Does poor mental health change the influence of interventions on handwashing in a vulnerable population of rural Malawi? The key role of emotions

Poor mental health is a neglected problem worldwide. People living through humanitarian emergencies suffer not only from scarcity of water, food and poor hygiene but also from poor mental health. Mental disorders can impair health-related daily behavior, handwashing with soap, of vulnerable individu...

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Autores principales:	Jurgita Slekiene, Hans-Joachim Mosler
Formato:	article
Lenguaje:	EN
Publicado:	IWA Publishing 2021
Materias:	behavior change emotions handwashing with soap mental health ranas wash Environmental technology. Sanitary engineering TD1-1066
Acceso en línea:	https://doaj.org/article/0b448f0f10604c1aad04e8cc1791cc91
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spelling	oai:doaj.org-article:0b448f0f10604c1aad04e8cc1791cc912021-11-05T19:31:48ZDoes poor mental health change the influence of interventions on handwashing in a vulnerable population of rural Malawi? The key role of emotions2043-90832408-936210.2166/washdev.2020.107https://doaj.org/article/0b448f0f10604c1aad04e8cc1791cc912021-05-01T00:00:00Zhttp://washdev.iwaponline.com/content/11/3/350https://doaj.org/toc/2043-9083https://doaj.org/toc/2408-9362Poor mental health is a neglected problem worldwide. People living through humanitarian emergencies suffer not only from scarcity of water, food and poor hygiene but also from poor mental health. Mental disorders can impair health-related daily behavior, handwashing with soap, of vulnerable individuals. However, it is unknown whether handwashing interventions have a different impact on people with poor mental health. A longitudinal study collected data from 638 people in Malawi at baseline and follow-up. We conducted face-to-face interviews with a quantitative questionnaire that used the RANAS approach to behavior change to measure factors underlying handwashing. We assessed mental health using the validated Chichewa version of the Self-Reporting Questionnaire (SRQ-20). Mental health was impaired in 27% of the people assessed. We found a negative relationship between mental health and handwashing after the intervention (r = − 0.083*). The mediation analysis revealed significant indirect effects of mental health on handwashing via factors feelings and difficulty in getting soap for handwashing. These findings imply that mental health assessment should be included in WASH surveys. Interventions that increase positive emotions would make behavior change more successful in populations with a significant proportion of people with poor mental health. This research is especially relevant to emergency contexts. HIGHLIGHTS Persons with poor mental health change their handwashing less after an intervention.; Changes in psychosocial factors underlying handwashing depend on mental health.; Feelings play a key role in behavior change for individuals with poor mental health.;Jurgita SlekieneHans-Joachim MoslerIWA Publishingarticlebehavior changeemotionshandwashing with soapmental healthranaswashEnvironmental technology. Sanitary engineeringTD1-1066ENJournal of Water, Sanitation and Hygiene for Development, Vol 11, Iss 3, Pp 350-361 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	behavior change emotions handwashing with soap mental health ranas wash Environmental technology. Sanitary engineering TD1-1066
spellingShingle	behavior change emotions handwashing with soap mental health ranas wash Environmental technology. Sanitary engineering TD1-1066 Jurgita Slekiene Hans-Joachim Mosler Does poor mental health change the influence of interventions on handwashing in a vulnerable population of rural Malawi? The key role of emotions
description	Poor mental health is a neglected problem worldwide. People living through humanitarian emergencies suffer not only from scarcity of water, food and poor hygiene but also from poor mental health. Mental disorders can impair health-related daily behavior, handwashing with soap, of vulnerable individuals. However, it is unknown whether handwashing interventions have a different impact on people with poor mental health. A longitudinal study collected data from 638 people in Malawi at baseline and follow-up. We conducted face-to-face interviews with a quantitative questionnaire that used the RANAS approach to behavior change to measure factors underlying handwashing. We assessed mental health using the validated Chichewa version of the Self-Reporting Questionnaire (SRQ-20). Mental health was impaired in 27% of the people assessed. We found a negative relationship between mental health and handwashing after the intervention (r = − 0.083*). The mediation analysis revealed significant indirect effects of mental health on handwashing via factors feelings and difficulty in getting soap for handwashing. These findings imply that mental health assessment should be included in WASH surveys. Interventions that increase positive emotions would make behavior change more successful in populations with a significant proportion of people with poor mental health. This research is especially relevant to emergency contexts. HIGHLIGHTS Persons with poor mental health change their handwashing less after an intervention.; Changes in psychosocial factors underlying handwashing depend on mental health.; Feelings play a key role in behavior change for individuals with poor mental health.;
format	article
author	Jurgita Slekiene Hans-Joachim Mosler
author_facet	Jurgita Slekiene Hans-Joachim Mosler
author_sort	Jurgita Slekiene
title	Does poor mental health change the influence of interventions on handwashing in a vulnerable population of rural Malawi? The key role of emotions
title_short	Does poor mental health change the influence of interventions on handwashing in a vulnerable population of rural Malawi? The key role of emotions
title_full	Does poor mental health change the influence of interventions on handwashing in a vulnerable population of rural Malawi? The key role of emotions
title_fullStr	Does poor mental health change the influence of interventions on handwashing in a vulnerable population of rural Malawi? The key role of emotions
title_full_unstemmed	Does poor mental health change the influence of interventions on handwashing in a vulnerable population of rural Malawi? The key role of emotions
title_sort	does poor mental health change the influence of interventions on handwashing in a vulnerable population of rural malawi? the key role of emotions
publisher	IWA Publishing
publishDate	2021
url	https://doaj.org/article/0b448f0f10604c1aad04e8cc1791cc91
work_keys_str_mv	AT jurgitaslekiene doespoormentalhealthchangetheinfluenceofinterventionsonhandwashinginavulnerablepopulationofruralmalawithekeyroleofemotions AT hansjoachimmosler doespoormentalhealthchangetheinfluenceofinterventionsonhandwashinginavulnerablepopulationofruralmalawithekeyroleofemotions
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Does poor mental health change the influence of interventions on handwashing in a vulnerable population of rural Malawi? The key role of emotions

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