ArticleBMC public health2021
A cross-sectional survey assessing the influence of theoretically informed behavioural factors on hand hygiene across seven countries during the COVID-19 pandemic.
Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence and determinants of hand hygiene behavior among Indian population: a systematic review and meta-analysis.Scientific reports · 2024Pooled it
- A mixed-methods analysis of the implementation of a new community long-COVID service during the 2020 pandemic: Learning from practice.PloS one · 2026Article
- Involving Children Under 5 years in a Hand Hygiene Intervention Study at Preschools in South Africa.Environmental health insights · 2026Article
- Intervention to Improve Children's Hygiene in Urban Squatter Settlement Schools in Pakistan: An Implementation Research.Environmental health insights · 2025Article
- Implementing strategies to prevent infections in acute-care settings.Infection control and hospital epidemiology · 2023Article
- Increasing Condom Use and STI Testing: Creating a Behaviourally Informed Sexual Healthcare Campaign Using the COM-B Model of Behaviour Change.Behavioral sciences (Basel, Switzerland) · 2022Article
- Modeling the Behavioral Response of Dentists to COVID-19 and Assessing the Perceived Impacts of Pandemic on Operative Dentistry Practices in Pakistan.Frontiers in public health · 2022Article
- Teachers' dissatisfaction during the COVID-19 pandemic: Factors contributing to a desire to leave the profession.Frontiers in psychology · 2022Article
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2 authors.
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Abstract
backgroundHuman hygiene behaviours influence the transmission of infectious diseases. Changing maladaptive hygiene habits has the potential to improve public health. Parents and teachers can play an important role in disinfecting surface areas and in helping children develop healthful handwashing habits. The current study aims to inform a future intervention that will help parents and teachers take up this role using a theoretically and empirically informed behaviour change model called the Capabilities-Opportunities-Motivations-Behaviour (COM-B) model.
methodsA cross-sectional online survey was designed to measure participants' capabilities, opportunities, and motivations to [1] increase their children's handwashing with soap and [2] increase their cleaning of surface areas. Additional items captured how often participants believed their children washed their hands. The final survey was administered early in the coronavirus pandemic (May and June 2020) to 3975 participants from Australia, China, India, Indonesia, Saudi Arabia, South Africa, and the United Kingdom. Participants self-identified as mums, dads, or teachers of children 5 to 10 years old. ANOVAs analyses were used to compare participant capabilities, opportunities, and motivations across countries for handwashing and surface disinfecting. Multiple regressions analyses were conducted for each country to assess the predictive relationship between the COM-B components and children's handwashing.
resultsThe ANOVA analyses revealed that India had the lowest levels of capability, opportunity, and motivation, for both hand hygiene and surface cleaning. The regression analyses revealed that for Australia, Indonesia, and South Africa, the capability component was the only significant predictor of children's handwashing. For India, capability and opportunity were significant. For the United Kingdom, capability and motivation were significant. Lastly, for Saudi Arabia all components were significant.
conclusionsThe discussion explores how the Behaviour Change Wheel methodology could be used to guide further intervention development with community stakeholders in each country. Of the countries assessed, India offers the greatest room for improvement, and behaviour change techniques that influence people's capability and opportunities should be prioritised there.
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