Psychosocial Factors Mediating the Effect of the CHoBI7 Mobile Health Program on Handwashing with Soap and Household Stored Water Quality: A Randomized Controlled Trial

Autor/inn/en	George, Christine Marie; Bhuyian, Md. Sazzadul Islam; Thomas, Elizabeth D.; Parvin, Tahmina; Monira, Shirajum; Zohura, Fatema; Hasan, M. Tasdik; Tahmina, Sanya; Munmun, Farzana; Sack, David A.; Perin, Jamie; Alam, Munirul
Titel	Psychosocial Factors Mediating the Effect of the CHoBI7 Mobile Health Program on Handwashing with Soap and Household Stored Water Quality: A Randomized Controlled Trial
Quelle	In: Health Education & Behavior, 49 (2022) 2, S.326-339 (14 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (George, Christine Marie)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/1090198120987134
Schlagwörter	Hygiene; Health Behavior; Comparative Analysis; Foreign Countries; Diseases; Hospitals; Patients; Symptoms (Individual Disorders); Water Quality; Sanitation; Intervention; Synchronous Communication; Health Education; Telecommunications; Handheld Devices; Health Promotion; Self Efficacy; Maintenance; Risk; Bangladesh + Suchen Sie Ihr Suchwort? Health behaviour; Gesundheitsverhalten; Ausland; Disease; Krankheit; Krankengymnast; Krankenhaus; Patient; Psychiatrische Symptomatik; Wasserqualität; Betriebshygiene; Gesundheitsaufklärung; Gesundheitsbildung; Gesundheitserziehung; Telekommunikationstechnik; Gesundheitsfürsorge; Gesundheitshilfe; Reihenuntersuchung; Self-efficacy; Selbstwirksamkeit; Risiko; Bangladesch
Abstract	Household members of diarrhea patients are at higher risk of developing diarrheal diseases (>100 times for cholera) than the general population during the 7 days after the diarrhea patient is admitted at a health facility. There is growing evidence demonstrating that theory-driven water, sanitation, and hygiene (WASH) interventions are likely to yield greater behavior change than those based on health education alone. The Cholera Hospital-Based Intervention for 7-Days (CHoBI7) mobile health (mHealth) program is a theory-driven WASH intervention initially delivered to a diarrhea patient by a health promoter during a health facility visit and reinforced through weekly voice and text messages. In the recent randomized controlled trial (RCT) of the CHoBI7-mHealth program in Bangladesh, this intervention significantly reduced diarrheal disease and stunting, and increased handwashing with soap and stored drinking water quality over the 12-month program period. The aim of this study was to assess the underlying mechanism of change of this intervention. Handwashing with soap was measured by 5-hour structured observation. Stored drinking water quality was assessed by the presence of Escherichia coli during unannounced spot checks. Psychosocial factors were measured among 1,468 participants in the CHoBI7-mHealth RCT. Perceived susceptibility, response efficacy, self-efficacy, dirt reactivity, and diarrhea knowledge were mediators of the CHoBI7-mHealth program's effect on stored drinking water quality at the 1-week follow-up. Self-efficacy, response efficacy, and diarrhea knowledge were mediators of the intervention's effect on handwashing with soap habit maintenance and stored drinking water quality at the 12-month follow-up. This study demonstrates how theory-driven approaches for intervention design can facilitate WASH behavior change. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01