Table 1.
Risk, Attitude, Norms, Ability, and Self-regulation model–based questionnaire (e.g., factors and items for washing utensils with soap)
| Behavior determinants | Selected items |
|---|---|
| Risk factors | |
| Vulnerability | In general, how high do you think is the risk that you get diarrhea? |
| Severity | Imagine that you contracted diarrhea. How severe would be the impact on your life in general? |
| Health knowledge | Can you tell me what causes diarrhea? Could you please tell me if each of the following is a cause or not? For example, no handwashing with soap after defecation. Could you please tell me for each whether it is a preventive measure for diarrhea or not? For example, drink treated water |
| Attitudinal factors | |
| Belief—effort | How pleasant is it for you to wash kitchen utensils with soap and water? |
| Belief—time-consuming | How time-consuming is it to wash kitchen utensils with soap and water? |
| Belief—expensive | How expensive is it for you to always wash kitchen utensils with soap and water? |
| Feelings | How much do you like always washing kitchen utensils with soap and water? |
| Normative factors | |
| Others’ behavior household | How many people of your household always wash kitchen utensils with soap and water? |
| Others’ behavior village | How many people of your village always wash kitchen utensils with soap and water? |
| Others’ approval | People who are important to you like your family members, friends, Non Governmental Organization (NGO) workers, or pastor, how much do they approve that you always wash kitchen utensils with soap and water? |
| Personal obligation | How strong do you feel a personal obligation to yourself to always wash kitchen utensils with soap and water? |
| Ability factors | |
| Confidence in performance | How confident are you that you can always wash kitchen utensils with soap and water? |
| Difficult water | How difficult is it to always get water for washing kitchen utensils? |
| Barriers hurry | Imagine that you are in a hurry, for example, because you want to go for relief distribution: How confident are you that you can always wash kitchen utensils with soap and water? |
| Self-regulation factors | |
| Coping plan | Do you have a plan what to do so that you always have soap for washing kitchen utensils? Plan, please specify. |
| Remembering (pay attention) | How much do you pay attention to washing utensils with soap and water? |
| Remembering (forgetting last 24 hours) | When you think about the last 24 hours: How often did it happen that you forgot to wash kitchen utensils with soap and water? |
| Commitment (important) | How important is it for you to wash kitchen utensils with soap and water? |
| Washing utensils with soap behavior | How often do you wash kitchen utensils with soap? |
Response scales: 5-point Likert scale (from “not at all” to “very much”; from “at no time” to “almost each time”; from “never” to “very often”; and from “nobody” to “almost all of them”).