Evidence map›Paper›PMID 30608050›Full record

Trial reportThe American journal of tropical medicine and hygiene2019

Impact of a Large-Scale Handwashing Intervention on Reported Respiratory Illness: Findings from a Cluster-Randomized Controlled Trial.

Nusrat Najnin, Karin Leder, Andrew Forbes, Leanne Unicomb, Peter J Winch, Pavani K Ram, Fosiul A Nizame, Shaila Arman, Farzana Begum, Shwapon Biswas and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of tropical medicine and hygiene, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. A Systematic Review for Effective Preventive Public Education of Respiratory Infection.International journal of environmental research and public health · 2021
    Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Review
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Nusrat NajninDepartment of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Karin LederDepartment of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Andrew ForbesDepartment of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Leanne UnicombInternational Centre for Diarrheal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Peter J WinchJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Pavani K RamUniversity at Buffalo, Buffalo, New York.
Fosiul A NizameInternational Centre for Diarrheal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Shaila ArmanInternational Centre for Diarrheal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Farzana BegumInternational Centre for Diarrheal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Shwapon BiswasDepartment of Medicine, Rangpur Medical College Hospital, Rangpur, Bangladesh.
Alejandro CraviotoFacultad de Medicina, Universidad Nacional Autónoma de Mexico, Ciudad de Mexico, Mexico.
Stephen P LubyStanford University, Stanford, California.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We assessed the impact of handwashing promotion on reported respiratory illness as a secondary outcome from among > 60,000 low-income households enrolled in a cluster-randomized trial conducted in Bangladesh. Ninety geographic clusters were randomly allocated into three groups: cholera-vaccine-only; vaccine-plus-behavior-change (handwashing promotion and drinking water chlorination); and control. Data on respiratory illness (fever plus either cough or nasal congestion or breathing difficulty within previous 2 days) and intervention uptake (presence of soap and water at handwashing station) were collected through monthly surveys conducted among a different subset of randomly selected households during the intervention period. We determined respiratory illness prevalence across groups and used log-binomial regression to examine the association between respiratory illness and presence of soap and water in the handwashing station. Results were adjusted for age, gender, wealth, and cluster-randomized design. The vaccine-plus-behavior-change group had more handwashing stations with soap and water present than controls (45% versus 25%;

Indexed as

PovertyAdolescentAdultBangladeshChildChild, PreschoolCholeraCholera VaccinesFemaleHand DisinfectionHumansMaleMiddle AgedRespiratory Tract DiseasesUrban PopulationYoung AdultCholera Vaccines

Identifiers

PMID30608050
PMCPMC6402932

What OpenQuestion holds

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Registered trials

None linked

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.