Feit M N, Mathee A, Harpham T, Barnes B R
Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, Washington, DC 20201, USA, Environment and Health Research Unit, South African Medical Research Council, University of Johannesburg, University of the Witwatersrand, Houghton 2041, South Africa, Faculty of Human Sciences, London South Bank University, London SE1 0AA, UK, Epidemiology and Population Sciences Department, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK and Psychology Department, University of Johannesburg, Johannesburg 2006, South Africa
Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, Washington, DC 20201, USA, Environment and Health Research Unit, South African Medical Research Council, University of Johannesburg, University of the Witwatersrand, Houghton 2041, South Africa, Faculty of Human Sciences, London South Bank University, London SE1 0AA, UK, Epidemiology and Population Sciences Department, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK and Psychology Department, University of Johannesburg, Johannesburg 2006, South Africa.
Health Educ Res. 2014 Dec;29(6):933-40. doi: 10.1093/her/cyu054. Epub 2014 Sep 11.
The objective of this formative research was to explore the acceptability and feasibility of changing housekeeping behaviors as a low-cost approach that may reduce childhood lead exposure in Johannesburg, South Africa. Using the Trials of Improved Practices (TIPs) methodology, modified housekeeping behaviors were negotiated with participants who chose the behaviors they wanted to try and then performed them in their homes over 4 weeks. Researchers interviewed them at the end of the month to understand their experience of trying out the behaviors. The modified behaviors offered to each participant were as follows: cleaning window sills with detergent and water, cleaning window sills more frequently, mopping floors with two buckets (one with soapy water for washing and one with clean water for rinsing), mopping floors more frequently, dusting surfaces with detergent and water and dusting surfaces more frequently. Participants found cleaning window sills with soap and water and cleaning them more often the most acceptable and feasible of behavior modifications. Environmental samples showed a significant reduction in lead dust on window sills. These findings can assist in the development of acceptable and feasible medium-term interventions to reduce childhood lead exposure in resource-poor settings until more robust health policies are implemented.
这项形成性研究的目的是探索改变家政行为作为一种低成本方法的可接受性和可行性，该方法可能会减少南非约翰内斯堡儿童铅暴露。采用改进实践试验（TIPs）方法，与参与者协商修改后的家政行为，参与者选择他们想要尝试的行为，然后在4周内在家中实施。研究人员在月底对他们进行了访谈，以了解他们尝试这些行为的体验。提供给每位参与者的修改后的行为如下：用洗涤剂和水清洁窗台、更频繁地清洁窗台、用两个水桶拖地（一个装肥皂水用于洗涤，一个装清水用于漂洗）、更频繁地拖地、用洗涤剂和水擦拭表面以及更频繁地擦拭表面。参与者发现用肥皂和水清洁窗台并更频繁地进行清洁是行为改变中最可接受和可行的。环境样本显示窗台上的铅尘显著减少。这些发现有助于制定可接受和可行的中期干预措施，以减少资源匮乏地区儿童的铅暴露，直到实施更有力的健康政策。
