Evaluation of a Handwashing Promotion Program in Chinese Elementary Schools

Phase 4

Completed

• Conditions: Communicable Diseases

• Registration Number: NCT00140335
• Lead Sponsor: Centers for Disease Control and Prevention

Brief Summary

The purpose of this study is to determine the effects of a commercial hand washing promotion program on hygiene knowledge, attitudes, and practices, and on health outcomes such as reported infectious illnesses and school absences.

Detailed Description

Diarrheal and respiratory diseases cause 3.8 million deaths annually among children in the developing world. Reduced rates of these diseases have been measured during intensive, home-based handwashing interventions. We evaluated a school-based handwashing program for 1st grade students to determine whether a more scalable intervention could also reduce illness rates, and impact hygiene knowledge and attitudes.

Thirty schools from each of 3 counties in Fujian Province, China, were randomized to one of the following groups: a) control; b) standard intervention, which included a handwashing program (1 hour of hygiene instruction and 1 soap sample kit per pupil); or c) expanded intervention, which included the handwashing program, soap for school sinks and 1 peer hygiene monitor per class. Teachers collected illness symptom information from students weekly and recorded student absences daily between January and April, 2005. Mean illness and absence rates were calculated for each school. Students were given a knowledge, attitudes, and practices questionnaire before the intervention and again 5 months later.

Study Timeline

• Study Start: 2004-12
• Primary Completion: 2005-06
• Study Completion: 2005-06
• Study First Submitted: 2005-08-30
• Study First Submitted QC: 2005-08-30
• Study First Posted: 2005-09-01
• Status Verified: 2010-03
• Last Update Submitted: 2010-03-08
• Last Update Posted: 2010-03-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 5000

Inclusion Criteria

• school has running water

Exclusion Criteria

• school has not previously received commercial handwashing promotion program

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
student illness rates
student absence rates

Secondary Outcome Measures

Name	Time	Method
teacher illness rate
changes in student hygiene knowledge
changes in student hygiene attitudes
changes in school water use

Trial Locations

Locations (1)

Fujian Province CDC; 🇨🇳 Fuzhou, Fujian, China