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Framed by the COM-B model, the findings highlight how schools can support behaviour change by enhancing pupils psychological capability, shaping physical and psychological opportunities, and influencing both reflective and automatic motivation

Home Management Strategies Several at-home approaches can help promote drainage and provide relief: Stay hydrated : Drinking plenty of fluids helps thin mucus and improve Eustachian tube function Try the Valsalva maneuver : Gently blow with your mouth closed and nose pinched to help equalize pressure (ask your doctor before trying this) Use a warm compress : Applying warmth to the affected ear can ease discomfort and promote drainage Sleep with your head elevated : This position encourages fluid to drain naturally Chew gum or yawn frequently : These actions help open the Eustachian tubes Avoid irritants : Stay away from cigarette smoke and strong chemical fumes Medical Treatments When fluid persists or causes significant symptoms, medical intervention may be necessary: Medications Decongestants : Help reduce swelling and improve Eustachian tube drainage Antihistamines : Beneficial if allergies are contributing to the fluid buildup Nasal corticosteroid sprays : Reduce inflammation in the nasal passages and Eustachian tubes Antibiotics : Reserved for cases where bacterial infection is present or suspected Allergy Management If allergies are the root cause, comprehensive allergy testing and treatment, including immunotherapy, can provide long-term relief and prevent recurrent fluid buildup

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