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The Effectiveness of a Poster Intervention on Hand Hygiene Practice and Compliance When Using Public Restrooms in a University Setting

Belfast School of Architecture and the Built Environment, Ulster University, Newtownabbey BT37 0QB, UK
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Int. J. Environ. Res. Public Health 2019, 16(24), 5036; https://doi.org/10.3390/ijerph16245036
Received: 22 October 2019 / Revised: 9 December 2019 / Accepted: 9 December 2019 / Published: 11 December 2019
Background: Most research on hand hygiene compliance in community settings indicates that compliance is poor. It is not conclusive as to whether poster interventions are effective at improving compliance. Methods: An independent, self-designed poster intervention was installed in one set of male and female public restrooms in a university campus in the UK. The hand hygiene practice and compliance of the university population was measured via indirect observation over a 60 day period. Results: During the pre-intervention observation period, 51.09% of the university population practiced basic hand hygiene compliance (washed hands with water, soap and dried afterwards), and 7.88% practiced adequate hand hygiene compliance (washed hands with water and soap for 20 s or more and dried afterwards for 20 s or more). During the post-intervention observation period, 55.39% of the university population were observed practicing basic hand hygiene compliance, and 7.97% practicing adequate hand hygiene compliance. Gender differences revealed that more females practiced basic hand hygiene in the post-intervention observation period (62.81%) than during the pre-intervention period (49.23%) and this was statistically significant (χ2 = 13.49, p = < 0.01). Discussion: The poster intervention had a limited effect on improving the basic and adequate hand hygiene compliance of the general population when using public restrooms. The use of independent, self-designed posters to improve hand hygiene practice and compliance is largely ineffective in the short term and should be used with caution in future intervention strategies. View Full-Text
Keywords: Hand hygiene; behaviour; compliance; observation; intervention; poster; visual Hand hygiene; behaviour; compliance; observation; intervention; poster; visual
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Lawson, A.; Vaganay-Miller, M. The Effectiveness of a Poster Intervention on Hand Hygiene Practice and Compliance When Using Public Restrooms in a University Setting. Int. J. Environ. Res. Public Health 2019, 16, 5036.

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