicting and changing behavior: The reasoned action approach. New York, NY: Psychology Press.
go back to reference Halder, A. K., Tronchet, C., Akhter, S., Bhuiya, A., Johnston, R. B., & Luby, S. P. (2010). Observed hand cleanliness and other measures of handwashing behavior in rural Bangladesh. BMC Public Health,. doi:10.1186/1471-2458-10-545 Halder, A. K., Tronchet, C., Akhter, S., Bhuiya, A., Johnston, R. B., & Luby, S. P. (2010). Observed hand cleanliness and other measures of handwashing behavior in rural Bangladesh. BMC Public Health,. doi:10.​1186/​1471-2458-10-545
go back to reference Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York, NY: Guilford Press. Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York, NY: Guilford Press.
go back to reference Hayes, A. F., & Preacher, K. J. (2013). Statistical mediation analysis with a multicategorical independent variable. British Journal of Mathematical and Statistical Psychology,. doi:10.1111/bmsp.12028 PubMed Hayes, A. F., & Preacher, K. J. (2013). Statistical mediation analysis with a multicategorical independent variable. British Journal of Mathematical and Statistical Psychology,. doi:10.​1111/​bmsp.​12028 PubMed
go back to reference Hoffmeyer-Zlotnik, J. H. P. (2003). New sampling designs and the quality of data. In A. Ferligoj & A. Mrvar (Eds.), Developments in applied statistics (Vol. 19, pp. 205–217). Ljubljana: FDV. Hoffmeyer-Zlotnik, J. H. P. (2003). New sampling designs and the quality of data. In A. Ferligoj & A. Mrvar (Eds.), Developments in applied statistics (Vol. 19, pp. 205–217). Ljubljana: FDV.
go back to reference Huber, A. C., Bhend, S., & Mosler, H.-J. (2012). Determinants of exclusive consumption of fluoride-free water: A cross-sectional household study in rural Ethiopia. Journal of Public Health, 20, 269–278. doi:10.1007/s10389-011-0445-z CrossRef Huber, A. C., Bhend, S., & Mosler, H.-J. (2012). Determinants of exclusive consumption of fluoride-free water: A cross-sectional household study in rural Ethiopia. Journal of Public Health, 20, 269–278. doi:10.​1007/​s10389-011-0445-z CrossRef
go back to reference Hutin, Y., Luby, S., & Paquet, C. (2003). A large cholera outbreak in Kano City, Nigeria: The importance of hand washing with soap and the danger of street-vended water. Journal of Water and Health, 1, 45–52.PubMed Hutin, Y., Luby, S., & Paquet, C. (2003). A large cholera outbreak in Kano City, Nigeria: The importance of hand washing with soap and the danger of street-vended water. Journal of Water and Health, 1, 45–52.PubMed
go back to reference Inauen, J., & Mosler, H.-J. (2013). Developing and testing theory-based and evidence-based interventions to promote switching to arsenic-safe wells in Bangladesh. Journal of Health Psychology,. doi:10.1177/1359105313493811 PubMed Inauen, J., & Mosler, H.-J. (2013). Developing and testing theory-based and evidence-based interventions to promote switching to arsenic-safe wells in Bangladesh. Journal of Health Psychology,. doi:10.​1177/​1359105313493811​ PubMed
go back to reference Inauen, J., Tobias, R., & Mosler, H.-J. (2013). The role of commitment strength in enhancing safe water consumption: Mediation analysis of a cluster-randomized trial. British Journal of Health Psychology,. doi:10.1111/bjhp.12068 PubMed Inauen, J., Tobias, R., & Mosler, H.-J. (2013). The role of commitment strength in enhancing safe water consumption: Mediation analysis of a cluster-randomized trial. British Journal of Health Psychology,. doi:10.​1111/​bjhp.​12068 PubMed
go back to reference Lokhorst, A. M., Werner, C., Staats, H., van Dijk, E., & Gale, J. L. (2013). Commitment and behavior change: A meta-analysis and critical review of commitment-making strategies in environmental research. Environment and behavior, 45, 3–34. doi:10.1177/0013916511411477 CrossRef Lokhorst, A. M., Werner, C., Staats, H., van Dijk, E., & Gale, J. L. (2013). Commitment and behavior change: A meta-analysis and critical review of commitment-making strategies in environmental research. Environment and behavior, 45, 3–34. doi:10.​1177/​0013916511411477​ CrossRef
go back to reference Luby, S. P., Halder, A. K., Tronchet, C., Akhter, S., Bhuiya, A., & Johnston, R. B. (2009). Household characteristics associated with handwashing with soap in rural Bangladesh. American Journal of Tropical Medicine and Hygiene, 81, 882–887. doi:10.4269/ajtmh.2009.09-0031 CrossRefPubMed Luby, S. P., Halder, A. K., Tronchet, C., Akhter, S., Bhuiya, A., & Johnston, R. B. (2009). Household characteristics associated with handwashing with soap in rural Bangladesh. American Journal of Tropical Medicine and Hygiene, 81, 882–887. doi:10.​4269/​ajtmh.​2009.​09-0031 CrossRefPubMed
go back to reference Miller, S., Yardley, L., & Little, P. (2011). Development of an intervention to reduce transmission of respiratory infections and pandemic flu: Measuring and predicting hand-washing intentions. Psychology, Health & Medicine, 17, 59–81. doi:10.1080/13548506.2011.564188 CrossRef Miller, S., Yardley, L., & Little, P. (2011). Development of an intervention to reduce transmission of respiratory infections and pandemic flu: Measuring and predicting hand-washing intentions. Psychology, Health & Medicine, 17, 59–81. doi:10.​1080/​13548506.​2011.​564188 CrossRef
go back to reference Mosler, H.-J. (2012). A systematic approach to behavior change interventions for the water and sanitation sector in developing countries: A conceptual model, a review, and a guideline. International Journal of Environmental Health Research, 22, 431–449. doi:10.1080/09603123.2011.650156 CrossRefPubMed Mosler, H.-J. (2012). A systematic approach to behavior change interventions for the water and sanitation sector in developing countries: A conceptual model, a review, and a guideline. International Journal of Environmental Health Research, 22, 431–449. doi:10.​1080/​09603123.​2011.​650156 CrossRefPubMed
go back to reference Pessoa-Silva, C. L., Hugonnet, S., Pfister, R., Touveneau, S., Dharan, S., Posfay-Barbe, K., & Pittet, D. (2007). Reduction of health care—Associated infection risk in neonates by successful hand hygiene promotion. Pediatrics, 120, e382–e390. doi:10.1542/peds.2006-3712 CrossRefPubMed Pessoa-Silva, C. L., Hugonnet, S., Pfister, R., Touveneau, S., Dharan, S., Posfay-Barbe, K., & Pittet, D. (2007). Reduction of health care—Associated infection risk in neonates by successful hand hygiene promotion. Pediatrics, 120, e382–e390. doi:10.​1542/​peds.​2006-3712 CrossRefPubMed
go back to reference Tobias, R. (2009). Changing behavior by memory aids: A social psychological model of prospective memory and habit development tested with dynamic field data. Psychological Review, 116, 408–438. doi:10.1037/a0015512 CrossRefPubMed Tobias, R. (2009). Changing behavior by memory aids: A social psychological model of prospective memory and habit development tested with dynamic field data. Psychological Review, 116, 408–438. doi:10.​1037/​a0015512 CrossRefPubMed
go back to reference Updegraff, J. A., Emanuel, A. S., Gallagher, K. M., & Steinman, C. T. (2011). Framing flu prevention—An experimental field test of signs promoting hand hygiene during the 2009–2010 H1N1 pandemic. Health Psychology, 30, 295–299. doi:10.1037/a0023125 CrossRefPubMed Updegraff, J. A., Emanuel, A. S., Gallagher, K. M., & Steinman, C. T. (2011). Framing flu prevention—An experimental field test of signs promoting hand hygiene during the 2009–2010 H1N1 pandemic. Health Psychology, 30, 295–299. doi:10.​1037/​a0023125 CrossRefPubMed
go back to reference Water Sanitation and Hygiene Research Group. (2012). Association of water storage and handwashing with death due to diarrhoea among children < 5 years in Bangladesh. Health and Science Bulletin, 10, 7–16. Water Sanitation and Hygiene Research Group. (2012). Association of water storage and handwashing with death due to diarrhoea among children < 5 years in Bangladesh. Health and Science Bulletin, 10, 7–16.
go back to reference Williams, D. M. (2010). Importance of the nature of comparison conditions for testing theory-based interventions: Comment on Michie and Prestwich (2010). Health Psychology, 29, 467. doi:10.1037/a0019597 CrossRefPubMed Williams, D. M. (2010). Importance of the nature of comparison conditions for testing theory-based interventions: Comment on Michie and Prestwich (2010). Health Psychology, 29, 467. doi:10.​1037/​a0019597 CrossRefPubMed
go back to reference Wilson, S., Jacob, C. J., & Powell, D. (2011). Behavior-change interventions to improve hand-hygiene practice: A review of alternatives to education. Critical Public Health, 21, 119–127. doi:10.1080/09581591003786122 CrossRef Wilson, S., Jacob, C. J., & Powell, D. (2011). Behavior-change interventions to improve hand-hygiene practice: A review of alternatives to education. Critical Public Health, 21, 119–127. doi:10.​1080/​0958159100378612​2 CrossRef
Metagegevens
Titel
Social-cognitive factors mediating intervention effects on handwashing: a longitudinal study
Auteurs
Nadja Contzen
Jennifer Inauen
Publicatiedatum
05-08-2015
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 6/2015
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-015-9661-2