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Evaluation of a Handwashing Promotion Program in Chinese Elementary Schools

This study has been completed.
Procter and Gamble
Centers for Disease Control and Prevention, China
Fujian Province CDC
Information provided by:
Centers for Disease Control and Prevention Identifier:
First received: August 30, 2005
Last updated: March 8, 2010
Last verified: March 2010
The purpose of this study is to determine the effects of a commercial hand washing promotion program on hygiene knowledge, attitudes, and practices, and on health outcomes such as reported infectious illnesses and school absences.

Condition Intervention Phase
Communicable Diseases
Behavioral: handwashing
Phase 4

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
Official Title: Evaluation of a Handwashing Promotion Program in Chinese Elementary Schools

Further study details as provided by Centers for Disease Control and Prevention:

Primary Outcome Measures:
  • student illness rates
  • student absence rates

Secondary Outcome Measures:
  • teacher illness rate
  • changes in student hygiene knowledge
  • changes in student hygiene attitudes
  • changes in school water use

Estimated Enrollment: 5000
Study Start Date: December 2004
Study Completion Date: June 2005
Primary Completion Date: June 2005 (Final data collection date for primary outcome measure)
Detailed Description:

Diarrheal and respiratory diseases cause 3.8 million deaths annually among children in the developing world. Reduced rates of these diseases have been measured during intensive, home-based handwashing interventions. We evaluated a school-based handwashing program for 1st grade students to determine whether a more scalable intervention could also reduce illness rates, and impact hygiene knowledge and attitudes.

Thirty schools from each of 3 counties in Fujian Province, China, were randomized to one of the following groups: a) control; b) standard intervention, which included a handwashing program (1 hour of hygiene instruction and 1 soap sample kit per pupil); or c) expanded intervention, which included the handwashing program, soap for school sinks and 1 peer hygiene monitor per class. Teachers collected illness symptom information from students weekly and recorded student absences daily between January and April, 2005. Mean illness and absence rates were calculated for each school. Students were given a knowledge, attitudes, and practices questionnaire before the intervention and again 5 months later.


Ages Eligible for Study:   4 Years to 12 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • school has running water

Exclusion Criteria:

  • school has not previously received commercial handwashing promotion program
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Please refer to this study by its identifier: NCT00140335

China, Fujian
Fujian Province CDC
Fuzhou, Fujian, China, 350001
Sponsors and Collaborators
Centers for Disease Control and Prevention
Procter and Gamble
Centers for Disease Control and Prevention, China
Fujian Province CDC
Study Director: Anna B Bowen, MD, MPH Centers for Disease Control and Prevention
  More Information

Responsible Party: Anna Bowen, CDC Identifier: NCT00140335     History of Changes
Other Study ID Numbers: CDC-NCID-4427
Study First Received: August 30, 2005
Last Updated: March 8, 2010

Keywords provided by Centers for Disease Control and Prevention:
communicable diseases
health education

Additional relevant MeSH terms:
Communicable Diseases
Infection processed this record on April 28, 2017