Nudging Handwashing: a Cluster-randomized Trial in Bangladesh
NCT ID: NCT02703974
Last Updated: 2016-11-22
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
20 participants
INTERVENTIONAL
2016-03-31
2016-08-31
Brief Summary
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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
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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
Conditions
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Study Design
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RANDOMIZED
PARALLEL
NONE
Study Groups
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Early handwashing station + nudge
This arm will include 5 randomly selected schools that will have had handwashing stations built after the baseline observation (Phase I), and nudges built after Phase II data collection.
Early handwashing station
A handwashing station will be a dedicated location for handwashing in each selected school and will include:
1. A raised concrete platform (built to child height)
2. A plastic container with a lid and spigot
3. Soap
The early handwashing stations will be constructed in weeks 1 and 2 of the study, after the baseline observations (Phase I) are complete.
Nudge
A nudge will be built in each randomly selected school and will consist of:
1. Connecting latrines to the handwashing station via paved pathways that are painted bright colors
2. Painting footprints on infrastructure guiding students to the handwashing stations and handprints on stations
The nudges will be constructed at the end of week 3 and 4, after Phase II data collection is complete within each randomly assigned nudge school.
Late handwashing station + nudge
This arm will include 5 randomly selected schools that will have had handwashing stations and nudges built at the same time, after Phase II data collection.
Late handwashing station
A handwashing station will be a dedicated location for handwashing in each selected school and will include:
1. A raised concrete platform (built to child height)
2. A plastic container with a lid and spigot
3. Soap
The late handwashing stations construction will begin after Phase 2 data collection has been finished at the end of week 3.
Nudge
A nudge will be built in each randomly selected school and will consist of:
1. Connecting latrines to the handwashing station via paved pathways that are painted bright colors
2. Painting footprints on infrastructure guiding students to the handwashing stations and handprints on stations
The nudges will be constructed at the end of week 3 and 4, after Phase II data collection is complete within each randomly assigned nudge school.
Early handwashing station + education
This arm will include 5 randomly selected schools that will have had handwashing stations built after the baseline observation (Phase I), and will receive a Hand hygiene education-based program, after Phase II data collection is complete.
Early handwashing station
A handwashing station will be a dedicated location for handwashing in each selected school and will include:
1. A raised concrete platform (built to child height)
2. A plastic container with a lid and spigot
3. Soap
The early handwashing stations will be constructed in weeks 1 and 2 of the study, after the baseline observations (Phase I) are complete.
Education
Hand hygiene education-based program: the hygiene promotion element will include a one month program of handwashing education involving weekly facilitator led sessions. Each session will be about 30-45 minutes long, and will cover the following topics:
* Importance of handwashing
* Method of handwashing
* Critical times of handwashing
* Finding solutions for handwashing in school and at home The sessions will involve use of flipcharts, and other IEC materials (e.g. videos) and participative learning methods.
The Hand hygiene education-based program will begin at the beginning of weeks 4 and 5, after Phase II data collection is complete in each randomly assigned education school.
Late handwashing station + education
This arm will include 5 randomly selected schools that will have had handwashing stations built after Phase II data collection is complete, when the Hand hygiene education-based program will commence.
Late handwashing station
A handwashing station will be a dedicated location for handwashing in each selected school and will include:
1. A raised concrete platform (built to child height)
2. A plastic container with a lid and spigot
3. Soap
The late handwashing stations construction will begin after Phase 2 data collection has been finished at the end of week 3.
Education
Hand hygiene education-based program: the hygiene promotion element will include a one month program of handwashing education involving weekly facilitator led sessions. Each session will be about 30-45 minutes long, and will cover the following topics:
* Importance of handwashing
* Method of handwashing
* Critical times of handwashing
* Finding solutions for handwashing in school and at home The sessions will involve use of flipcharts, and other IEC materials (e.g. videos) and participative learning methods.
The Hand hygiene education-based program will begin at the beginning of weeks 4 and 5, after Phase II data collection is complete in each randomly assigned education school.
Interventions
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Early handwashing station
A handwashing station will be a dedicated location for handwashing in each selected school and will include:
1. A raised concrete platform (built to child height)
2. A plastic container with a lid and spigot
3. Soap
The early handwashing stations will be constructed in weeks 1 and 2 of the study, after the baseline observations (Phase I) are complete.
Late handwashing station
A handwashing station will be a dedicated location for handwashing in each selected school and will include:
1. A raised concrete platform (built to child height)
2. A plastic container with a lid and spigot
3. Soap
The late handwashing stations construction will begin after Phase 2 data collection has been finished at the end of week 3.
Nudge
A nudge will be built in each randomly selected school and will consist of:
1. Connecting latrines to the handwashing station via paved pathways that are painted bright colors
2. Painting footprints on infrastructure guiding students to the handwashing stations and handprints on stations
The nudges will be constructed at the end of week 3 and 4, after Phase II data collection is complete within each randomly assigned nudge school.
Education
Hand hygiene education-based program: the hygiene promotion element will include a one month program of handwashing education involving weekly facilitator led sessions. Each session will be about 30-45 minutes long, and will cover the following topics:
* Importance of handwashing
* Method of handwashing
* Critical times of handwashing
* Finding solutions for handwashing in school and at home The sessions will involve use of flipcharts, and other IEC materials (e.g. videos) and participative learning methods.
The Hand hygiene education-based program will begin at the beginning of weeks 4 and 5, after Phase II data collection is complete in each randomly assigned education school.
Eligibility Criteria
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Inclusion Criteria
2. No handwashing stations or facilities on school grounds
3. Improved sanitation/toilets facilities (latrines)
4. Water supply on site or within 3-6 meters of the school
5. A school population between 125-450 students, and
6. A government primary school (all co-ed)
7. Willingness of the school principle / head teacher and a representative of the School Management Committee (SMC) to participate in the proposed research
Exclusion Criteria
2. Have had a hygiene education program in the last two years
3. Already has handwashing stations or facilities on school grounds
4. Does not have improved sanitation/toilets facilities (latrines)
5. Does not have water supply on site or within 3-6 meters of the school
6. Has a school population under 125 or over 450 students
7. Is not a government primary school or is not co-ed
8. School principle / head teacher or representative of the School Management Committee (SMC) is not willing to participate in the proposed research
ALL
Yes
Sponsors
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Save the Children
OTHER
University at Buffalo
OTHER
University of Oklahoma
OTHER
Responsible Party
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Principal Investigators
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Kamal Hossain
Role: STUDY_DIRECTOR
Save the Children
Mohini Venkatesh
Role: STUDY_DIRECTOR
Save the Children
Pavani K Ram, MD
Role: STUDY_DIRECTOR
University at Buffalo
Elise N Grover, MSPH
Role: STUDY_DIRECTOR
University of Oklahoma
Robert Dreibelbis, PhD
Role: PRINCIPAL_INVESTIGATOR
University of Oklahoma
Locations
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Save the Children
Dhaka, , Bangladesh
Countries
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Other Identifiers
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6304
Identifier Type: -
Identifier Source: org_study_id