Cooperation and Communication

The Introduction of Hand Hygiene Promotion Project in Kindergartens of Shenzhen City

Hand, foot and mouth disease (HFMD) is a common infectious disease in the children at 0~6. In recent years the incidence of HFMD keeps on increasing in Shenzhen city. Children in kindergartens are the high risk group for HFMD, clustering HFMD cases always occur in kindergartens. In 2015 Shenzhen Center for Disease Control and Prevention (Shenzhen CDC) cooperated with Erasmus Medical Center (EMC) to conduct hand hygiene intervention in kindergartens, to improve the hand hygiene compliance of children and teachers to prevent HFMD. The aim of this paper is to describe the design of a cluster randomized controlled trial to evaluate the effectiveness of this intervention. We hope to develop a simple and easy measurement to decease the HFMD incidence in kindergarten children, it also can be apply to children at 0~3 scattered in communities. The study results can provide reference for HFMD prevention all over China.

Stratified cluster random sampling technique is performed in this study. 18 kindergartens were selected from Nanshan and Baoan district in Shenzhen city, totally 220 classes, 648 teachers and 8275 children have participated in this intervention study. 18 selected kindergartens are allocated randomly into 3 groups: 6 in kindergarten intervention group, 6 in kindergarten and family intervention group, and 6 in control group. These kindergartens are stratified by sponsor and district. 18 kindergartens are assigned to either intervention or control group by means of computer generation. The intervention consisting of four components: 1. Hand hygiene products: 2 soap dispensers and 2 paper towel dispensers are installed in each classroom, and provide refill for 6 months. 2. Kick off activity: Practicing hand washing technique, reading story and playing electronic game about hand hygiene with children. 3. Health education materials: including posters, stickers, booklets, story books and paper games, etc. 4. Health Education Session: 1 hour hand hygiene training for teachers and parents. The primary outcome measure will be observed HH compliance of teacher and children, measured at baseline and one, three, and six months after start of the intervention. The secondary outcome measure will be the HFMD incidence of chidlren, monitored over six months by school doctors and teachers using a absence report card to collect absence reason. Multilevel logistic regression will be performed to assess the effect of the intervention on HH compliance. Multilevel Poisson regression will be performed to assess the HFMD incidence in children attending kindergartens.

This study is the first randomized controlled trial for HFMD, the comprehensive intervention which merged health education, social cognitive, and behavior psychology and health environmental determinants together is different from traditional health education. The strength of this study is the randomized controlled trial design with a large sample size of over 8000 children, and a long-term hand hygiene for half a year, and uses HH compliance and children FMD incidence as outcome measures.

  

深圳市幼儿园手部卫生增进名目概况

  手足口病是0~6岁儿童的常见传染病,近年来深圳市手足口发病率逐年增高。幼儿园儿童是手足口病的高危群体,易出现聚集性发病。手部卫生对手足口病的产生有显著影响。2015年美高梅手机登录与荷兰Erasmus大学协作在幼儿园中展开手部卫生干预,改善儿童及教师的手部卫生依从性,以预防手足口病。名目旨在发扬一种简便易行的干预办法以有用降低幼儿园儿童手足口病发病率,同时也能用于社区中的0~3岁散居儿童。科研成果预期可在在深圳市所有幼儿园中推广,也可为全国手足口病防制工作提供借鉴和参考。

  名目采用分层整群随机抽样技艺,在深圳市南山区和宝安区抽取18家幼儿园,合计220个班级, 648名教师和8275名儿童参与了干预名目。分为3组:幼儿园干预组(6家),幼儿园及家庭干预组(6家)和空白对照组(6家)。按照进行主体和所在地区实行分层,然后将各层内的幼儿园随机分配到干预组和对照组中。干预办法包括四项核心策略:1. 发放洗手用品:每个教室安装2个洗手液分配器,2个擦手纸分配器,并提供半年用量补充;2. 发动行动 :演示洗手的正确步骤,与儿童一起讲故事玩游戏; 3. 发放健康教学材料,包括各类海报、贴纸、画册、常识手册等; 4. 健康教学课程:给老师及家长提供1小时训练课程。评价干预效果的首要指标是儿童及教师的手部卫生依从性,经过在干预开始前、干预开始后的第一、二个月和干预结束后实行四轮观察获得;另一个指标是幼儿园儿童手足口病发病率,经过由校医及教师对干预期间所有缺勤儿童均填写一份缺勤调查表获得。

  本名目是全球首个对手足口病展开干预的随机对照试验科研,所使用的结合健康教学、作为心理学、环境因素改变等多种要素的综合干预策略也不同于一般的健康教学科研。名目优势在于有8000余名儿童大样本量的随机对照试验设计、半年时间的长期干预,及以手部卫生依从性和儿童手足口病发病率来定量评估干预效果。

  

The Health Education Materials in the Project: 

名目中使用的健康教学材料:

    1.海报-何时要洗手(儿童) Poster-When should we wash our hands(kids ver.)

2.海报-儿童洗手步骤图  Poser- Hand washing steps for kids

3.海报-何时要洗手(成年人版)  Poster- when should we wash our hands(adults ver.)

4.海报-成年人洗手步骤图   Poster- Hand washing steps(adults ver.)

5.手部卫生常识手册  Hand hygiene knowledge booklet

 

6.Ella和小伙伴们洗手奇遇记   Ella story book

 

7.Ella洗手学园(手部卫生常识手册)  Hand hygiene knowledge booklet from TORK

 

8.Ella洗手学园结业证  Handwashing School diploma

 

9.手部卫生常识折页(给幼儿园老师和家长)  Hand hygiene knowledge booklet(for kindergarten teachers and parents) 

 

10.手部卫生贴纸  Hand hygiene stickers

XML 地图 | Sitemap 地图