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Gepubliceerd in:

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

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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For the interventions’ main effects, which are not reported in the present article, please refer to Contzen et al. (2015).

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).

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.

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.

That the scarf would serve as a reminder was assumed to be an additional effect.

Handwashing stations.

Aboud, F. E., & Singla, D. R. (2012). Challenges to changing health behaviours in developing countries: A critical overview. Social Science and Medicine, 75, 589–594. doi: 10.1016/j.socscimed.2012.04.009 CrossRefPubMed

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.

Abrahamse, W., Steg, L., Vlek, C., & Rothengatter, T. (2005). A review of intervention studies aimed at household energy conservation. Journal of environmental psychology, 25, 273–291. doi: 10.1016/j.jenvp.2005.08.002 CrossRef

Al-Tawfiq, J. A., & Pittet, D. (2013). Improving hand hygiene compliance in healthcare settings using behavior change theories: Reflections. Teaching and Learning in Medicine, 25, 374–382. doi: 10.1080/10401334.2013.827575 CrossRefPubMed

Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84, 191–215. doi: 10.1037/0033-295x.84.2.191 CrossRefPubMed

Bandura, A. (1998). Health promotion from the perspective of social cognitive theory. Psychology & Health, 13, 623–649. doi: 10.1080/08870449808407422 CrossRef

Bender, R., & Lange, S. (2001). Adjusting for multiple testing—When and how? Journal of Clinical Epidemiology, 54, 343–349. doi: 10.1016/S0895-4356(00)00314-0 CrossRefPubMed

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., Rabie, T., Schmidt, W., Juvekar, S., Hirve, S., & Curtis, V. (2008). Comparing the performance of indicators of hand-washing practices in rural Indian households. Tropical Medicine & International Health, 13, 278–285. doi: 10.1111/j.1365-3156.2007.02001.x CrossRef

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

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

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

Contzen, N., Meili, I., & Mosler, H.-J. (2015). Changing handwashing behavior in southern Ethiopia: A longitudinal study on infrastructural and commitment interventions. Social Science and Medicine, 124, 103–114. doi: 10.1016/j.socscimed.2014.11.006 CrossRefPubMed

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. (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

Curtis, V. A., Danquah, L. O., & Aunger, R. V. (2009). Planned, motivated and habitual hygiene behaviour: An eleven country review. Health Education Research, 24, 655–673. doi: 10.1093/her/cyp002 PubMedCentralCrossRefPubMed

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.

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.

Des Jarlais, D. C., Lyles, C., & Crepaz, N. (2004). Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: The TREND statement. American Journal of Public Health, 94, 361–366. doi: 10.2105/AJPH.94.3.361 PubMedCentralCrossRefPubMed

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., & Koita, S. N. (2010). Senegal: A hand-washing behavior change journey. In Water and sanitation program: Learning note. Washington, DC: Water and Sanitation Program.

Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41, 1149–1160. doi: 10.3758/BRM.41.4.1149 CrossRefPubMed

Federal Ministry of Health Ethiopia. (2011). Ethiopia national hand washing communication campaign strategy. Addis Ababa, Ethiopia: Federal Democratic Republic of Ethiopia.

Fishbein, M., & Ajzen, I. (2010). Predicting and changing behavior: The reasoned action approach. New York, NY: Psychology Press.

Global WASH Cluster. (2011). WASH visual aids library. Retrieved from http://ceecis.org/washtraining/index.html

Guynn, M., McDaniel, M., & Einstein, G. (1998). Prospective memory: When reminders fail. Memory & Cognition, 26, 287–298. doi: 10.3758/BF03201140 CrossRef

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

Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York, NY: Guilford Press.

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

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.

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

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

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., 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

Jamieson, J. (2004). Analysis of covariance (ANCOVA) with difference scores. International Journal of Psychophysiology, 52, 277–283. doi: 10.1016/j.ijpsycho.2003.12.009 CrossRefPubMed

Kraemer, S. M., & Mosler, H.-J. (2012). Effectiveness and effects of promotion strategies for behaviour change: Solar water disinfection in Zimbabwe. Applied Psychology, 61, 392–414. doi: 10.1111/j.1464-0597.2011.00475.x CrossRef

Lippke, S., & Ziegelmann, J. P. (2008). Theory-based health behavior change: Developing, testing, and applying theories for evidence-based interventions. Applied Psychology, 57, 698–716. doi: 10.1111/j.1464-0597.2008.00339.x 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

Luby, S. P., Halder, A. K., Huda, T., & Johnston, R. B. (2011a). The effect of handwashing at recommended times with water alone and with soap on child diarrhea in rural Bangladesh: An observational study. PLoS Medicine, 8, e1001052. doi: 10.1371/journal.pmed.1001052 PubMedCentralCrossRefPubMed

Luby, S. P., Halder, A. K., Huda, T. M. N., Unicomb, L., & Johnston, R. B. (2011b). Using child health outcomes to identify effective measures of handwashing. American Journal of Tropical Medicine and Hygiene, 85, 882–892. doi: 10.4269/ajtmh.2011.11-0142 PubMedCentralCrossRefPubMed

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

Michie, S., & Abraham, C. (2004). Interventions to change health behaviours: Evidence-based or evidence-inspired? Psychology & Health, 19, 29–49. doi: 10.1080/0887044031000141199 CrossRef

Michie, S., & Johnston, M. (2012). Theories and techniques of behaviour change: Developing a cumulative science of behaviour change. Health Psychology Review, 6, 1–6. doi: 10.1080/17437199.2012.654964 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

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

Naikoba, S., & Hayward, A. (2001). The effectiveness of interventions aimed at increasing handwashing in healthcare workers—A systematic review. Journal of Hospital Infection, 47, 173–180. doi: 10.1053/jhin.2000.0882 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

Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891. doi: 10.3758/BRM.40.3.879 CrossRefPubMed

Ravallion, M., Chen, S., & Sangraula, P. (2009). Dollar a day revisited. The World Bank Economic Review, 23, 163–184. doi: 10.1093/wber/lhp007 CrossRef

Rogers, R. W. (1975). A protection motivation theory of fear appeals and attitude change. The Journal of psychology, 91, 93–114. doi: 10.1080/00223980.1975.9915803 CrossRef

Rosenstock, I. M. (1974). Historical origins of the health belief model. Health Education Monographs, 15, 175–183. doi: 10.1177/109019817400200403 CrossRef

Rossiter, J. R. (2011). Marketing measurement revolution: The C-OAR-SE method and why it must replace psychometrics. European Journal of Marketing, 45, 1561–1588. doi: 10.1108/03090561111167298 CrossRef

Schwarzer, R. (2008). Modeling health behavior change: How to predict and modify the adoption and maintenance of health behaviors. Applied Psychology, 57, 1–29. doi: 10.1111/j.1464-0597.2007.00325.x

Scott, B. E., Curtis, V., Rabie, T., & Garbrah-Aidoo, N. (2007). Health in our hands, but not in our heads: Understanding hygiene motivation in Ghana. Health Policy and Planning, 22, 225–233. doi: 10.1093/heapol/czm016 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

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

van Breukelen, G. J. P. (2013). ANCOVA versus change from baseline in nonrandomized studies: The difference. Multivariate Behavioral Research, 48, 895–922. doi: 10.1080/00273171.2013.831743 CrossRef

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.

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

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

World Health Organization Regional Office for Africa. (2010). Ethiopia: Health statistics profile 2010. Retrieved from http://www.afro.who.int/en/ethiopia/country-health-profile.html

tippytap.org. (n.d.). The tippy tap. Retrieved from http://www.tippytap.org/the-tippy-tap

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

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