Nudging Handwashing: a Cluster-randomized Trial in Bangladesh
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Hand Disinfection
- Sponsor
- University of Oklahoma
- Enrollment
- 20
- Locations
- 1
- Primary Endpoint
- Change in the probability of handwashing with soap after a toileting event among students receiving nudge intervention compared to that of students in hygiene education group
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
The study will collect and analyze quantitative data regarding handwashing behaviors among school-aged children to determine the impact of nudges compared to handwashing and hygiene education programs.
Based on the success of the preliminary pilot, we hypothesize nudges leading to higher rates of handwashing than traditional handwashing and hygiene education programs.
Detailed Description
This study will utilize a cluster-randomized trial design to collect quantitative data and analyze the handwashing behaviors of school-aged children. The primary purpose of this protocol is to assess nudges as a viable method of promoting handwashing among school-aged children. The specific objectives of this quantitative exploration are to: 1. Determine if nudges can prompt significant behavior change and result in higher rates of handwashing among school-aged children in Bangladesh 2. Determine if behavior change resulting from nudging is sustainable over time
Investigators
Eligibility Criteria
Inclusion Criteria
- •schools in Dhunat, Gurudaspur and Boraigram Upazilla (sub districts) of Bogra and Natore districts of Rajshahi Division that that meet the following inclusion criteria:
- •No hygiene education programs in the last two years
- •No handwashing stations or facilities on school grounds
- •Improved sanitation/toilets facilities (latrines)
- •Water supply on site or within 3-6 meters of the school
- •A school population between 125-450 students, and
- •A government primary school (all co-ed)
- •Willingness of the school principle / head teacher and a representative of the School Management Committee (SMC) to participate in the proposed research
Exclusion Criteria
- •Located outside of Dhunat, Gurudaspur and Boraigram Upazilla (sub districts) of Bogra and Natore districts of Rajshahi Division
- •Have had a hygiene education program in the last two years
- •Already has handwashing stations or facilities on school grounds
- •Does not have improved sanitation/toilets facilities (latrines)
- •Does not have water supply on site or within 3-6 meters of the school
- •Has a school population under 125 or over 450 students
- •Is not a government primary school or is not co-ed
- •School principle / head teacher or representative of the School Management Committee (SMC) is not willing to participate in the proposed research
Outcomes
Primary Outcomes
Change in the probability of handwashing with soap after a toileting event among students receiving nudge intervention compared to that of students in hygiene education group
Time Frame: Weeks 6-7, Week 12, Weeks 18-19, Weeks 24-25
Students will be randomized into Nudge intervention or Hygiene Education intervention at the completion of data collection in week 6, and the change in probability, or prevalence ratio, will be assessed over time, with measures at weeks 4-5, weeks 6-7, week 12, weeks 18-19 and weeks 24-25, comparing the probability of handwashing of nudge students post-toileting event to that of hygiene education students post-toileting event, measured using camera observations of the handwashing station outside of the latrine area.
Secondary Outcomes
- Change in the probability of handwashing with soap after a toileting event among students who received the early handwashing station intervention compared to students who received the late handwashing station intervention(Weeks 2-3, Weeks 4-5)
- Change in the probability of handwashing with soap after a toileting event within the nudge intervention group, comparing students in the early handwashing station intervention to students in the late handwashing station intervention(Weeks 4-5, Weeks 6-7, Week 12, Weeks 18-19, Weeks 24-25)
- Change in the probability of handwashing with soap after a toileting event within the hygiene education intervention group, comparing students in the early handwashing station intervention to students in the late handwashing station intervention(Weeks 4-5, Weeks 6-7, Week 12, Weeks 18-19, Weeks 24-25)