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Process evaluation of a multi-component intervention to reduce infectious diseases and improve hygiene and well-being among school children: the Hi Five study.
- Source :
- Health Education Research; Jun2015, Vol. 30 Issue 3, p497-512, 16p, 5 Charts
- Publication Year :
- 2015
-
Abstract
- The Hi Five study was a three-armed cluster randomized controlled trial designed to reduce infections and improve hygiene and well-being among pupils. Participating schools (n=43)were randomized into either control (n=15) or one of two intervention groups (n=28). The intervention consisted of three components: (i) a curriculum (ii) mandatory daily hand washing before lunch (iii) extra cleaning of school toilets. The aim of this study was to evaluate the implementation and to identify challenges to program implementation. Several data sources were used, including observations of school toilets, semi-structured interviews with school coordinators (n=4), focus groups with pupils (n=6) and teachers (n=5), and questionnaires among pupils (n=5440), teachers (n=387) and school coordinators (n=28). This study indicates that the curriculum was successfully implemented at most schools, and that teachers and pupils reacted positively to this part of the intervention. However, daily hand washing before lunch seems to be difficult to implement. Overall, the implementation process was affected by several factors such as poor sanitary facilities, lack of time and prioritization and objections against the increasing tendency to place the responsibility for child-rearing tasks on schools. This study reveals the strong and weak parts of the Hi Five study and can guide program improvement. [ABSTRACT FROM AUTHOR]
- Subjects :
- PREVENTION of communicable diseases
CHI-squared test
FOCUS groups
HAND washing
HEALTH promotion
HYGIENE
INTERVIEWING
RESEARCH methodology
PEDIATRICS
QUESTIONNAIRES
RESEARCH funding
RESTROOMS
SCHOOL administrators
SCHOOL environment
STERILIZATION (Disinfection)
STUDENTS
TEACHERS
WELL-being
RANDOMIZED controlled trials
EVALUATION of human services programs
DATA analysis software
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 02681153
- Volume :
- 30
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Health Education Research
- Publication Type :
- Academic Journal
- Accession number :
- 103335010
- Full Text :
- https://doi.org/10.1093/her/cyv019