A framework for designing hand hygiene educational interventions in schools

Emmanuel Appiah-Brempong (), Muriel J. Harris, Samuel Newton and Gabriel Gulis
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Emmanuel Appiah-Brempong: Kwame Nkrumah University of Science and Technology (KNUST)
Muriel J. Harris: University of Louisville
Samuel Newton: Kwame Nkrumah University of Science and Technology (KNUST)
Gabriel Gulis: University of Southern Denmark (SDU)

International Journal of Public Health, 2018, vol. 63, issue 2, No 12, 259 pages

Abstract: Abstract Objectives Hygiene education appears to be the commonest school-based intervention for preventing infectious diseases, especially in the developing world. Nevertheless, there remains a gap in literature regarding a school-specific theory-based framework for designing a hand hygiene educational intervention in schools. We sought to suggest a framework underpinned by psychosocial theories towards bridging this knowledge gap. Furthermore, we sought to propound a more comprehensive definition of hand hygiene which could guide the conceptualisation of hand hygiene interventions in varied settings. Methods Literature search was guided by a standardized tool and literature was retrieved on the basis of a predetermined inclusion criteria. Databases consulted include PubMed, ERIC, and EBSCO host (Medline, CINAHL, PsycINFO, etc.). Evidence bordering on a theoretical framework to aid the design of school-based hand hygiene educational interventions is summarized narratively. Results School-based hand hygiene educational interventions seeking to positively influence behavioural outcomes could consider enhancing psychosocial variables including behavioural capacity, attitudes and subjective norms (normative beliefs and motivation to comply). Conclusions A framework underpinned by formalized psychosocial theories has relevance and could enhance the design of hand hygiene educational interventions, especially in schools.

Keywords: Hand hygiene; Education; School; Theories; Framework (search for similar items in EconPapers)
Date: 2018
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DOI: 10.1007/s00038-017-1066-2

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