Trial reportThe American journal of tropical medicine and hygiene2017
Trial of a Novel Intervention to Improve Multiple Food Hygiene Behaviors in Nepal.
Trial report in The American journal of tropical medicine and hygiene, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
54 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Effectiveness of domestic food hygiene interventions on the microbiological quality of child food and childhood diarrhoea: a systematic review and meta-analysis.BMJ global health · 2026Pooled it
- Impact on childhood mortality of interventions to improve drinking water, sanitation, and hygiene (WASH) to households: Systematic review and meta-analysis.PLoS medicine · 2023Pooled it
- Nudge strategies for behavior-based prevention and control of neglected tropical diseases: A scoping review and ethical assessment.PLoS neglected tropical diseases · 2021Pooled it
- A systematic review of hand-hygiene and environmental-disinfection interventions in settings with children.BMC public health · 2020Pooled it
- A community-level complementary-food safety and hygiene intervention improves family-food preparation behaviours in rural Gambia: a follow-up of a cluster randomised controlled trial.BMJ global health · 2026Trial
- Effect of Behavior Change Intervention on Complementary Food Contamination in Rural Bangladesh: A Cluster-Randomized Controlled Trial.The American journal of tropical medicine and hygiene · 2025Trial
- Application of the behaviour-centred design to understand facilitators and deterrents of hand hygiene among healthcare providers: findings from a formative phase of a cluster randomised trial in the Kampala Metropolitan area.BMC health services research · 2024Trial
- Effect of a Homestead Food Production and Food Hygiene Intervention on Biomarkers of Environmental Enteric Dysfunction in Children Younger Than 24 Months in Rural Bangladesh: A Cluster-Randomized Controlled Trial.The American journal of tropical medicine and hygiene · 2023Trial
- Trial
- Cluster-randomised trial to test the effect of a behaviour change intervention on toilet use in rural India: results and methodological considerations.BMC public health · 2020Trial
- Health Outcomes of an Integrated Behaviour-Centred Water, Sanitation, Hygiene and Food Safety Intervention-A Randomised before and after Trial.International journal of environmental research and public health · 2020Trial
- Progressive Changes in Household Food Safety Handling Knowledge and Behaviors Associated with a Continuous Tracing Intervention Among Rural Residents in China.Foods (Basel, Switzerland) · 2026Article
- User experiences with food storage in a meatsafe (mesh-covered food storage cabinet) in an informal settlement in Dhaka, Bangladesh.Tropical medicine and health · 2026Article
- Evaluating the impact of a low-cost food storage intervention on complementary food contamination and diarrheal disease in low-income urban households: A randomized controlled trial in Dhaka, Bangladesh.PLOS global public health · 2026Article
- Changes in household hygiene behaviors and multiple childhood health outcomes following health-behavioral education and health-care facility support: a pre-post intervention study.Frontiers in public health · 2026Article
- Hazard analysis and critical control points for foods consumed by children aged 6-24 months in Maputo, Mozambique.PLOS global public health · 2026Article
- Coproduced, arts interventions for nurturing care (0-5 years) in low-income and middle-income countries (LMICs): a realist review.BMJ open · 2024Review
- Risk factors for food contamination among children discharged from community management of acute malnutrition programmes in South Sudan: A cross-sectional study and hazard analysis critical control point approach.Maternal & child nutrition · 2024Article
- Understanding the role of household hygiene practices and foodborne disease risks in child stunting: a UKRI GCRF Action Against Stunting Hub protocol paper.BMJ paediatrics open · 2024Article
- Quantifying Enteropathogen Contamination along Chicken Value Chains in Maputo, Mozambique: A Multidisciplinary and Mixed-Methods Approach to Identifying High Exposure Settings.Environmental health perspectives · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
AbstractIn this study, we report on the results of a trial of an intervention to improve five food hygiene behaviors among mothers of young children in rural Nepal. This novel intervention targeted five behaviors; cleanliness of serving utensils, handwashing with soap before feeding, proper storage of cooked food, and thorough reheating and water treatment. Based on formative research and a creative process using the Behavior-Centered Design approach, an innovative intervention package was designed and delivered over a period of 3 months. The intervention activities included local rallies, games, rewards, storytelling, drama, competitions linking with emotional drivers of behavior, and "kitchen makeovers" to disrupt behavior settings. The effect of the package on behavior was evaluated via a cluster-randomized before-after study in four villages with four villages serving as controls. The primary outcome was the difference in the mean cluster level proportions of mothers directly observed practicing all five food hygiene behaviors. The five targeted food hygiene behaviors were rare at baseline (composite performance of all five behaviors in intervention 1% [standard deviation (SD) = 2%] and in control groups 2% [SD = 2%]). Six weeks after the intervention, the target behaviors were more common in the intervention than in the control group (43% [SD = 14%] versus 2% [SD = 2%],
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.