Predicting household water use behaviour for improved hygiene practices in internet of things environment via dynamic behaviour intervention model

Recent advances in Internet of Things (IoT) enabled technologies allow the intelligent sensor systems to effectively and efficiently observe and identify human behaviour in many applications, particularly in energy consumption and healthcare sectors. One typical case is that how to use IoT technologies to understand human water use behaviour for improved and sustained hygiene practice. Traditionally, static behaviour intervention models are widely utilised to simulate behaviour intervention process over time. These static methods can predict targeted human behaviour reasonably well, but lack of capabilities on understanding and responding behaviour change process in IoT environments. In this study, the authors proposed a dynamic behaviour intervention model for predicting household water user behaviour for improved hygiene practices. This model is based on an expanded theory of planned behaviour (ETPB), and adopted structure equation model approach and control engineering concept. A case study of household water consumption model using artificial neural network is utilised to evaluate intervention trend of proposed ETPB dynamic behaviour model with system parameter identification. The ETPB dynamic model has been proved to be effective for modelling human behaviour intervention process

Behavioural Informatics for Improving Water Hygiene Practice based on IoT Environment

The development of Internet of Things (IoT) and latest Information and Communication Technologies (ICT) have changed the nature of healthcare monitoring and health behaviour intervention in many applications. Water hygiene and water conservation behaviour intervention as important influence factors to human health are gaining much attentions for improving sustained sanitation practice. Based on face-to-face delivery, typical behaviour intervention method is costly and hardly to provide all day access to personalised intervention guidance and feedbacks. In this study, we presented a behavioural information system and water use behaviour model using IoT platform. Using Expanded Theory of Planned Behaviour (ETPB) and adopted structure equation model, this study offers a solution for understanding the behaviour intervention mechanism and methodology for developing empirical model. A case study of behaviour intervention model is presented by utilising residential water conservation behaviour data collected in China. Results suggested that cultural differences have significant influences on the understanding of intervention drivers, promoting projects and increasing awareness, which could improve the behaviour intervention efficiency and further facilitate the improvement of water hygiene practice. The performance evaluation of water saving dimension is discussed as well in the pape

Closing the Loop: the Capacities and Constraints of Information and Communication Technologies for Development (ICT4D)

As a mechanism for collecting and sharing information, information and communications technologies (ICT) hold immense potential for individuals and institutions in low- and middle-income countries. Currently the distribution and adoption of ICTs--particularly mobile devices--has far outpaced the provision of other household services like clean water, sanitation, hygiene, or energy services. At the same time, the development and deployment of Internet of Things (IoT) devices including cellular- and satellite-connected sensors is facilitating more rapid feedback from remote regions where basic services are most limited. When used in conjunction with economic development or public health interventions, these devices and the feedback they provide can inform operation and maintenance activities for field staff and improve the monitoring and evaluation of outcomes for project stakeholders. This dissertation includes three chapters written as journal articles. While each chapter is framed around the work and research efforts being undertaken by the Sustainable Water, Energy, and Environmental Technologies Lab (SweetLab) at Portland State University, the common thread that weaves all three investigations together is the theme of ICT-enabled programmatic feedback. The first chapter introduces the three theoretical lenses that inform these investigations and the ways that ICTs and the data they provide can (1) serve as more appropriate proxies for measuring access to services, (2) reduce information asymmetries between various stakeholders including communities, governments, implementers, and funders, and (3) enable more robust methodologies for measuring outcomes and impacts of interventions within complex adaptive systems. The second chapter presents a critical review of the methodologies and technologies being used to track progress on sanitation and hygiene development goals. Chapter three describes how simple sensors and weight measurements can be combined with complex machine learning algorithms to facilitate more reliable and cost-effective latrine servicing in informal settlements. Chapter four presents the results from an investigation exploring how near-time feedback from sensors installed on motorized boreholes can improve water service delivery and drought resilience in arid regions of Northern Kenya. Finally, chapter five provides a summary of the three manuscripts and discusses the significance of this research for future investigations

Promoting Handwashing and Sanitation Behaviour Change in Low- and Middle-Income Countries: A Mixed-Method Systematic Review

This systematic review shows which promotional approaches are effective in changing handwashing and sanitation behaviour and which implementation factors affect the success or failure of such interventions. The authors find that promotional approaches can be effective in terms of handwashing with soap, latrine use, safe faeces disposal and open defecation. No one specific approach is most effective. However, several promotional elements do induce behaviour change. Different barriers and facilitators that influence implementing promotional approaches should be carefully considered when developing new policy, programming, practice, or research in this area

Domestic Practices and User Experiences Pre- and Post- Occupancy in a Low-Carbon Development

Examination of how household practices, resource flows and social contexts change after moving into an innovative development in Western Australia, with a focus on the home system of practice. This research demonstrates that while some aspects of domestic practices may change when the context changes, entrenched habits and personal practice history prescribe how practices are performed and the subsequent resources consumed

The Role of Psychological Ownership in Community-based Piped Water Supply Infrastructure in Nepal and India

Psychological ownership, the feeling that something is mine, is a diverse social construct on the individual level with a measurable core dimension of possessiveness. It can be fostered through participative elements in combination with behaviour change interventions. The concept originally stems from the organizational context, where antecedents leading to, and consequences of psychological ownership were vastly researched. Initial evidence of the application of the construct to shared targets such as the environment or common-pool resources, for instance community-based water infrastructure, yielded promising results. However, causal evidence is scarce and a holistic adaptation of the construct, tests of theory-based interventions concerning the routes, validation of the measurement scale, and a systematic investigation of the consequences of psychological ownership are lacking. This dissertation presents findings from two community development programmes in Nepal and India, where psychological ownership for community-based water infrastructure was the subject of the research. Our results are in-line with existing evidence from the organizational context and applications in other domains. First, we found qualitative evidence for the importance of the construct in the specific context of Nepal and India, and we validated the measurement for individual psychological ownership. Second, we found that interventions should be targeting the three routes substantially, e.g. by participatory activities. Community participation can be seen as a means of implementation and therefore needs to be combined with individual-level behaviour change and embedded in institutional interventions to cause greater psychological ownership. Third, the results show that psychological ownership fosters behavioural determinants and organizational citizenship behaviour, but not the functionality of safe water supply infrastructure. This body of work provides various connecting factors for future research. Apart from changes towards an enabling environment, it is important to disentangle complex interaction of stakeholders. There is a need for experts to take care of key infrastructure. In turn, psychological ownership plays an important role in the acceptance, use and sustainability of community-based safe water supply

UNDERSTANDING AND MODELLING OF RESIDENTIAL WATER USE BEHAVIOUR

There is an increasingly water scarcity issue, both for developed and developing countries. Water authorities are facing the challenges to secure the need of consumers and water saving due to the climate change and the population increase. To manage this water scarcity threat, water conservation projects are gaining overall attendances by water utilities and government. From the management perspective, it is desirable to investigate and understand how consumers use water and their water use behaviours. The main objective of this study is to develop a comprehensive understanding of residential household water use behaviour through theoretical and modelling perspectives. This study is based on the Theory of Planned Behaviour (TPB) and proposed an extended version of the Theory of Planned Behaviour (TPB) for understanding the behaviour intervention mechanism. A survey of residential water use behaviour in China was designed and conducted in 2014 and the data was used to evaluate the extended theory. The theoretical evaluation has proved that the ETPB could increase the predictive power compared to original version of TPB, and also provide empirical evidence for the correlations among ETPB variables. Traditionally, static behaviour intervention models are widely utilised to simulate behaviour intervention process. These static methods can predict targeted human behaviour reasonably well, but they lack capabilities on understanding and responding behaviour change process with concerned time changes. Using the proposed ETPB theory, a dynamic behaviour intervention model for household water use behaviour prediction is presented to introduce the dynamic behavioural modelling solution. This model is based on adopted Structure Equation Model approach and Control Engineering Concept. A case study for household water consumption model using Artificial Neural Network (ANN) is proposed to explore the link between behaviour value and the water consumption amount, moreover, for evaluation of intervention trend of proposed ETPB dynamic behaviour model with system parameter identification. This research findings demonstrated that household water consumption could be saved by using proper behaviour change management strategies. The significance of these findings about behaviour intervention modelling in water end use areas is discussed. Also, potential applications of the ETPB-ANN dynamic integrated modelling method for other research purpose are also presented

Reducing childhood illness - fostering growth : an integrated home-based intervention package (IHIP) to improve indoor-air pollution, drinking water quality and child nutrition

Child mortality attributable to pneumonia, diarrhoea and malnutrition accounts globally for the majority of 8.8 million annual deaths. More than half of these deaths are preventable. Available and effective interventions include safe water supply, household water treatment, improved chimney stoves and personal- and home-hygiene and -health messages. In Peru, the current health services reform is focused on shifting responsibilities to peripheral levels; thus, empowering community organisations to manage primary health care services, including health promotion and preventive measures at household level. The current political situation and policy framework to integrate effective preventive interventions that can be delivered at family level, prompted us to test the efficacy of a package of health interventions to reduce childhood illness burden at rural household level. The goal of this PhD thesis was to assess the efficacy of an Integrated Environmental Home-based-Intervention Package (IHIP), comprised of an improved chimney stoves, access to safe drinking water from solar radiation household water treatment (SODIS), and hygiene education interventions, to reduce morbidity of acute respiratory infections, diarrhoea and poor growth of rural Peruvian children under three years of age. We implemented a community-randomised control field trial (cRCT) in 51 community’s clusters of the San Marcos Province, Cajamarca Region, Peru. The cRCT was divided as follows: * Set-up, community selection and participatory intervention development: A pilot study was carried out for the selection of the interventions. These were adapted to local customs. The participatory phase is described in detail in Chapters 4 & 5. * Randomization, enrolment and baseline data collection: Chapter 6 describes the randomisation, enrolment and baseline in detail. * Carbon monoxide (CO) and Particulate Matter (PM2.5) household air quality assessment: Chapter 7 & 8 describe the efficacy of the OPTIMA-improved stove in improving household air quality in comparison to traditional open fire stoves. * Morbidity surveillance and field data acquisition: Morbidity data on the daily occurrence of signs and symptoms diarrhoea and respiratory illnesses of children was collected weekly. Anthropometric every two months and microbial data every 6 months. Chapter 9 describes the IHIP impact on morbidity reduction. * Workshops for a community-driven sustainable dessimination: Chapter 10 describes the community workshops and dissemination processes and dynamics within a socio-ecological framework. Our community-randomised control trial demonstrated that IHIP reduced 22% per year of child diarrhoea (RR 0.78, 95% CI: 0.49-1.05) and found an odds ratio of 0.71 for diarrhoea prevalence (OR 0.71, 95%, CI: 0.47, 1.06). No effects on the frequency of acute lower respiratory infections (RR 0.99, 95% CI: 0.59, 1.65) or child’s growth rates were found when comparing study arms. We identified three reasons for this moderate diarrhoea reduction: i) hand-washing promotion was universally found in our setting, since it is being promoted by the health care centre; ii) SODIS compliance was moderate: only one third of the beneficiaries were using the method regularly; and iii) the increased awareness for the child’s needs linked to the control intervention, could induce improved child care behaviour. The lack of effect on ALRI, could be linked to insufficient reduction in exposure to household air pollutants and high health service utilisation due to cultural beliefs and health seeking behavoiur. The household air pollution assessment study revealed only moderate reductions of 45% and 27% reduction of PM2.5 and CO, respectively for mothers’ personal exposure. This result was achieved in the best working stoves only. This may most likely not be sufficient to reduce impact on physician-diagnosed pneumonia. Community participatory meetings and surveys revealed that people’s decisions on adopting household-level environmental and hygiene interventions, was not only based on individual perceptions of their potential gains, but also depended on peer pressure and social network relations. Individual perceptions regarding pollution levels of water and household air (transparent, odourless water vs dirty air environments) influenced perceived gains and the adoption of certain interventions. Access to information and encouragement from health-care providers and programme implementers also increased adoption. The IHIP had several additional benefits beyond health outcomes. Mother’s expressed that the stoves could reduce cooking time and wood consumption, which translated into cost saving. They also could perform other task while cooking. Regarding the kitchen sink, the mothers expressed it facilitated handwashing, and washing of utensils with detergent, generating a cleaner kitchen environment that fostered home and food hygiene. We believe that the IHIP package motivated families to improve the kitchen living area in general. The high acceptance and sustained use was not only observed in the IHIP families but also in non-participating families that had copied the OPTIMA-improved stove after the community engagement in the desimination activities. We can also conclude that the IHIP package added to the family status, improved quality of life and impacted on their livelihoods, by empowering the beneficiary families. In conclusion, through this project we envisaged to demonstrate how an integrated package could be implemented at the household level in rural areas of Peru and its effect on health, quality of life and livelihoods. However, behaviour change for keeping maintanence of the interventions and use is necessary to achieve compliance, replication and sustainability

A theoretical and practical approach to a persuasive agent model for change behaviour in oral care and hygiene

There is an increased use of the persuasive agent in behaviour change interventions due to the agent‘s features of sociable, reactive, autonomy, and proactive. However, many interventions have been unsuccessful, particularly in the domain of oral care. The psychological reactance has been identified as one of the major reasons for these unsuccessful behaviour change interventions. This study proposes a formal persuasive agent model that leads to psychological reactance reduction in order to achieve an improved behaviour change intervention in oral care and hygiene. Agent-based simulation methodology is adopted for the development of the proposed model. Evaluation of the model was conducted in two phases that include verification and validation. The verification process involves simulation trace and stability analysis. On the other hand, the validation was carried out using user-centred approach by developing an agent-based application based on belief-desire-intention architecture. This study contributes an agent model which is made up of interrelated cognitive and behavioural factors. Furthermore, the simulation traces provide some insights on the interactions among the identified factors in order to comprehend their roles in behaviour change intervention. The simulation result showed that as time increases, the psychological reactance decreases towards zero. Similarly, the model validation result showed that the percentage of respondents‘ who experienced psychological reactance towards behaviour change in oral care and hygiene was reduced from 100 percent to 3 percent. The contribution made in this thesis would enable agent application and behaviour change intervention designers to make scientific reasoning and predictions. Likewise, it provides a guideline for software designers on the development of agent-based applications that may not have psychological reactance