Bonnesen C T, Plauborg R, Denbæk A M, Due P, Johansen A
Centre for Intervention Research in Health Promotion and Disease Prevention, National Institute of Public Health, University of Southern Denmark, DK-1353 Copenhagen K, Denmark and The National Board of Social Services, Office of Children and Families, DK-1119 Copenhagen K, Denmark
Centre for Intervention Research in Health Promotion and Disease Prevention, National Institute of Public Health, University of Southern Denmark, DK-1353 Copenhagen K, Denmark and The National Board of Social Services, Office of Children and Families, DK-1119 Copenhagen K, Denmark.
Health Educ Res. 2015 Jun;30(3):497-512. doi: 10.1093/her/cyv019. Epub 2015 May 11.
The Hi Five study was a three-armed cluster randomized controlled trial designed to reduce infections and improve hygiene and well-being among pupils. Participating schools (n = 43) were randomized into either control (n = 15) or one of two intervention groups (n = 28). The intervention consisted of three components: (i) a curriculum (ii) mandatory daily hand washing before lunch (iii) extra cleaning of school toilets. The aim of this study was to evaluate the implementation and to identify challenges to program implementation. Several data sources were used, including observations of school toilets, semi-structured interviews with school coordinators (n = 4), focus groups with pupils (n = 6) and teachers (n = 5), and questionnaires among pupils (n = 5440), teachers (n = 387) and school coordinators (n = 28). This study indicates that the curriculum was successfully implemented at most schools, and that teachers and pupils reacted positively to this part of the intervention. However, daily hand washing before lunch seems to be difficult to implement. Overall, the implementation process was affected by several factors such as poor sanitary facilities, lack of time and prioritization and objections against the increasing tendency to place the responsibility for child-rearing tasks on schools. This study reveals the strong and weak parts of the Hi Five study and can guide program improvement.
“嗨，五”研究是一项三臂整群随机对照试验，旨在减少学生感染并改善卫生状况和健康水平。参与研究的学校（n = 43）被随机分为对照组（n = 15）或两个干预组之一（n = 28）。干预措施包括三个部分：（i）一门课程；（ii）午餐前强制每日洗手；（iii）学校厕所额外清洁。本研究的目的是评估实施情况并确定项目实施过程中的挑战。使用了多个数据来源，包括对学校厕所的观察、对学校协调员的半结构化访谈（n = 4）、与学生（n = 6）和教师（n = 5）的焦点小组讨论，以及对学生（n = 5440）、教师（n = 387）和学校协调员（n = 28）的问卷调查。本研究表明，该课程在大多数学校成功实施，教师和学生对干预措施的这一部分反应积极。然而，午餐前每日洗手似乎难以实施。总体而言，实施过程受到几个因素的影响，如卫生设施差、时间不足和缺乏优先级，以及对将育儿任务责任日益增加地置于学校的反对意见。本研究揭示了“嗨，五”研究的优缺点，并可为项目改进提供指导。
