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Continuation of Health Behaviors: Psychosocial Factors Sustaining Drinking Water Chlorination in a Longitudinal Study from Chad

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  • Jonathan Lilje

    (Eawag: Swiss Federal Institute of Aquatic Science and Technology, Überlandstrasse 133, 8600 Dübendorf, Switzerland)

  • Hans-Joachim Mosler

    (Eawag: Swiss Federal Institute of Aquatic Science and Technology, Überlandstrasse 133, 8600 Dübendorf, Switzerland)

Abstract

Behavior that has changed following promotion campaigns is usually not maintained at its initial level. Psychosocial factors for initiating behavior are often not the same as for the continuation of health behaviors such as water treatment and are much less understood. Better knowledge of factors for behavioral continuation would help to improve programs, both in the design of strategies for sustainable behavior change and by defining stronger criteria for the evaluation of sustainability. This study compared the mindsets of caregivers who continuously performed household drinking water treatment over time with individuals that stopped doing so in a population sample from Chad. Several factors from health psychology based on the Risks, Attitudes, Norms, Abilities, and Self-Regulation (RANAS) model were used to compare the two groups and examine their differing development. Normative factors such as others’ behavior, personal obligation, social support and discourse, perceived self-efficacy convictions, action control, and intention best discriminated between the two groups and developed significantly more positively over time for continuers of water treatment. These factors should be considered when designing future interventions intended to lead to sustainable behavior change.

Suggested Citation

  • Jonathan Lilje & Hans-Joachim Mosler, 2016. "Continuation of Health Behaviors: Psychosocial Factors Sustaining Drinking Water Chlorination in a Longitudinal Study from Chad," Sustainability, MDPI, vol. 8(11), pages 1-20, November.
    • Handle: RePEc:gam:jsusta:v:8:y:2016:i:11:p:1149-:d:82534
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    References listed on IDEAS

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    1. World Bank Group, 2015. "World Development Report 2015 [Informe sobre el desarrollo mundial 2015 : mente, sociedad y conducta - panorama general]," World Bank Publications - Books, The World Bank Group, number 20597.
    2. Bandura, Albert, 1991. "Social cognitive theory of self-regulation," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 248-287, December.
    3. World Bank Group, 2016. "World Development Report 2016 [Rapport sur le développement dans le monde 2016]," World Bank Publications - Books, The World Bank Group, number 23347.
    4. Tumwebaze, Innocent K. & Mosler, Hans-Joachim, 2015. "Effectiveness of group discussions and commitment in improving cleaning behaviour of shared sanitation users in Kampala, Uganda slums," Social Science & Medicine, Elsevier, vol. 147(C), pages 72-79.
    5. Contzen, Nadja & Meili, Iara Helena & Mosler, Hans-Joachim, 2015. "Changing handwashing behaviour in southern Ethiopia: A longitudinal study on infrastructural and commitment interventions," Social Science & Medicine, Elsevier, vol. 124(C), pages 103-114.
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    Cited by:

    1. Jason A. Hubbart & Kaylyn S. Gootman, 2021. "A Call to Broaden Investment in Drinking Water Testing and Community Outreach Programs," Challenges, MDPI, vol. 12(2), pages 1-10, December.
    2. Qinwen Qi & Janeth Marwa & Tulinave Burton Mwamila & Willis Gwenzi & Chicgoua Noubactep, 2019. "Making Rainwater Harvesting a Key Solution for Water Management: The Universality of the Kilimanjaro Concept," Sustainability, MDPI, vol. 11(20), pages 1-15, October.
    3. Inauen, Jennifer & Lilje, Jonathan & Mosler, Hans-Joachim, 2020. "Refining hand washing interventions by identifying active ingredients: A cluster-randomized controlled trial in rural Zimbabwe," Social Science & Medicine, Elsevier, vol. 245(C).
    4. Janeth Marwa & Mesia Lufingo & Chicgoua Noubactep & Revocatus Machunda, 2018. "Defeating Fluorosis in the East African Rift Valley: Transforming the Kilimanjaro into a Rainwater Harvesting Park," Sustainability, MDPI, vol. 10(11), pages 1-12, November.
    5. Zhe Huang & Esther Laurentine Nya & Viet Cao & Willis Gwenzi & Mohammad Azizur Rahman & Chicgoua Noubactep, 2021. "Universal Access to Safe Drinking Water: Escaping the Traps of Non-Frugal Technologies," Sustainability, MDPI, vol. 13(17), pages 1-15, August.

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