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Evaluation of a Handwashing Promotion Program in Chinese Elementary Schools

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ClinicalTrials.gov Identifier: NCT00140335
Recruitment Status : Completed
First Posted : September 1, 2005
Last Update Posted : March 9, 2010
Information provided by:

Study Description
Brief Summary:
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 or disease Intervention/treatment Phase
Communicable Diseases Behavioral: handwashing Phase 4

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.

Study Design

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 5000 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Evaluation of a Handwashing Promotion Program in Chinese Elementary Schools
Study Start Date : December 2004
Primary Completion Date : June 2005
Study Completion Date : June 2005
Arms and Interventions

Outcome Measures

Primary Outcome Measures :
  1. student illness rates
  2. student absence rates

Secondary Outcome Measures :
  1. teacher illness rate
  2. changes in student hygiene knowledge
  3. changes in student hygiene attitudes
  4. changes in school water use

Eligibility Criteria

Information from the National Library of Medicine

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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
Contacts and Locations

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): 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
ClinicalTrials.gov Identifier: NCT00140335     History of Changes
Other Study ID Numbers: CDC-NCID-4427
First Posted: September 1, 2005    Key Record Dates
Last Update Posted: March 9, 2010
Last Verified: March 2010

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

Additional relevant MeSH terms:
Communicable Diseases