Hand Hygiene of Kindergarten Children

May 23, 2022 updated by: Otto-Friedrich-University Bamberg

Hand Hygiene of Kindergarten Children: Understanding the Effect of Live Feedback on Hand Washing Behavior, Self-Efficacy and Motivation of Young Children

Randomized controlled trial to further assess the impact of a digital intervention on hand hygiene of young children. Children in intervention kindergartens will see live instructions and feedback on their hand washing activity in reals-time / while washing hands. Aim of the study is to better understand behavior change of young children.

Study Overview

Study Type

Interventional

Enrollment (Anticipated)

100

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Turku, Finland, 20520
        • University of Turku
      • Bamberg, Germany, 96047
        • Otto-Friedrich-University Bamberg

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

2 years to 7 years (Child)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • children attending kindergarten

Exclusion Criteria:

  • none

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
No Intervention: Control group
The control group receives no screen next to the sink.
Experimental: Instruction group
The reward group receives a screen next to each sink in kindergarten. On the screen, hand washing instructions are shown during hand washing. After a defined time period, the screen is removed.
Tablet displaying animated hand washing instructions
Experimental: Reward group

The reward group receives a screen next to each sink in kindergarten. On the screen, hand washing instructions are shown during hand washing. If hands are washed correctly (time and soap usage), a reward (animal animation) is shown on the screen.

After a defined time period, the screen is removed.

Tablet displaying animated hand washing instructions and animated animals as reward
Experimental: Reward plus instruction-only group

The reward plus instruction group receives a screen next to each sink in kindergarten.

On the screen, hand washing instructions are shown during hand washing. If hands are washed correctly (time and soap usage), a reward (animal animation) is shown on the screen.

After a defined time period, the screen only shows instructions, the reward is not shown anymore.

After a defined time period, the screen is removed.

Tablet displaying animated hand washing instructions
Tablet displaying animated hand washing instructions and animated animals as reward

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Handwashing motivation of children (measured as soaping time by digital system).
Time Frame: up to 3 months
Motivation of children, measured as soaping time (activity level) by digital system. Activity level is used as a proxy for motivation.
up to 3 months
Handwashing motivation of children (investigated with observation questionnaire for children in kindergarten)
Time Frame: up to 3 months
Motivation of children, investigated with observation questionnaire (covering different steps of handwashing) of children while washing hands in kindergarten. In the observation questionnaire, each step of handwashing is rated on a scale (with highest number meaning highest compliance to handwashing instructions). Activity level (as measured by observation questionnaire) is used as a proxy for motivation.
up to 3 months
Self-efficacy of children (investigated with interviews with children)
Time Frame: up to 3 months
Self-efficacy of children is measured in interviews with the children. The interview questionnaires for the children are based on Bandura's concept of self-efficacy. The scale that is used in the interview questionnaires is specially developed for our experiment.
up to 3 months
Self-efficacy of children (investigated with interviews with staff)
Time Frame: up to 3 months
Self-efficacy of children is measured in interviews with the kindergarten staff. The interview questionnaires for the staff (for evaluating children's self-efficacy) are based on Bandura's concept of self-efficacy. The scale that is used in the interview questionnaires is specially developed for our experiment.
up to 3 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Sickness days of children (as recorded by kindergarten management)
Time Frame: Up to one year
Sickness days of children, recorded by kindergarten management on a daily basis.
Up to one year

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Collaborators

Investigators

  • Principal Investigator: Sanna Salanterä, Prof. Dr., University of Turku
  • Principal Investigator: Joanna Graichen, M.Sc., Otto-Friedrich-University Bamberg
  • Principal Investigator: Anni Pakarinen, PhD, University of Turku
  • Principal Investigator: Carlo Stingl, M.Sc., Otto-Friedrich-University Bamberg
  • Principal Investigator: Riitta Mieronkoski, University of Turku
  • Principal Investigator: Glenda Dangis, University of Turku

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

March 1, 2022

Primary Completion (Anticipated)

October 1, 2022

Study Completion (Anticipated)

October 1, 2022

Study Registration Dates

First Submitted

March 25, 2022

First Submitted That Met QC Criteria

May 23, 2022

First Posted (Actual)

May 27, 2022

Study Record Updates

Last Update Posted (Actual)

May 27, 2022

Last Update Submitted That Met QC Criteria

May 23, 2022

Last Verified

May 1, 2022

More Information

Terms related to this study

Other Study ID Numbers

  • Hand hygiene kindergarten

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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