Effect of a theory-based hand hygiene educational intervention for enhancing behavioural outcomes in Ghanaian schools: a cluster-randomised controlled trial

Emmanuel Appiah-Brempong*, Samuel Newton, Muriel J. Harris, Gabriel Gulis

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

Objectives: The study sought to determine whether a hand hygiene educational intervention underpinned by educational and psychosocial theories is effective in enhancing behavioural intention and proper handwashing practices among school children. Methods: The study was a cluster-randomised controlled trial, with schools constituting the clusters. At baseline, 717 pupils organised in four clusters were recruited. Techniques for data collection included a structured observation. The Student’s t test was used for data analysis. Results: At follow-up, a statistically significant difference was observed between the study arms with regard to intention to wash hands with soap [after toilet use (p = 0.032, d = 0.5); before meals (p = 0.020, d = 0.2)]. Similarly, a statistically significant difference was identified between the study arms with regard to the practice of handwashing with soap (HWWS) [after toilet use (p = 0.005); before meals (p = 0.012)]. Conclusions: A theory-driven hand hygiene educational intervention involving school children can have a medium to a very large effect size, with respect to the practice of HWWS, and a low to a medium effect size with respect to behavioural intention.

Original languageEnglish
JournalInternational journal of public health
ISSN1661-8556
DOIs
Publication statusE-pub ahead of print - 1. Jan 2019

Fingerprint

Hand Disinfection
Soaps
Randomized Controlled Trials
Meals
Pupil
Observation

Keywords

  • Education
  • Hand hygiene
  • Intention
  • Practice
  • School
  • Theory based

Cite this

@article{d77dae84b7c4494fa4fc59af54c86a36,
title = "Effect of a theory-based hand hygiene educational intervention for enhancing behavioural outcomes in Ghanaian schools: a cluster-randomised controlled trial",
abstract = "Objectives: The study sought to determine whether a hand hygiene educational intervention underpinned by educational and psychosocial theories is effective in enhancing behavioural intention and proper handwashing practices among school children. Methods: The study was a cluster-randomised controlled trial, with schools constituting the clusters. At baseline, 717 pupils organised in four clusters were recruited. Techniques for data collection included a structured observation. The Student’s t test was used for data analysis. Results: At follow-up, a statistically significant difference was observed between the study arms with regard to intention to wash hands with soap [after toilet use (p = 0.032, d = 0.5); before meals (p = 0.020, d = 0.2)]. Similarly, a statistically significant difference was identified between the study arms with regard to the practice of handwashing with soap (HWWS) [after toilet use (p = 0.005); before meals (p = 0.012)]. Conclusions: A theory-driven hand hygiene educational intervention involving school children can have a medium to a very large effect size, with respect to the practice of HWWS, and a low to a medium effect size with respect to behavioural intention.",
keywords = "Education, Hand hygiene, Intention, Practice, School, Theory based",
author = "Emmanuel Appiah-Brempong and Samuel Newton and Harris, {Muriel J.} and Gabriel Gulis",
year = "2019",
month = "1",
day = "1",
doi = "10.1007/s00038-019-01310-4",
language = "English",
journal = "International Journal of Public Health",
issn = "1661-8556",
publisher = "Springer",

}

Effect of a theory-based hand hygiene educational intervention for enhancing behavioural outcomes in Ghanaian schools : a cluster-randomised controlled trial. / Appiah-Brempong, Emmanuel; Newton, Samuel; Harris, Muriel J.; Gulis, Gabriel.

In: International journal of public health, 01.01.2019.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Effect of a theory-based hand hygiene educational intervention for enhancing behavioural outcomes in Ghanaian schools

T2 - a cluster-randomised controlled trial

AU - Appiah-Brempong, Emmanuel

AU - Newton, Samuel

AU - Harris, Muriel J.

AU - Gulis, Gabriel

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Objectives: The study sought to determine whether a hand hygiene educational intervention underpinned by educational and psychosocial theories is effective in enhancing behavioural intention and proper handwashing practices among school children. Methods: The study was a cluster-randomised controlled trial, with schools constituting the clusters. At baseline, 717 pupils organised in four clusters were recruited. Techniques for data collection included a structured observation. The Student’s t test was used for data analysis. Results: At follow-up, a statistically significant difference was observed between the study arms with regard to intention to wash hands with soap [after toilet use (p = 0.032, d = 0.5); before meals (p = 0.020, d = 0.2)]. Similarly, a statistically significant difference was identified between the study arms with regard to the practice of handwashing with soap (HWWS) [after toilet use (p = 0.005); before meals (p = 0.012)]. Conclusions: A theory-driven hand hygiene educational intervention involving school children can have a medium to a very large effect size, with respect to the practice of HWWS, and a low to a medium effect size with respect to behavioural intention.

AB - Objectives: The study sought to determine whether a hand hygiene educational intervention underpinned by educational and psychosocial theories is effective in enhancing behavioural intention and proper handwashing practices among school children. Methods: The study was a cluster-randomised controlled trial, with schools constituting the clusters. At baseline, 717 pupils organised in four clusters were recruited. Techniques for data collection included a structured observation. The Student’s t test was used for data analysis. Results: At follow-up, a statistically significant difference was observed between the study arms with regard to intention to wash hands with soap [after toilet use (p = 0.032, d = 0.5); before meals (p = 0.020, d = 0.2)]. Similarly, a statistically significant difference was identified between the study arms with regard to the practice of handwashing with soap (HWWS) [after toilet use (p = 0.005); before meals (p = 0.012)]. Conclusions: A theory-driven hand hygiene educational intervention involving school children can have a medium to a very large effect size, with respect to the practice of HWWS, and a low to a medium effect size with respect to behavioural intention.

KW - Education

KW - Hand hygiene

KW - Intention

KW - Practice

KW - School

KW - Theory based

U2 - 10.1007/s00038-019-01310-4

DO - 10.1007/s00038-019-01310-4

M3 - Journal article

C2 - 31701186

AN - SCOPUS:85074846257

JO - International Journal of Public Health

JF - International Journal of Public Health

SN - 1661-8556

ER -