Hand Washing Education Using Video Animation to Enhance Knowledge and Attitudes among Secondary School Students: A Quasi-Experimental Study

Authors

  • Kusbaryanto Kusbaryanto Universitas Muhammadiyah Yogyakarta
  • Ellentisa Natan Dwitasari Universitas Muhammadiyah Yogyakarta

DOI:

https://doi.org/10.37287/ijghr.v7i6.142

Keywords:

adolescents, attitudes, hand hygiene, health education, knowledge, video animation

Abstract

Hand hygiene represents a fundamental infection prevention strategy, particularly critical among adolescent populations who serve as potential vectors for respiratory and gastrointestinal disease transmission. This study aimed to evaluate the efficacy of animated video-based educational interventions on hand hygiene knowledge and attitudinal outcomes among junior high school students. A quasi-experimental pre-test/post-test design without control group was implemented among 109 seventh-grade students at one public Secondary High School (SHS) in Bantul, Indonesia. Convenience sampling was employed across five class sections. Participants received a structured educational intervention utilizing animated video content. Assessment was conducted via validated knowledge and attitude questionnaires administered before and after intervention. Statistical analysis employed the Wilcoxon signed-rank test to evaluate intervention effects. Participants (58.7% female, 41.3% male) demonstrated statistically significant improvement in hand hygiene knowledge scores following the intervention (pre-test mean=9.55±0.687; post-test mean=9.76±0.507; p=0.001). However, attitudinal measures did not show significant change (pre-test mean=30.68±4.86; post-test mean=31.35±4.76; p=0.160). Animated video-based educational interventions demonstrate significant efficacy in enhancing hand hygiene knowledge among secondary school students, though attitudinal changes appear more resistant to short-term intervention.

References

Afework, A., & Tamene, A. (2025). Uncovering the obstacles: a comprehensive analysis of barriers to hand hygiene adherence among healthcare providers: a systematic review. BMC Infectious Diseases, 25(1), 502. https://doi.org/10.1186/s12879-025-10924-4

Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211. https://doi.org/10.1016/0749-5978(91)90020-T

Ashraf, S., Kuang, J., Das, U., & Bicchieri, C. (2020). Sanitation Practices during Early Phases of COVID-19 Lockdown in Peri-Urban Communities in Tamil Nadu, India. The American Journal of Tropical Medicine and Hygiene, 103(5), 2012–2018. https://doi.org/10.4269/ajtmh.20-0830

Buchner, J. (2018). How to create Educational Videos: From watching passively to learning actively. R&E-SOURCE.

Chun, J. Y., Seo, H. K., Kim, M.-K., Shin, M. J., Kim, S. Y., Kim, M., Kim, C.-J., Song, K.-H., Kim, E. S., Lee, H., & Kim, H. Bin. (2016). Impact of a hand hygiene campaign in a tertiary hospital in South Korea on the rate of hospital-onset methicillin-resistant Staphylococcus aureus bacteremia and economic evaluation of the campaign. American Journal of Infection Control, 44(12), 1486–1491. https://doi.org/10.1016/j.ajic.2016.07.009

Clark, J., Henk, J. K., Crandall, P. G., Crandall, M. A., & O’Bryan, C. A. (2016). An observational study of handwashing compliance in a child care facility. American Journal of Infection Control, 44(12), 1469–1474. https://doi.org/10.1016/j.ajic.2016.08.006

Duijster, D., Monse, B., Dimaisip-Nabuab, J., Djuharnoko, P., Heinrich-Weltzien, R., Hobdell, M., Kromeyer-Hauschild, K., Kunthearith, Y., Mijares-Majini, M. C., Siegmund, N., Soukhanouvong, P., & Benzian, H. (2017). ‘Fit for school’ - a school-based water, sanitation and hygiene programme to improve child health: Results from a longitudinal study in Cambodia, Indonesia and Lao PDR. BMC Public Health, 17(1), 1–15. https://doi.org/10.1186/s12889-017-4203-1

Dwipayanti, N. M. U., Lubis, D. S., & Harjana, N. P. A. (2021). Public Perception and Hand Hygiene Behavior During COVID-19 Pandemic in Indonesia. Frontiers in Public Health, 9. https://doi.org/10.3389/fpubh.2021.621800

Faul, F., Erdfelder, E., Buchner, A., & Lang, A.-G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149–1160. https://doi.org/10.3758/BRM.41.4.1149

Grady, C., Iannantuoni, A., & Winters, M. S. (2021). Influencing the means but not the ends: The role of entertainment-education interventions in development. World Development, 138, 105200. https://doi.org/10.1016/j.worlddev.2020.105200

Hong, Q., & Xu, Y. (2024). Evaluating hand hygiene knowledge, attitudes, and practices among healthcare workers in post-pandemic H1N1 influenza control: a cross-sectional study from China. Frontiers in Public Health, 12. https://doi.org/10.3389/fpubh.2024.1432445

Isse, S., Doğan, A., Ali, T., Wehlie, J., Adam, A., & Öztürk, H. (2024). Hand Hygiene Compliance and Its Associated Factors Among Health Care Workers at Mogadishu Somali Turkiye Recep Tayyip Erdoğan Training and Research in a Tertiary Care Hospital. Risk Management and Healthcare Policy, Volume 17, 2415–2425. https://doi.org/10.2147/RMHP.S481057

Juanda, Zubaidah, T., Syarifudin, A., Haris, A., & Apriza, S. (2025). The Nexus of Home Sanitation, Personal Hygiene, and Dermatitis: Evidence from Banjarmasin, Indonesia. Universal Journal of Public Health, 13(2), 511–518. https://doi.org/10.13189/ujph.2025.130223

Kusumaningtiar, D. A., Veronika, E., Azteria, V., & Anggara, T. R. (2024). Water, Sanitation, and Hygiene in Indonesia School: Facilities and Infrastructure Availability. Journal of Research and Health, 14(3), 291–296. https://doi.org/10.32598/JRH.14.3.2255.2

Li, Y., Liu, Y., Zeng, L., Chen, C., Mo, D., & Yuan, S. (2019). Knowledge and practice of hand hygiene among hospitalised patients in a tertiary general hospital in China and their attitudes: a cross-sectional survey. BMJ Open, 9(6), e027736. https://doi.org/10.1136/bmjopen-2018-027736

Lotfinejad, N., Peters, A., Tartari, E., Fankhauser-Rodriguez, C., Pires, D., & Pittet, D. (2021). Hand hygiene in health care: 20 years of ongoing advances and perspectives. The Lancet Infectious Diseases, 21(8), e209–e221. https://doi.org/10.1016/S1473-3099(21)00383-2

McMichael, C. (2019). Water, Sanitation and Hygiene (WASH) in Schools in Low-Income Countries: A Review of Evidence of Impact. International Journal of Environmental Research and Public Health, 16(3), 359. https://doi.org/10.3390/ijerph16030359

Mohamed, N. A., Mohd Rani, M. D., Tengku Jamaluddin, T. Z. M., Ismail, Z., Ramli, S., Faroque, H., Abd Samad, F. N., Ariffien, A. R., Che Amir Farid, A. A. R., & Isahak, I. (2020). Effect of hand hygiene intervention on the absenteeism of pre-school children in Klang Valley, Malaysia: a quasi-experimental study. World Journal of Pediatrics, 16(4), 416–421. https://doi.org/10.1007/s12519-019-00283-x

Mohamed, Y. S., Spaska, A., Andrade, G., Baraka, M. A., Ahmad, H., Steele, S., Abu-rish, E. Y., Nasor, E. M., Forsat, K., Teir, H. J., Bani, I., & Panigrahi, D. (2024). Hand hygiene knowledge, attitude, and practice before, during and post COVID-19: a cross-sectional study among university students in the United Arab Emirates. Infection Prevention in Practice, 6(2), 100361. https://doi.org/10.1016/j.infpip.2024.100361

Ntaote, M., Tyeshani, L., & Oladimeji, O. (2024). Knowledge, Attitudes, and Perceptions towards Hand Hygiene Practice Amongst Students at a Nursing College in Lesotho. Hygiene, 4(4), 444–457. https://doi.org/10.3390/hygiene4040033

Polit, D. F., & Beck, C. T. (2006). The content validity index: Are you sure you know what’s being reported? Critique and recommendations. Research in Nursing and Health, 29(5), 489–497. https://doi.org/10.1002/nur.20147

Polit, D. F., Beck, C. T., & Owen, S. V. (2007). Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Research in Nursing & Health, 30(4), 459–467. https://doi.org/10.1002/nur.20199

Rittenschober-Böhm, J., Strassl, J., Kletecka-Pulker, M., Szerémy, P., Haidegger, T., Ferenci, T., Berger, A., & Wagner, M. (2024). Evaluation of a Video-Based Concept for Hand Hygiene Education of Parents in a Neonatal Intensive Care Unit. Healthcare, 12(17), 1766. https://doi.org/10.3390/healthcare12171766

Rosenstock, I. M. (1974). The Health Belief Model and Preventive Health Behavior. Health Education Monographs, 2(4), 354–386. https://doi.org/10.1177/109019817400200405

Saharman, Y. R., Aoulad Fares, D., El-Atmani, S., Sedono, R., Aditianingsih, D., Karuniawati, A., Van Rosmalen, J., Verbrugh, H. A., & Severin, J. A. (2019). A multifaceted hand hygiene improvement program on the intensive care units of the National Referral Hospital of Indonesia in Jakarta. Antimicrobial Resistance and Infection Control, 8(1). https://doi.org/10.1186/s13756-019-0540-4

Shaban, R. Z., Sotomayor-Castillo, C., Nahidi, S., Li, C., Macbeth, D., Mitchell, B. G., & Russo, P. L. (2020). Global burden, point sources, and outbreak management of healthcare-associated Burkholderia cepacia infections: An integrative review. Infection Control & Hospital Epidemiology, 41(7), 777–783. https://doi.org/10.1017/ice.2020.184

Srigley, J. A., Cho, S. M., O’Neill, C., Bialachowski, A., Ali, R. A., Lee, C., & Mertz, D. (2020). Hand hygiene knowledge, attitudes, and practices among hospital inpatients: A descriptive study. American Journal of Infection Control, 48(5), 507–510. https://doi.org/10.1016/j.ajic.2019.11.020

Suen, L. K. P., & Cheung, J. P. L. (2020). Effectiveness of “Hand Hygiene Fun Month” for Kindergarten Children: A Pilot Quasi-Experimental Study. International Journal of Environmental Research and Public Health, 17(19), 7264. https://doi.org/10.3390/ijerph17197264

Tjoa, E., Mahendra, C., Suryanto, S., Theresia, S., Wirjanata, M., & Soeselo, D. A. (2022). Hand hygiene knowledge, perception, and compliance among healthcare workers. International Journal of Public Health Science, 11(2), 405–416. https://doi.org/10.11591/ijphs.v11i2.21263

Younie, S., Mitchell, C., Bisson, M.-J., Crosby, S., Kukona, A., & Laird, K. (2020). Improving young children’s handwashing behaviour and understanding of germs: The impact of A Germ’s Journey educational resources in schools and public spaces. PLOS ONE, 15(11), e0242134. https://doi.org/10.1371/journal.pone.0242134

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Published

2025-09-16

How to Cite

Kusbaryanto, K., & Dwitasari, E. N. (2025). Hand Washing Education Using Video Animation to Enhance Knowledge and Attitudes among Secondary School Students: A Quasi-Experimental Study. Indonesian Journal of Global Health Research, 7(6), 175–184. https://doi.org/10.37287/ijghr.v7i6.142

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