The Integrated Behavioural Model for Water, Sanitation, and Hygiene: a systematic review of behavioural models and a framework for designing and evaluating behaviour change interventions in infrastructure-restricted settings.
The Integrated Behavioural Model for Water, Sanitation, and Hygiene: a systematic review of behavioural models and a framework for designing and evaluating behaviour change interventions in infrastructure-restricted settings.
复制标题
DOI：
10.1186/1471-2458-13-1015
复制
发表时间：
2013-10-26
影响因子：
4.5
通讯作者：
Luby SP
中科院分区：
文献类型：
--
作者：
Dreibelbis R;Winch PJ;Leontsini E;Hulland KR;Ram PK;Unicomb L;Luby SP
推广和提供能够改善水、环境卫生和个人卫生做法的低成本技术被视为降低低收入国家肠道疾病高发病率和死亡率的可行解决方案。出现了一些理论模型、解释框架和决策模型，试图指导与讲卫生运动有关的行为改变干预措施。对这一理论体系进行综合，为改变和维持讲卫生行为提供指导，将有助于设计和评价此类干预措施。我们通过检索PubMed和灰色文献中的相关文章，完成了对现有模型和框架的系统综述。从符合选择标准的参考文献中提取了有关行为决定因素的组织信息，并进行了综合。综合的结果与其他相关文献相结合，并通过在两个分组随机试验的背景下进行的关于WASH行为改变干预措施的有效性的同步形成性和试点研究的反馈，为制定一个框架提供信息，以指导WASH干预措施的发展和评估：水，环境卫生和个人卫生综合行为模型（IBM-WASH）。我们确定了15个Wash特定的理论模型，行为改变框架或程序模型，其中9个解决了我们的审查问题。现有模式没有充分体现技术在影响行为结果方面的潜在作用，侧重于个人层面的行为决定因素，在很大程度上忽视了物质和自然环境的作用。IBM-WASH试图通过承认在五个层面（结构，社区，家庭，个人和习惯）上运作的三个维度（环境因素，心理社会因素和技术因素）来纠正这一点。存在许多特定于WASH的模型和框架，但有一些局限性。IBM-WASH模型旨在提供一种概念性和实用性工具，以提高我们对影响基础设施受限环境中的水、环境卫生和个人卫生习惯的多层次多维度因素的理解和评估。我们概述了我们提出的模型的未来应用，以及未来的研究重点，需要推进我们的水，环境卫生和个人卫生技术和实践的持续采用的理解。
Promotion and provision of low-cost technologies that enable improved water, sanitation, and hygiene (WASH) practices are seen as viable solutions for reducing high rates of morbidity and mortality due to enteric illnesses in low-income countries. A number of theoretical models, explanatory frameworks, and decision-making models have emerged which attempt to guide behaviour change interventions related to WASH. The design and evaluation of such interventions would benefit from a synthesis of this body of theory informing WASH behaviour change and maintenance. We completed a systematic review of existing models and frameworks through a search of related articles available in PubMed and in the grey literature. Information on the organization of behavioural determinants was extracted from the references that fulfilled the selection criteria and synthesized. Results from this synthesis were combined with other relevant literature, and from feedback through concurrent formative and pilot research conducted in the context of two cluster-randomized trials on the efficacy of WASH behaviour change interventions to inform the development of a framework to guide the development and evaluation of WASH interventions: the Integrated Behavioural Model for Water, Sanitation, and Hygiene (IBM-WASH). We identified 15 WASH-specific theoretical models, behaviour change frameworks, or programmatic models, of which 9 addressed our review questions. Existing models under-represented the potential role of technology in influencing behavioural outcomes, focused on individual-level behavioural determinants, and had largely ignored the role of the physical and natural environment. IBM-WASH attempts to correct this by acknowledging three dimensions (Contextual Factors, Psychosocial Factors, and Technology Factors) that operate on five-levels (structural, community, household, individual, and habitual). A number of WASH-specific models and frameworks exist, yet with some limitations. The IBM-WASH model aims to provide both a conceptual and practical tool for improving our understanding and evaluation of the multi-level multi-dimensional factors that influence water, sanitation, and hygiene practices in infrastructure-constrained settings. We outline future applications of our proposed model as well as future research priorities needed to advance our understanding of the sustained adoption of water, sanitation, and hygiene technologies and practices.
登录
查看更多内容
DOI：
10.1016/s1473-3099(10)70224-3
发表时间：
2011-04
期刊：
The Lancet. Infectious diseases
影响因子：
--
作者：
Curtis V;Schmidt W;Luby S;Florez R;Touré O;Biran A
通讯作者：
Biran A
DOI：
10.1016/0749-5978(91)90020-t
发表时间：
1991-12-01
影响因子：
4.6
作者：
AJZEN, I
通讯作者：
AJZEN, I
影响因子：
28.2
作者：
Curtis, V
通讯作者：
Curtis, V
影响因子：
3.8
作者：
Arvai, Joseph;Post, Kristianna
通讯作者：
Post, Kristianna
影响因子：
3.9
作者：
Carpenter, Christopher J.
通讯作者：
Carpenter, Christopher J.