Comparing the Effects of Face‑to‑Face and Video‑Based Educations on Hand Hygiene Knowledge and Performance among Mothers in Neonatal Intensive Care Unit: A Randomized Controlled Trial

Zhilla Damanabad, Leila Valizadeh, Mohammadbagher Hosseini, Marzieh Abdolalipour, Mohammad Jafarabadi

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Background: Hand hygiene is the first step in nosocomial infection control. However, most people have limited knowledge about proper hand hygiene. Objectives: This study aimed at comparing the effects of face-To-face education (FTFE) and video-based education (VBE) on hand hygiene knowledge and performance among mothers in neonatal intensive care unit (NICU). Methods: Using a three-group design, this randomized controlled trial was conducted in March-December 2019 in Al-Zahra University Hospital, Tabriz, Iran. In total, 132 mothers of neonates in NICU were recruited to the study through convenient sampling and were randomly allocated to either an FTFE group, a VBE group, or a control group. Data were collected before and 3 days after the intervention using a Maternal Hand Hygiene Knowledge Questionnaire and a Maternal Hand Hygiene Performance checklist. Data analysis was performed using the Chi-square test, paired-samples t-Test, one-way analysis of variance, and analysis of covariance. Results: The mean scores of hand hygiene knowledge and performance significantly increased in both the intervention groups (P 0.05) but did not significantly change in the control group (P > 0.05). There were no significant differences among the groups regarding the pretest mean scores of hand hygiene knowledge (P = 0.24) and performance (P = 0.26), while the posttest mean scores of hand hygiene knowledge and performance in both the intervention groups were significantly greater than the control group (P 0.05). Conclusion: Both FTFE and VBE are effective in significantly improving hand hygiene knowledge and performance among the mothers of neonates in NICU.

Original languageEnglish
Pages (from-to)158-164
Number of pages7
JournalNursing and Midwifery Studies
Issue number3
Publication statusPublished - 1 Jul 2021
Externally publishedYes


  • Education
  • Hand hygiene
  • Knowledge
  • Neonatal intensive care unit
  • Performance

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