Overview

This trial has been completed.

Condition hand disinfection
Treatments early handwashing station, late handwashing station, nudge, education
Sponsor University of Oklahoma
Collaborator Save the Children
Start date March 2016
End date August 2016
Trial size 20 participants
Trial identifier NCT02703974, 6304

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.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Allocation randomized
Endpoint classification efficacy study
Intervention model parallel assignment
Masking open label
Arm
(Experimental)
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: A raised concrete platform (built to child height) A plastic container with a lid and spigot 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: Connecting latrines to the handwashing station via paved pathways that are painted bright colors 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.
(Experimental)
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: A raised concrete platform (built to child height) A plastic container with a lid and spigot 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: Connecting latrines to the handwashing station via paved pathways that are painted bright colors 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.
(Active Comparator)
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: A raised concrete platform (built to child height) A plastic container with a lid and spigot 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.
(Active Comparator)
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: A raised concrete platform (built to child height) A plastic container with a lid and spigot 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.

Primary Outcomes

Measure
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

Secondary Outcomes

Measure
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
time frame: 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
time frame: 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
time frame: Weeks 4-5, Weeks 6-7, Week 12, Weeks 18-19, Weeks 24-25

Eligibility Criteria

Male or female participants of any age.

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: 1. No hygiene education programs in the last two years 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: 1. Located outside of Dhunat, Gurudaspur and Boraigram Upazilla (sub districts) of Bogra and Natore districts of Rajshahi Division 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

Additional Information

Official title Nudging Handwashing: a Cluster-randomized Trial in Bangladesh
Principal investigator Robert Dreibelbis, PhD
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
Trial information was received from ClinicalTrials.gov and was last updated in November 2016.
Information provided to ClinicalTrials.gov by University of Oklahoma.