[01] Mahalakshmi Thillainathan, Faculty of Medicine, Melaka Manipal Medical College (Manipal Academy of Higher Education (MAHE)), Melaka, Malaysia. [02] Lim Shu Qi, Faculty of Medicine, Melaka Manipal Medical College (Manipal Academy of Higher Education (MAHE)), Melaka, Malaysia. [03] Danison Michel Dass, Faculty of Medicine, Melaka Manipal Medical College (Manipal Academy of Higher Education (MAHE)), Melaka, Malaysia. [04] Logenth Rajapandian, Faculty of Medicine, Melaka Manipal Medical College (Manipal Academy of Higher Education (MAHE)), Melaka, Malaysia. [05] Muhammad Alif Akmal, Faculty of Medicine, Melaka Manipal Medical College (Manipal Academy of Higher Education (MAHE)), Melaka, Malaysia. [06] Teeivya Sharagi Balakrisnan, Faculty of Medicine, Melaka Manipal Medical College (Manipal Academy of Higher Education (MAHE)), Melaka, Malaysia.

Background: With the efforts by the government to promote hand washing technique and importance of hand hygiene among the health care members, only a moderate compliance towards hand hygiene practices were observed. The purpose of this study is to determine the effectiveness of pictorial text instruction and demonstration towards hand washing technique among pre-university students in a private medical college. Methods: This randomized controlled trial was conducted among 54 pre-university health science students in private medical college in Malaysia, from March to May 2018. They were divided into three groups with 18 participants respectively and steps of hand washing technique was shown by using demonstration and pictorial text instruction. For control group no intervention was given. Marks on correct hand washing steps were given and students were asked to fill a questionnaire. The data was analysed using software such as Epi Info 7, GraphPad and Microsoft Excel. Result: The mean of correct hand washing skills of demonstration group 6.8 (0.5) is highest follow by pictorial text instruction 5.1 (1.6) and control group 2.8 (0.9) with P value is <0.001 which is significant. As for the comparison of marks of hand washing skills among the 3 groups, the mean difference of demonstration vs control group is highest followed by pictorial vs control group then demonstration vs pictorial group, with P value <0.001 which is significant. Conclusion: In this study, the participants in demonstration group has significant highest mean marks of hand washing skills compared to pictorial text instruction group and control group. Therefore, the demonstration technique is the most effective method that should be used to teach a skill as well as in improving a person’s understanding on a specific skill or technique.

Hand Disinfection, Demonstration, Pictorial, Effectiveness

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