'Use 123 to get Germ Free': Extending the Reach and Impact of a Hand Hygiene Intervention

在以前资助的项目（“揭开细菌的盖子”）中，孩子们设计了许多有趣的想法，以帮助在学校厕所里向同龄人传达手部卫生的重要性。最终的整体概念是“使用123来获得无菌”，这一信息和相关的信息/图形被放置在抹布，洗涤设备和墙壁周围。设计安装的地区（3所小学和尤里卡！博物馆）变得更加丰富多彩，吸引人，并通过增加41%至60%的肥皂使用来帮助改善手部卫生。这些设计受到了帮助创造它们的儿童、使用空间的人和其他利益相关者的好评。该项目于2019年1月在伦敦的E-Bug会议上获得了“最佳教育和研究奖”，我们在丹麦和尼泊尔进行了特邀演讲。我们还发表了3篇期刊文章，并有3篇文章正在审查作为以前的项目的一部分。目的和目标这个项目的目的是提高我们的基于墙的图形的商业可行性。在先前的研究中，通过对教师和儿童的采访，确定了3个领域，可以进一步利用123概念- 1）需要以课堂为基础的设计介绍，2）教师可以在感染爆发时轻松定制或更改的设计元素3）为家长提供带回家的包，以确保信息从学校转移到家中。我们建议对这个概念进行扩展，以创造一个更理想的“123”方案供学校使用，我们将与一所伙伴学校合作，通过与教师、儿童和家长共同设计的工作坊，确保想法符合他们的需要。一旦完成，我们将通过大学的快速许可系统以最低的成本提供下载，我们将确定一个可靠的打印机/材料推荐给学校。我们还希望与更多的观众分享我们的设计。在上一个项目中，图形被放置在3所学校和一个儿童博物馆，我们希望将它们的使用扩展到其他学校，并为新的受众量身定制概念。通过参加全国校长会议和为当地学校举办活动，我们希望提高对123概念的认识，并进一步传播这些设计。在新的观众方面，我们建议与学前教育合作，为5岁以下的儿童量身定制设计，并开发一个脚本，以帮助理解。我们亦打算在萨克雷医学博物馆安装有关设计，并透过与博物馆工作人员联络，了解如何为参观者度身订造有关概念。我们还将在乌干达的一所学校测试和定制设计概念如何在新的国际环境中发挥作用。将制作两部短片，帮助潜在的新用户实现这一概念。活动的最后阶段包括有针对性地推广产品，并联系可能希望使用该产品的潜在新组织。该产品的下载将被监控，并寻求后续反馈。潜在的应用和好处从以前的项目中收集的证据强调了肥皂使用的增加和脏手的减少。因此，这些设计在减少感染、提高整体清洁标准和增强空间吸引力方面发挥着重要作用。通过扩大设计的受众和开发附加组件以进一步利用这一概念，更多的学校、儿童和家长将从改善手部卫生中受益。通过将这项工作介绍给3个新的受众，我们将能够在学龄前儿童中灌输更好的手部卫生意识，我们将能够为成年人定制设计，并扩大概念的传播，最后，在全球南方背景下对卫生习惯产生积极影响。

ContextIn the previously funded project ('Lifting the Lid on Bacteria') children devised many interesting ideas to help communicate the importance of hand hygiene to their peers when in school toilet spaces. The final overall concept developed was 'Use 123 to get germ free' and this message, and associated messages/graphics were placed imaginatively in cubicles, on washing devices and around the wall areas. The areas where the designs were installed (in 3 primary schools and in Eureka! Museum) became much more colourful, engaging and helped improve hand hygiene by increasing the use of soap by between 41% and 60%. The designs were very well received by the children who helped create them the people that used the space and other stakeholders. The project won the 'Best Education and Research Award' at the E-Bug Conference, London in January 2019 and we have given invited presentations in Denmark and Nepal. We have also published 3 journal articles and have 3 articles under review as part of the previous project.Aims and ObjectivesThis project aims to enhance the commercial viability of our wall-based graphics. In the previous research, through interviews with teachers and children, 3 areas were identified that would exploit the 123 concept further - 1) the need for a classroom-based introduction to the designs, 2) an element of the design that teachers could easily customise or alter when there are outbreaks of infection and 3) a take-home pack for parents to ensure the message moves from school to the home. We propose to carry out these extensions to the concept to create a more desirable '123' package for schools to use and we will work with a partner school, through co-design workshops with teachers, children and parents, to ensure ideas match their needs. Once finalised, the package will be made available to download at minimal cost through a University fast-licensing system and we will identify a reliable printer/materials to recommend to schools.We also aim to share our designs with a wider audience. In the previous project the graphics were placed in 3 schools and a children's museum and we wish to extend their use both to other schools and to tailor the concept for new audiences. Through attendance at a national head teachers conference and by running an event for local schools, we hope to raise awareness of the 123 concept and disseminate the designs further. In terms of new audiences we propose to work with a pre-school to tailor the designs for children under 5 and to develop a script to aid understanding. We also intend to install the designs in the Thackray Medical Museum and understand, through liaison with the museum staff, how to tailor the concept for their visitors. We also will test out and tailor how the design concept works in a new international context, working in a school in Uganda. Two short films will be created that will help bring the concept to life for potential new users. The final stage of the activities involves targeted promotion of the product and contacting potential new organisations who may wish to use the product. Downloads of the product will be monitored and follow-up feedback sought.Potential Application and BenefitsEvidence gathered from the previous project highlights an increase in soap usage and reduction in instances of dirty hands. The designs therefore play an important role in infection reduction, improving cleanliness standards overall and enhancing the appeal of spaces. By widening the audience for the designs and developing add-on components to exploit the concept further, more schools, children and parents will benefit, in health terms, from improved hand hygiene. By introducing the work to 3 new audiences we will be able to instil better awareness of hand hygiene at pre-school age, we will be able to customise the designs for adults and broaden the dissemination of the concept and lastly, impact positively upon hygiene habits in a Global South context.