Huazhong University of Science and Technology, School of Architecture and Urban Planning, Wuhan, China.
Hubei Engineering and Technology Research Center of Urbanization, Wuhan, China.
HERD. 2022 Oct;15(4):81-95. doi: 10.1177/19375867221104412. Epub 2022 Jun 19.
Aimed to explore more practical interventions for handwashing compliance (HWC) and protect the minor' health with the pandemic background, this study tested whether micro architectural interventions would promote HWC of adolescents through active experience.
Despite the well-documented benefits of handwashing (HW), low compliance is common among adolescents. HW space in schools has always been treated as attached spaces of little matter, which is unfavorable to public health. According to environment behavior perspective, personal motivation of HWC may be motivated by active environment.
A school-based investigation and a 30-week environmental behavior experiment were conducted when students returned to school after the COVID-19 pandemic closure in 2020 in China to evaluate the effects of active environment interventions selected by previous survey on promoting adolescents' HW rate. Digital infrared counters were used to unobtrusively document their behavior.
Results in summer revealed a positive effect on all intervention groups. The effects of combined interventions were higher than the effect of any single intervention. However, HW rates of all groups declined sharply in the coldest month and the between-group differences decreased. Significant correlations were found between HW rates and satisfaction with the intervention schemes.
Findings suggest that architectural environmental intervention may potentially be a positive, friendly, and one-time investment mean to expand the HWC intervention scope from passive policies to positive experience, and HW space design for adolescents should be treated as a public health strategy.
在大流行背景下，为了探索更实用的洗手依从性干预措施，保护未成年人健康，本研究旨在通过积极体验来检验微观建筑干预是否会促进青少年的洗手依从性。
尽管有充分的证据表明洗手（HW）有益，但青少年的 HW 依从性普遍较低。学校的 HW 空间一直被视为次要空间，这不利于公共卫生。根据环境行为的观点，HW 依从性的个人动机可能是由积极的环境所激发的。
2020 年中国新冠肺炎疫情关闭学校复课后，进行了一项基于学校的调查和为期 30 周的环境行为实验，以评估先前调查中选择的积极环境干预措施对促进青少年 HW 率的效果。数字红外计数器被用来非介入性地记录他们的行为。
夏季的结果显示，所有干预组均有积极效果。联合干预的效果高于任何单一干预的效果。然而，所有组的 HW 率在最寒冷的月份急剧下降，组间差异减小。HW 率与对干预方案的满意度之间存在显著相关性。
研究结果表明，建筑环境干预可能是一种积极、友好的一次性投资手段，将 HW 依从性干预的范围从被动政策扩大到积极体验，青少年 HW 空间设计应被视为公共卫生策略。
