Evidence map›Paper›PMID 40238584›Full record

ArticleInternational journal of environmental research and public health2025

Changes in Hand Hygiene Knowledge, Attitudes, and Practices Among Primary School Students: Insights from a Promotion Program in Guatemala.

Michelle Marie Pieters, Natalie Fahsen, Christina Craig, Kelsey McDavid, Kanako Ishida, Christiana Hug, Denisse Vega Ocasio, Celia Cordón-Rosales, Matthew J Lozier

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
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

9 authors.

Michelle Marie PietersCenter for Health Studies, Universidad del Valle de Guatemala, Guatemala City 01015, Guatemala.ORCID 0000-0002-5885-1911
Natalie FahsenCenter for Health Studies, Universidad del Valle de Guatemala, Guatemala City 01015, Guatemala.ORCID 0009-0001-3991-7524
Christina CraigCenters for Disease Control and Prevention, Atlanta, GA 30329, USA.ORCID 0000-0002-1517-6995
Kelsey McDavidCenters for Disease Control and Prevention, Atlanta, GA 30329, USA.ORCID 0000-0002-7091-0160
Kanako IshidaCenters for Disease Control and Prevention, Atlanta, GA 30329, USA.
Christiana HugCenters for Disease Control and Prevention, Atlanta, GA 30329, USA.ORCID 0000-0002-1128-0656
Denisse Vega OcasioCenters for Disease Control and Prevention, Atlanta, GA 30329, USA.ORCID 0000-0002-4716-4745
Celia Cordón-RosalesCenter for Health Studies, Universidad del Valle de Guatemala, Guatemala City 01015, Guatemala.ORCID 0000-0003-2381-4173
Matthew J LozierCenters for Disease Control and Prevention, Atlanta, GA 30329, USA.ORCID 0000-0003-1000-151X

Funding

CDC HHS Cooperative Agreement GH002243.CGH CDC HHS U01 GH002243
6 · The paper itself

Abstract

School-aged children are vulnerable to infectious diseases due to their developing immune systems and frequent social interactions. The COVID-19 pandemic underscored the importance of non-pharmaceutical interventions, like hand hygiene (HH). This study evaluated the changes achieved through a school-based intervention to Guatemalan primary school students' HH knowledge, attitudes, and self-reported practices while collecting teacher feedback to inform future efforts. The intervention included handwashing festivals, environmental nudges, and the regular delivery of soap and alcohol-based hand rub (ABHR). Knowledge, attitudes, and practices (KAP) surveys were conducted pre- and post-intervention with 109 and 144 students, respectively. Six teachers participated in interviews to provide perspectives. Significant improvements were observed in students' knowledge of HH's role in preventing disease (pre: 84.4%; post: 96.5;

Indexed as

COVID-19Hand HygieneHealth Knowledge, Attitudes, PracticeHealth PromotionStudentsChildFemaleGuatemalaHand DisinfectionHumansMaleSARS-CoV-2SchoolsattitudesCOVID-19elementary schoolshand hygieneknowledgepractices

Identifiers

PMID40238584
PMCPMC11942306

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.