Intervention to Promote Hygiene Behavior Among School Children
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|ClinicalTrials.gov Identifier: NCT03942523|
Recruitment Status : Recruiting
First Posted : May 8, 2019
Last Update Posted : May 10, 2019
Background: Poor personal hygiene and inadequate sanitation practices among young children in Low Middle Income Countries such as Pakistan can lead to critical, life-threatening illnesses such as respiratory infections, diarrheal disease, malnutrition and developmental delays. An intervention for personal/environmental hygiene practices for primary schoolchildren will be implemented at schools in urban squatter settlements of Karachi, Pakistan, aiming to improve the hygiene knowledge and practices (K&P) amongst primary schoolchildren and their mothers (participants), while identifying facilitating and impeding factors in the adoption of hygiene practices for children.
Methods: The study will be built on quasi-experimental design with mixed methods data collection approaches. To assess primary grade children and their mothers' hygiene-status, K&P survey will be held in the pre-intervention phase. This phase also includes qualitative exploration of mothers' and teachers' perceptions about children's hygiene literacy, factors facilitating and impeding the adoption of the same among school children, for which in-depth guides and focus group discussion tools will be used with teachers and mothers respectively. School physical environmental assessment will be carried out pre-post intervention. This will be followed by multi-component intervention phase with behavior change strategies to improve children's and mothers' hygiene K&P. The post-intervention phase will assess the intervention effectiveness in terms of enhancing hygiene K&P among schoolchildren and mothers, alongside exploration of mothers and teachers' insights into whether or not the intervention has brought changes in improving hygiene practices among children.
Results: Paired T-test will be done pre-post intervention to measure the differences in knowledge and practice scores between mothers' hygiene literacy and practices with their child's knowledge and practices. Similar test will also be run to assess the differences in children' hygiene knowledge and practice scores pre and post intervention. Thematic analysis will be used for qualitative data.
Discussion: Multi-component intervention aimed at improving personal and environmental hygiene among primary school children offers an opportunity to design and test various behavioral change strategies at school and home setting. The study findings will be significant in assessing the intervention effectiveness in improving children's overall hygiene.
|Condition or disease||Intervention/treatment||Phase|
|Behavioral Assessment of Children Communicable Diseases in Children||Behavioral: Behavior Change Communication to promote hygiene behavior||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||256 participants|
|Intervention Model:||Single Group Assignment|
|Intervention Model Description:||Behavior change communication sessions will be administered to school children belonging to 1-5 grades in schools|
|Masking:||None (Open Label)|
|Official Title:||School-based Interventions to Promote Personal and Environmental Hygiene Among Children in Pakistan: Protocol for a Mixed Methods Study|
|Actual Study Start Date :||December 21, 2018|
|Estimated Primary Completion Date :||December 30, 2019|
|Estimated Study Completion Date :||July 20, 2020|
Experimental: School Children
School children will be administered with behavioral change communication sessions as an intervention
Behavioral: Behavior Change Communication to promote hygiene behavior
Behavior Change Communication sessions will be used to promote knowledge and practices among young children and to prevent communicable diseases.
This will include, capacity building of teachers and students, health awareness sessions at the school and improving school physical environment
- Assessment of Improved hygiene knowledge and practices among young children through survey tool [ Time Frame: 3-4 months ]Changes in knowledge and practice of school children regarding hygiene will be assessed. There are no sub-scales used in the study. All knowledge and practice related responses will be measured as scores (pre-post intervention). Scores will be summed together. Less than 50 will be considered as poor, minimum and maximum score for rest of the categories are 50-75 will be considered as Good and 75-100 as Excellent. Higher values in each of the three categories will represent better outcomes for knowledge and practice.
- Change prevalence of communicable diseases among young children through structured questionnaire [ Time Frame: 3-4 months ]This will include assessment of the change in the prevalence of communicable diseases (diarrhea, typhoid, pneumonia, oral health infections, scabies, hepatitis and mosquito borne infections) through structured questionnaire. Proportions of the children with these conditions will be used to report the change. No scales or sub-scales will be used. Proportions specific for each diseases will be averaged out pre-post intervention study.
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): NCT03942523
|Contact: Nousheen Pradhan, MScfirstname.lastname@example.org|
|Contact: Waliya Mughis, MScemail@example.com|
|Aga khan University||Recruiting|
|Karachi, Sindh, Pakistan|
|Contact: Nousheen A Pradhan, MSc 09202103452849438 firstname.lastname@example.org|
|Principal Investigator:||Nousheen A Pradhan, MSc||Senior Instructor|