Afsaneh Karbasi Amel, Helia Rahnamaei, Zeinab Hashemi
Play therapy and storytelling intervention on children's social skills with attention deficit-hyperactivity disorder
Journal of education and health promotion
well home health navigator program prospective randomized controlled trial rct implemented compare community health navigator program usual care program reduce contaminants drinking water 4year twoarmed rct involve well owners oregon private drinking water wells contain arsenic nitrate lead maximum contaminant levels intervention leverages trusted relationship cooperative extension service ces community educators rural well owners educate assist motivate make decisions set actionable steps mitigate water contamination study ces serve home health navigators deliver 1 individualized feedback 2 positive reinforcement 3 teachback moments 4 decisionmaking skills 5 navigation resources 6 selfmanagement 7 repeated contact shaping maintenance behaviors usual care includes information access individual meetings ces prespecified primary outcomes include 1 adoption treatment reduce exposure arsenic nitrate lead water may include switching bottled water 2 engagement well stewardship behaviors assessed baseline post6 12 months followup water quality measured baseline 12month household water tests secondary outcomes include increased health literacy scores risk perception assessed baseline 6month surveys results demonstrate efficacy domestic well water safety program disseminate ces organizations nct05395663