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Article ; Online: Hand hygiene of kindergarten children-Understanding the effect of live feedback on handwashing behaviour, self-efficacy, and motivation of young children: Protocol for a multi-arm cluster randomized controlled trial.

Dangis, Glenda / Terho, Kirsi / Graichen, Joanna / Günther, Sebastian A / Rosio, Riitta / Salanterä, Sanna / Staake, Thorsten / Stingl, Carlo / Pakarinen, Anni

PloS one

2023  Volume 18, Issue 1, Page(s) e0280686

Abstract: Early implementation of interventions at a young age fosters behaviour changes and helps to adopt behaviours that promote health. Digital technologies may help to promote the hand hygiene behaviour of children. However, there is a lack of digital ... ...

Abstract Early implementation of interventions at a young age fosters behaviour changes and helps to adopt behaviours that promote health. Digital technologies may help to promote the hand hygiene behaviour of children. However, there is a lack of digital feedback interventions focusing on the hand hygiene behaviour of preschool children in childhood education and care settings. This study protocol aims to describe a study that evaluates the effectiveness of a gamified live feedback intervention and explores underlying behavioural theories in achieving better hand hygiene behaviour of preschool children in early childhood education and care settings. This study will be a four-arm cluster randomized controlled trial with three phases and a twelve-month follow-up by country stratification. The sample size is 106 children of which one cluster will have a minimum number of 40 children. During the baseline phase, all groups will have automated monitoring systems installed. In the intervention phase, the control group will have no screen activity. The intervention groups will have feedback displays during the handwashing activity. Intervention A will receive instructions, and intervention B and C groups will receive instructions and a reward. In the post-intervention phase, all the groups will have no screen activity except intervention C which will receive instructions from the screen but no reward. The outcome measures will be hand hygiene behaviour, self-efficacy, and intrinsic motivation. Outcome measures will be collected at baseline, intervention, and post-intervention phases and a 12-month follow-up. The data will be analysed with quantitative and qualitative methods. The findings of the planned study will provide whether this gamified live feedback intervention can be recommended to be used in educational settings to improve the hand hygiene behaviour of preschool children to promote health. The trial is registered with ClinicalTrials.gov (registration number NCT05395988 https://clinicaltrials.gov/ct2/show/NCT05395988?term=NCT05395988&draw=2&rank=1).
MeSH term(s) Humans ; Child, Preschool ; Hand Hygiene ; Hand Disinfection/methods ; Motivation ; Health Promotion ; Feedback ; Self Efficacy ; Randomized Controlled Trials as Topic
Language English
Publishing date 2023-01-24
Publishing country United States
Document type Clinical Trial Protocol ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID 2267670-3
ISSN 1932-6203 ; 1932-6203
ISSN (online) 1932-6203
ISSN 1932-6203
DOI 10.1371/journal.pone.0280686
Database MEDical Literature Analysis and Retrieval System OnLINE

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