Identifying the psychological determinants of handwashing: Results from two cross-sectional questionnaire studies in Haiti and Ethiopia

Contzen, Nadja; Mosler, Hans‐Joachim

doi:10.1016/j.ajic.2015.04.186

Cited by 40 publications

(52 citation statements)

References 27 publications

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“…With respect to the factors that hindered HH, it should be noted that they were consistent with those reported in the literature, which were generally related to professional category, physical and structural factors, material resources, knowledge, beliefs, goals, memory, attention, and decision making (6,8,(17)(18) . The type of HH procedure (simple cleaning or ABH) used most frequently by professionals varies according to country, study type, and intervention (19)(20)(21) .…”

Section: Discussionsupporting

confidence: 70%

Adherence and factors related to acceptance of alcohol for antiseptic hand rubbing among nursing professionals

Oliveira

Gama

Paula

2017

Rev. esc. enferm. USP

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Objective: Identify rates of adhesion and related factors to acceptance of an alcohol based preparation to hands antiseptic friction among nursing professionals in a unit of intensive therapy. Method: A cross-sectional study, which involved direct observation of hand hygiene opportunities and nursing professionals' completion of questionnaires, was conducted at a university hospital between January and July 2015. Descriptive and univariate analyses were performed, with a 5% significance level. Results: It was observed 956 opportunities of hand hygiene among 46 nursing professionals. The rate of adhesion to alcohol-based handrub (ABH) was 34.8% and about 87.0% preferred handwashing. Nurses used ABH more frequently than nursing technicians (p <0.001), and the report of feeling of clean hands after using the alcohol product was directly related to higher rates of adherence to antiseptic friction through observation (P <0.05). Conclusion: The finding indicating low ABH usage highlights the need for greater institutional investment in strategies that help health professionals to recognize the advantages of this type of HH with respect to time spent, ease of access to dispensers, effectiveness in eliminating microorganisms, and maintaining skin moisturization.

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Section: Discussionsupporting

confidence: 70%

Adherence and factors related to acceptance of alcohol for antiseptic hand rubbing among nursing professionals

Oliveira

Gama

Paula

2017

Rev. esc. enferm. USP

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“…The importance of being confident about the ability of their government to control infectious diseases was as well found in the study from Kelly et al [25] about perceptions and plans for the prevention of Ebola in US during the outbreak in West Africa. Normative beliefs, such as the perception of what others are doing, the perceived approval of important others in the social environment, and the belief of what should personally be done, have been important influencing factors in several handwashing studies [30–32]. Others’ (dis)approval has also been found to explain the increase in the consumption of deep-tube-well arsenic-free water in Bangladesh [33].…”

Section: Discussionmentioning

confidence: 99%

Contextual and psychosocial factors predicting Ebola prevention behaviours using the RANAS approach to behaviour change in Guinea-Bissau

et al. 2017

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BackgroundThe outbreak of the Ebola virus disease (EVD) in West Africa in December 2013 was the largest Ebola outbreak in history. This study aimed to measure the underlying contextual and psychosocial factors of intentions to perform Ebola prevention behaviours (not touching people who might be suffering from Ebola, reporting suspected cases to the National Ebola Hotline, NEH) in Guinea-Bissau. Geographical location, cross-border market activities, poor water, sanitation and hygiene (WASH) conditions, and burial practices in some communities pose a serious risk in terms of potential EVD outbreak and seriously hamper its prevention in Guinea-Bissau.MethodsIn July and August 2015, quantitative data from 1369 respondents were gathered by structured face-to-face interviews. The questionnaire was based on the psychosocial factors of the RANAS (risks, attitudes, norms, abilities, and self-regulation) model. Data were analyzed by multiple linear regression analyses.ResultsThe most important predictors for the intention to call the NEH were believing that calling the Hotline would help the infected person, perceiving that important members from the household approve of calling the Hotline, thinking that calling the Hotline is something they should do, and believing that it is important to call the Hotline to report a suspected case. For the intention not to touch someone who might be suffering from Ebola, the most important predictors were health knowledge, the perception of risk with regard to touching a person who might be suffering from Ebola, and the belief that they were able not to touch a possibly infected person. Age in years was the only significant contextual predictor for one of the two behavioural intentions, the intention to call the Hotline. It seems that younger people are more likely to use a service like the NEH than older people.ConclusionsStrengths and gaps were identified in the study population in relation to the intention to perform prevention behaviours. These call for innovative ways of aligning existing hygiene programs with relevant psychosocial factors. This research is relevant to further outbreaks of contagious diseases as it sheds light on important aspects of the impact of public health interventions during emergencies and epidemics.

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“…This corroborates recent findings that social-cognitive factors are highly predictive of handwashing frequency. 35 Contzen and others 12 found disgust, norms, motivational self-efficacy, perceived impediments, coping planning, and commitment to consistently explain both stool-and food-related handwashing behavior across two countries. In this study, we did not distinguish between food-related handwashing, that is, handwashing before eating and before preparing food, and stool-related handwashing, that is, handwashing after defecation.…”

Section: Discussionmentioning

confidence: 99%

“…Items assessing the psychosocial factors were based on the RANAS model and derived from previous research on handwashing with soap 35 and from studies in the water and sanitation sectors. 36,37 Subjects were asked four questions to assess knowledge of diarrheal disease transmission and preventive measures.…”

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

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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.

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Identifying the psychological determinants of handwashing: Results from two cross-sectional questionnaire studies in Haiti and Ethiopia

Cited by 40 publications

References 27 publications

Adherence and factors related to acceptance of alcohol for antiseptic hand rubbing among nursing professionals

Adherence and factors related to acceptance of alcohol for antiseptic hand rubbing among nursing professionals

Contextual and psychosocial factors predicting Ebola prevention behaviours using the RANAS approach to behaviour change in Guinea-Bissau

The Influence of Contextual and Psychosocial Factors on Handwashing

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