Evaluating brief motivational and self-regulatory hand hygiene interventions: a cross-over longitudinal design
نویسندگان
چکیده
BACKGROUND Frequent handwashing can prevent infections, but non-compliance to hand hygiene is pervasive. Few theory- and evidence-based interventions to improve regular handwashing are available. Therefore, two intervention modules, a motivational and a self-regulatory one, were designed and evaluated. METHODS In a longitudinal study, 205 young adults, aged 18 to 26 years, were randomized into two intervention groups. The Mot-SelfR group received first a motivational intervention (Mot; risk perception and outcome expectancies) followed by a self-regulatory intervention (SelfR; perceived self-efficacy and planning) 17 days later. The SelfR-Mot group received the same two intervention modules in the opposite order. Follow-up data were assessed 17 and 34 days after the baseline. RESULTS Both intervention sequences led to an increase in handwashing frequency, intention, self-efficacy, and planning. Also, overall gains were found for the self-regulatory module (increased planning and self-efficacy levels) and the motivational module (intention). Within groups, the self-regulatory module appeared to be more effective than the motivational module, independent of sequence. CONCLUSIONS Self-regulatory interventions can help individuals to exhibit more handwashing. Sequencing may be important as a motivation module (Mot) first helps to set the goal and a self-regulatory module (SelfR) then helps to translate this goal into actual behavior, but further research is needed to evaluate mechanisms.
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Author's response to reviews Title:Evaluating Brief Motivational and Self-regulatory Hand Hygiene Interventions: A Cross-over Longitudinal Design Authors:
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Evaluating Brief Motivational and Self - regulatory Hand Hygiene Interventions : 1 A Cross - over Longitudinal Design 2 3
30 Background: Frequent handwashing can prevent infections, but non-compliance to hand 31 hygiene is pervasive. Few theoryand evidence-based interventions to improve regular 32 handwashing are available. Therefore, two intervention modules, a motivational and a self33 regulatory one, were designed and evaluated. 34 Methods: In a longitudinal study, 205 young adults, aged 18 to 26 years, were ra...
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