Determining behavioral factors for interventions to increase safe water consumption: a cross-sectional field study in rural Ethiopia

Huber, Alexandra C.; Mosler, Hans‐Joachim

doi:10.1080/09603123.2012.699032

Cited by 50 publications

(44 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is true for results from the initial baseline survey at survey 1. In accordance with findings from similar studies and health psychology, this shows that important differences exist in the mindsets of people, and that these can be more or less predictive of how likely it is that they adopt such health-protective behaviors as handwashing, water treatment, and the use of adequate sanitation [39][40][41][42][43][44][45][46].…”

Section: Discussionsupporting

confidence: 64%

Continuation of Health Behaviors: Psychosocial Factors Sustaining Drinking Water Chlorination in a Longitudinal Study from Chad

Lilje

Mosler

2016

Sustainability

Self Cite

View full text Add to dashboard Cite

Abstract:Behavior that has changed following promotion campaigns is usually not maintained at its initial level. Psychosocial factors for initiating behavior are often not the same as for the continuation of health behaviors such as water treatment and are much less understood. Better knowledge of factors for behavioral continuation would help to improve programs, both in the design of strategies for sustainable behavior change and by defining stronger criteria for the evaluation of sustainability. This study compared the mindsets of caregivers who continuously performed household drinking water treatment over time with individuals that stopped doing so in a population sample from Chad. Several factors from health psychology based on the Risks, Attitudes, Norms, Abilities, and Self-Regulation (RANAS) model were used to compare the two groups and examine their differing development. Normative factors such as others' behavior, personal obligation, social support and discourse, perceived self-efficacy convictions, action control, and intention best discriminated between the two groups and developed significantly more positively over time for continuers of water treatment. These factors should be considered when designing future interventions intended to lead to sustainable behavior change.

show abstract

Section: Discussionsupporting

confidence: 64%

Continuation of Health Behaviors: Psychosocial Factors Sustaining Drinking Water Chlorination in a Longitudinal Study from Chad

Lilje

Mosler

2016

Sustainability

Self Cite

View full text Add to dashboard Cite

show abstract

“…Substantial change in human behavior is always mediated through shifts in psychosocial factors that determine an individual's behavior, such as attitudes, normative beliefs, and perceived self-efficacy, regarding a specific behavior. [20][21][22][23][24] To our knowledge, no structured assessment of psychological determinants for water treatment via chlorination has been conducted to identify crucial factors to address in the design of behavior change interventions, and we could not find any publications on similar approaches for the targeted region.…”

Section: Introductionmentioning

confidence: 77%

Factors Determining Water Treatment Behavior for the Prevention of Cholera in Chad

Lilje

Kessely

Mosler

2015

The American Society of Tropical Medicine and Hygiene

Self Cite

View full text Add to dashboard Cite

Abstract. Cholera is a well-known and feared disease in developing countries, and is linked to high rates of morbidity and mortality. Contaminated drinking water and the lack of sufficient treatment are two of the key causes of high transmission rates. This article presents a representative health survey performed in Chad to inform future intervention strategies in the prevention and control of cholera. To identify critical psychological factors for behavior change, structured household interviews were administered to N = 1,017 primary caregivers, assessing their thoughts and attitudes toward household water treatment according to the Risk, Attitude, Norm, Ability, and Self-regulation model. The intervention potential for each factor was estimated by analyzing differences in means between groups of current performers and nonperformers of water treatment. Personal risk evaluation for diarrheal diseases and particularly for cholera was very low among the study population. Likewise, the perception of social norms was found to be rather unfavorable for water treatment behaviors. In addition, self-reported ability estimates (self-efficacy) revealed some potential for intervention. A mass radio campaign is proposed, using information and normative behavior change techniques, in combination with community meetings focused on targeting abilities and personal commitment to water treatment.

show abstract

“…36,37 Subjects were asked four questions to assess knowledge of diarrheal disease transmission and preventive measures. One point was given for a correct answer on each item.…”

Section: Methodsmentioning

confidence: 99%

The Influence of Contextual and Psychosocial Factors on Handwashing

Seimetz¹,

Boyayo²,

Mosler³

2016

The American Society of Tropical Medicine and Hygiene

Self Cite

View full text Add to dashboard Cite

Abstract. Even though washing hands with soap is among the most effective measures to reduce the risk of infection, handwashing rates in infrastructure-restricted settings remain seriously low. Little is known about how context alone and in interaction with psychosocial factors influence hand hygiene behavior. The aim of this article was to explore how both contextual and psychosocial factors affect handwashing practices. A cross-sectional survey was conducted with 660 caregivers of primary school children in rural Burundi. Hierarchical regression analyses revealed that household wealth, the amount of water per person, and having a designated place for washing hands were contextual factors significantly predicting handwashing frequency, whereas the contextual factors, time spent collecting water and amount of money spent on soap, were not significant predictors. The contextual factors explained about 13% of the variance of reported handwashing frequency. The addition of the psychosocial factors to the regression model resulted in a significant 41% increase of explained variation in handwashing frequency. In this final model, the amount of water was the only contextual factor that remained a significant predictor. The most important predictors were a belief of self-efficacy, planning how, when, and where to wash hands, and always remembering to do so. The findings suggest that contextual constraints might be perceived rather than actual barriers and highlight the role of psychosocial factors in understanding hygiene behaviors.

show abstract

Determining behavioral factors for interventions to increase safe water consumption: a cross-sectional field study in rural Ethiopia

Cited by 50 publications

References 18 publications

Continuation of Health Behaviors: Psychosocial Factors Sustaining Drinking Water Chlorination in a Longitudinal Study from Chad

Continuation of Health Behaviors: Psychosocial Factors Sustaining Drinking Water Chlorination in a Longitudinal Study from Chad

Factors Determining Water Treatment Behavior for the Prevention of Cholera in Chad

The Influence of Contextual and Psychosocial Factors on Handwashing

Contact Info

Product

Resources

About