Systematic review of behavior change research on point-of-use water treatment interventions in countries categorized as low- to medium-development on the human development index

摘要: Point-of-use water treatment (i.e., purification at the point of consumption) has proven effective in preventing diarrhea developing countries. However, widespread adoption not occurred, suggesting that implementation strategies have motivated sustained behavior change. We conducted a systematic literature review published behavioral research on factors influencing point-of-use countries categorized as low- to medium-development United Nations Development Programme Human Index. used 22 key words search peer-reviewed from 1950 2010 OVID Medline, CINAHL, and PsycINFO. Twenty-six (1.7%) 1551 papers met our four inclusion criteria: 1) implemented intervention, 2) applied 3) evaluated change outcome, 4) occurred or country. reviewed these 26 publications for detailed descriptions theoretical rationales evaluation. In 5 (19%) papers, details intervention were fully specified. Seven (27%) reported using theory design evaluation its impact. Ten (38%) studies comparison control group; provided descriptions. high use with rates >50% last recorded follow-up. Despite documented health benefits interventions reducing diarrheal diseases, we found limited topic. addition, existing often lacked replication, seldom described empirical rationale had limitations methodology. The scarcity respect technologies suggests this field is underdeveloped.