The Effect of Therapeutic Clowning on Handwashing Technique and Microbial Colonization in Preschool Children

Arıkan, Duygu; Baş, Nazan Gürarslan; Kurudirek, Fatma; Baştopçu, Ayşe; Uslu, Hakan

doi:10.1111/jnu.12392

Cited by 9 publications

(13 citation statements)

References 20 publications

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“…A total of 12 studies were included in the scoping review. Only one of the studies was conducted in Africa, [11] five were set in European countries, [16,25,[30][31][32] three in Asia, [26,28,29] two in the Middle East [18,27] and one in South America. [24] To determine the success of an intervention a measurable variable needs to be defined.…”

Section: Resultsmentioning

confidence: 99%

“…4 training sessions on hand hygiene and WHO 7-step hand washing -25% in absenteeism; improved handwashing performance Arikan et al [27] 2018 Turkey Bacterial growth on hands…”

Section: Date Country Hh-related Indicator Intervention Resultsmentioning

confidence: 99%

“…[18] Determining bacterial colony density on children's hands was used as the main indicator of HH compliance between intervention and control groups in one study. [27] The sample population of these studies included parents, caregivers and preschool children aged 5 years or younger, either singly or in combination. Sample sizes ranged from 40 preschool facilities [18] to 3 523 children, [11] depending on the study design.…”

Section: Reviewmentioning

confidence: 99%

“…The described screening process yielded a final set of 12 studies for analysis. [11,16,18,[24][25][26][27][28][29][30][31][32] . Extracted information was collated in table format (see Table 1).…”

mentioning

confidence: 99%

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A scoping review to identify the type and effect of hand hygiene interventions on the reduction of infectious diseases (including COVID-19) in preschool children

Lange

Bernard

Naicker

2021

SAJCH

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Background. Proper handwashing can reduce the burden of diseases related to hand hygiene (HH) and so contribute reducing under-5 mortality. Preschoolers can benefit from HH interventions by the burden of disease and absenteeism being reduced. Objective. To perform a scoping review of literature to assess the types and effectiveness of HH interventions at preschools, with a view to providing a guideline for appropriate interventions for South African facilities. Methods. A literature search was conducted through the PubMed database to identify relevant studies. An iterative screening process to focus the review allowed for information on the type and effectiveness of interventions to be collated. An updated PubMed search was conducted to determine whether any interventions related to COVID-19 at preschools could be included. Results. No additional studies relating to COVID-19 were found. Of the 305 studies identified during the initial search, only 12 fitted the specific search criteria. Of these, 10 studies showed improvements in HH-related indicators following the interventions. Only two studies used health education as an intervention, whereas the others included the supply of HH products (to varying extents) as part of the intervention. Conclusion. HH interventions appear successful in reducing diseases spread by poor HH, improving general HH practices and reducing absenteeism among preschoolers. Studies using innovative, entertaining methods of educating children have shown to be successful in improving handwashing techniques and decreasing microbial growth on children’s hands. HH interventions are suggested as an effective measure to improve HH during the COVID-19 pandemic

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Section: Resultsmentioning

confidence: 99%

“…4 training sessions on hand hygiene and WHO 7-step hand washing -25% in absenteeism; improved handwashing performance Arikan et al [27] 2018 Turkey Bacterial growth on hands…”

Section: Date Country Hh-related Indicator Intervention Resultsmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

A scoping review to identify the type and effect of hand hygiene interventions on the reduction of infectious diseases (including COVID-19) in preschool children

Lange

Bernard

Naicker

2021

SAJCH

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“…Traditional educations on handwashing may not effectively engage preschool children. Arıkan and colleagues proposed an entertaining method, that is, using therapeutic clowning, to teach handwashing technique among preschool children 2. They evaluated their proposed therapeutic clowning by their subjects’ handwashing habit and hand cleanliness.…”

Section: Contextmentioning

confidence: 99%

Effectiveness of therapeutic clowning on handwashing habits remains unknown

Lee

2018

Evid Based Nurs

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Rinse-free hand wash for reducing absenteeism among preschool and school children

Munn

Tufănaru

Lockwood

et al. 2020

Cochrane Database of Systematic Reviews

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The Effect of Therapeutic Clowning on Handwashing Technique and Microbial Colonization in Preschool Children

Abstract: Considering these results, we recommend that pediatric healthcare professionals use entertaining methods such as those involving clowns to teach and guide children regarding hygienic handwashing techniques.

Cited by 9 publications

References 20 publications

A scoping review to identify the type and effect of hand hygiene interventions on the reduction of infectious diseases (including COVID-19) in preschool children

A scoping review to identify the type and effect of hand hygiene interventions on the reduction of infectious diseases (including COVID-19) in preschool children

Effectiveness of therapeutic clowning on handwashing habits remains unknown

Rinse-free hand wash for reducing absenteeism among preschool and school children

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