Department Environmental Social Sciences

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   0 => Snowflake\Publications\Domain\Model\Publicationprototypepersistent entity (uid=7849, pid=124)
      originalId => protected7849 (integer)
      authors => protected'Contzen, N.; Meili, I. H.; Mosler, H.-J.' (60 chars)
      title => protected'Changing handwashing behaviour in southern Ethiopia: a longitudinal study on
          infrastructural and commitment interventions' (121 chars)
      journal => protected'Social Science and Medicine' (27 chars)
      year => protected2015 (integer)
      volume => protected124 (integer)
      issue => protected'' (0 chars)
      startpage => protected'103' (3 chars)
      otherpage => protected'114' (3 chars)
      categories => protected'handwashing; diarrhoea; respiratory diseases; theory-based interventions; ev
         idence-based interventions; population-tailored interventions; RANAS model; 
         Ethiopia' (160 chars)
      description => protected'Improved hand hygiene efficiently prevents the major killers of children und
         er the age of five years in Ethiopia and globally, namely diarrhoeal and res
         piratory diseases. Effective handwashing interventions are thus in great dem
         and. Evidence- and theory-based interventions, especially when matched to th
         e target population's needs, are expected to perform better than common prac
         tice. To test this hypothesis, we selected two interventions drawing on a ba
         seline questionnaire-study that applied the RANAS (Risk, Attitudes, Norms, A
         bilities, Self-regulation) approach and focused on the primary caregivers of
          households in four rural, water-scarce kebeles (smallest administrative uni
         ts of Ethiopia) in southern Ethiopia (<I>N</I>=462). The two interventions w
         ere tested in combination with a standard education intervention in a quasi-
         experiment, as follows: kebele 1, education intervention, namely an f-diagra
         m exercise, (<I>n</I>=23); kebele 2, education intervention and public-commi
         tment (<I>n</I>=122); kebele 3, education intervention and tippy-tap-promoti
         on (i.e. handwashing-station-promotion; <I>n</I>=150); kebele 4, education i
         ntervention, public-commitment and tippy-tap-promotion (<I>n</I>=113). In ke
         beles 3 and 4, nearly 100% of the households followed the promotion and inve
         sted material and time to construct for themselves a tippy-tap. Three months
          after intervention termination, the tippy-taps were in use with water and s
         oap being present in up to 83% of the households (kebele 4). Pre-post data a
         nalysis on self-reported handwashing revealed that the population-tailored i
         nterventions, and especially the tippy-tap-promotion, performed better than 
         the standard education intervention. Tendencies in observed behaviour and a 
         recently developed implicit self-measure pointed to similar results. Changin
         g people's hand hygiene is known to be a challenging task, especially in a w
         ater-scarce environment. The present project suggests not only to apply theo
         ry and evidence to impro...' (2131 chars)
      serialnumber => protected'0277-9536' (9 chars)
      doi => protected'10.1016/j.socscimed.2014.11.006' (31 chars)
      uid => protected7849 (integer)
      _localizedUid => protected7849 (integer)modified
      _languageUid => protectedNULL
      _versionedUid => protected7849 (integer)modified
      pid => protected124 (integer)
   1 => Snowflake\Publications\Domain\Model\Publicationprototypepersistent entity (uid=8225, pid=124)
      originalId => protected8225 (integer)
      authors => protected'Contzen,&nbsp;N.; Inauen,&nbsp;J.' (33 chars)
      title => protected'Social-cognitive factors mediating intervention effects on handwashing: a lo
         ngitudinal study' (92 chars)
      journal => protected'Journal of Behavioral Medicine' (30 chars)
      year => protected2015 (integer)
      volume => protected38 (integer)
      issue => protected'6' (1 chars)
      startpage => protected'956' (3 chars)
      otherpage => protected'969' (3 chars)
      categories => protected'handwashing interventions; diarrhoea; social-cognitive factors; behaviour ch
         ange; mediation analysis; RANAS approach' (116 chars)
      description => protected'Handwashing with soap effectively prevents diarrhoea, a leading cause of dea
         th in infants. Theory-based interventions are expected to promote handwashin
         g more successfully than standard approaches. The present article investigat
         es the underlying change processes of theory-based handwashing interventions
         . A nonrandomised field study compared a standard approach to two theory-bas
         ed interventions that were tailored to the target population, the inhabitant
         s of four villages in southern Ethiopia (<em>N</em> = 408). Data were coll
         ected before and after interventions by structured interviews and analysed b
         y mediation analysis. In comparison to the standard approach (i.e., educatio
         n only), education with public commitment and reminder was slightly more eff
         ective in changing social-cognitive factors and handwashing. Education with 
         an infrastructure promotion and reminder was most effective in promoting han
         dwashing through enhancing social-cognitive factors. The results confirm the
          relevance of testing interventions' underlying change processes.' (1053 chars)
      serialnumber => protected'0160-7715' (9 chars)
      doi => protected'10.1007/s10865-015-9661-2' (25 chars)
      uid => protected8225 (integer)
      _localizedUid => protected8225 (integer)modified
      _languageUid => protectedNULL
      _versionedUid => protected8225 (integer)modified
      pid => protected124 (integer)
   2 => Snowflake\Publications\Domain\Model\Publicationprototypepersistent entity (uid=8153, pid=124)
      originalId => protected8153 (integer)
      authors => protected'Contzen,&nbsp;N.; Mosler,&nbsp;H.-J.' (36 chars)
      title => protected'Identifying the psychological determinants of handwashing: results from two 
         cross-sectional questionnaire studies in Haiti and Ethiopia' (135 chars)
      journal => protected'American Journal of Infection Control' (37 chars)
      year => protected2015 (integer)
      volume => protected43 (integer)
      issue => protected'8' (1 chars)
      startpage => protected'826' (3 chars)
      otherpage => protected'832' (3 chars)
      categories => protected'diarrheal disease; cholera; psychological predictors; regression analysis' (73 chars)
      description => protected'<em>Background:</em> Diarrheal disease kills around 760,000 infants every ye
         ar. Many of these deaths could have been prevented by handwashing with soap.
          However, the whole range of psychological factors encouraging handwashing i
         s not yet identified and handwashing campaigns are often limited to awarenes
         s-raising and education. The purpose of this article was to identify the psy
         chological determinants of handwashing in Haiti (study 1) and Ethiopia (stud
         y 2).<br /><em>Methods:</em> Data were collected cross-sectionally by admini
         stering face-to-face interviews with the primary caregiver in a participatin
         g household (N<sub>Haiti</sub> = 811; N<sub>Ethiopia</sub> = 463). Hiera
         rchical multiple regression analyses were performed on self-reported handwas
         hing.<br /><em>Results:</em> In both countries, risk factors—meaning aware
         ness and health knowledge—accounted for only 11%-19% of variance in handwa
         shing and were not consistently associated with handwashing. The inclusion o
         f additional factor-groups, namely attitude, norm, ability, and self-regulat
         ion factors, led to significant increases in explained variance (P ≤ .01),
          accounting for 25%-44% of additionally explained variance. The attitude fac
         tor disgust, the norm factor, the ability factors motivational self-efficacy
          and perceived impediments, and the self-regulation factors coping planning 
         and commitment emerged as especially relevant.<br /><em>Conclusions:</em> Ha
         ndwashing campaigns should focus especially on attitudes and norms and not o
         nly on risk.' (1532 chars)
      serialnumber => protected'0196-6553' (9 chars)
      doi => protected'10.1016/j.ajic.2015.04.186' (26 chars)
      uid => protected8153 (integer)
      _localizedUid => protected8153 (integer)modified
      _languageUid => protectedNULL
      _versionedUid => protected8153 (integer)modified
      pid => protected124 (integer)