Effectiveness of hand-hygiene interventions in reducing illness-related absence in educational settings in high income countries: systematic review and behavioural analysis
<p><strong>Aim:</strong> Control of infection is important to prevent school absence. We aimed to review hand-hygiene interventions in high income countries aiming to reduce gastrointestinal and upper-respiratory tract infectionrelated absence in educational settings, and identify...
| Main Authors: | , , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
Oxford University Press
2023
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| _version_ | 1797111084886261760 |
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| author | Hoyle, E Davies, H Bourhill, J Roberts, N Lee, JJ Albury, C |
| author_facet | Hoyle, E Davies, H Bourhill, J Roberts, N Lee, JJ Albury, C |
| author_sort | Hoyle, E |
| collection | OXFORD |
| description | <p><strong>Aim:</strong> Control of infection is important to prevent school absence. We aimed to review hand-hygiene
interventions in high income countries aiming to reduce gastrointestinal and upper-respiratory tract infectionrelated absence in educational settings, and identify which intervention components are effective.</p>
<p><strong>Subject and methods:</strong> A systematic review and meta-analysis. Interventions were coded according to Behaviour Change Techniques Taxonomy. We searched MEDLINE, Embase, CINAHL, Cochrane Library, Education
Resource Information Centre, Science and Social Sciences Citation Index and the British Education Index from
1 September 2014 to 25 May 2022, papers included in a 2014 review by Willmott et al., and hand-searching
reference lists of included studies. We also searched for, and coded, relevant international guidelines on handhygiene.</p>
<p><strong>Results:</strong> We screened 1653 papers, including 11 papers from 9 studies. Meta-analysis showed that school-based interventions significantly reduced respiratory tract and gastrointestinal infection-related absence (relative rate
ratio 0.754; 95% confidence interval 0.602 to 0.944). Evidence from subgroup analysis supports the use of more
than seven behaviour change techniques, targeting both adults and children, and providing information on the
risks of inadequate hand-hygiene as well as instruction. The effectiveness of individual behaviour change
techniques could not be determined. We found no evidence to support the interventions currently recommended
in a range of international guidelines.</p>
<p><strong>Conclusion:</strong> School-based hand-hygiene interventions are effective in reducing infection-related absence. There is some evidence that the number and type of behaviour change techniques used in interventions is important in
increasing intervention success.</p> |
| first_indexed | 2024-03-07T08:03:47Z |
| format | Journal article |
| id | oxford-uuid:8c2ba308-1d52-4c21-8889-a2af364c0506 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T08:03:47Z |
| publishDate | 2023 |
| publisher | Oxford University Press |
| record_format | dspace |
| spelling | oxford-uuid:8c2ba308-1d52-4c21-8889-a2af364c05062023-10-19T09:38:57ZEffectiveness of hand-hygiene interventions in reducing illness-related absence in educational settings in high income countries: systematic review and behavioural analysisJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:8c2ba308-1d52-4c21-8889-a2af364c0506EnglishSymplectic ElementsOxford University Press2023Hoyle, EDavies, HBourhill, JRoberts, NLee, JJAlbury, C<p><strong>Aim:</strong> Control of infection is important to prevent school absence. We aimed to review hand-hygiene interventions in high income countries aiming to reduce gastrointestinal and upper-respiratory tract infectionrelated absence in educational settings, and identify which intervention components are effective.</p> <p><strong>Subject and methods:</strong> A systematic review and meta-analysis. Interventions were coded according to Behaviour Change Techniques Taxonomy. We searched MEDLINE, Embase, CINAHL, Cochrane Library, Education Resource Information Centre, Science and Social Sciences Citation Index and the British Education Index from 1 September 2014 to 25 May 2022, papers included in a 2014 review by Willmott et al., and hand-searching reference lists of included studies. We also searched for, and coded, relevant international guidelines on handhygiene.</p> <p><strong>Results:</strong> We screened 1653 papers, including 11 papers from 9 studies. Meta-analysis showed that school-based interventions significantly reduced respiratory tract and gastrointestinal infection-related absence (relative rate ratio 0.754; 95% confidence interval 0.602 to 0.944). Evidence from subgroup analysis supports the use of more than seven behaviour change techniques, targeting both adults and children, and providing information on the risks of inadequate hand-hygiene as well as instruction. The effectiveness of individual behaviour change techniques could not be determined. We found no evidence to support the interventions currently recommended in a range of international guidelines.</p> <p><strong>Conclusion:</strong> School-based hand-hygiene interventions are effective in reducing infection-related absence. There is some evidence that the number and type of behaviour change techniques used in interventions is important in increasing intervention success.</p> |
| spellingShingle | Hoyle, E Davies, H Bourhill, J Roberts, N Lee, JJ Albury, C Effectiveness of hand-hygiene interventions in reducing illness-related absence in educational settings in high income countries: systematic review and behavioural analysis |
| title | Effectiveness of hand-hygiene interventions in reducing illness-related absence in educational settings in high income countries: systematic review and behavioural analysis |
| title_full | Effectiveness of hand-hygiene interventions in reducing illness-related absence in educational settings in high income countries: systematic review and behavioural analysis |
| title_fullStr | Effectiveness of hand-hygiene interventions in reducing illness-related absence in educational settings in high income countries: systematic review and behavioural analysis |
| title_full_unstemmed | Effectiveness of hand-hygiene interventions in reducing illness-related absence in educational settings in high income countries: systematic review and behavioural analysis |
| title_short | Effectiveness of hand-hygiene interventions in reducing illness-related absence in educational settings in high income countries: systematic review and behavioural analysis |
| title_sort | effectiveness of hand hygiene interventions in reducing illness related absence in educational settings in high income countries systematic review and behavioural analysis |
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