Children, Only, Educational Problems, Hospital Infection
Conditions
Brief summary
The present study aims to evaluate the effectiveness of toy hygiene education given to mothers of hospitalized children on their knowledge and practices, as well as the cleanliness of toy surfaces.
Detailed description
While studies show that toys contain significant amounts of pathogenic microorganisms and may be effective in the spread of hospital-acquired infections, it appears that the literature and hospital practices on the disinfection of these toys are quite limited. Additionally, there is no routine practice to ensure toy hygiene in most health institutions. Therefore, in order to prevent the transfer of infectious agents through toys, policies and guidelines regarding toy cleaning methods and frequency should be established in hospitals. At the same time, families should be educated about the fact that toys can be a source of infection, and correct behavioral changes regarding toy hygiene should be created. When the literature was examined, it was determined that there were no routine hygiene practices regarding the cleaning of toys in children's clinics in Turkey. For this reason, the study will examine the effect of the toy hygiene education created by the researchers on the knowledge levels and practices of mothers and the surface cleaning of toys. It is thought that the results of the study will be a basis for creating clinical guidelines.
Interventions
BEHAVIORALToy Hygiene Training
The training was given to the mothers in 2 sessions (morning and afternoon), each lasting approximately 30 minutes, accompanied by the Toy Hygiene Guide. The sessions were presented face to face in the mother's room in the form of explaining, showing, question and answer and power point, at a time convenient for the mother and the child, outside the morning and afternoon treatment and care hours. After the first session was completed, an appointment was made with the mother for the afternoon session. In the second session, the information in the book that was not given in the first session was presented to the mothers face to face in the mother's room, outside the treatment and care hours, at a time convenient for the mother and the child. After the training was completed, a final five-minute discussion was held with the mothers in the form of a general question and answer session. The training book was given to the mothers in the experimental group on the first day.
Sponsors
Health Institutes of Turkey
Sibel Küçükoğlu
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Investigator)
Masking description
The population of the research consisted of mothers with children aged 1-3 and 4-6 who were treated as inpatients in the pediatric clinics of a public hospital in the central Anatolia region of Turkey between January and August 2023. Inclusion Criteria; * Mothers with children in the play (1-3) and preschool (4-6) periods * Those who keep toys (plastic, metal, wooden, technological) with their children * Mothers who are always with their children as companions * Mothers whose children receive inpatient treatment for at least 3 days Exclusion Criteria; * Mother has hearing, vision or mental problems * The mother has been diagnosed with OCD (Obsessive Compulsive Disorder) or has an obsession with cleaning. * Not being able to speak Turkish * Being under 18 years of age * Do not place the child in isolation (contact isolation, droplet isolation, respiratory isolation).
Intervention model description
In this study, stratified randomization method was used to determine the intervention and control groups. It is emphasized in the literature that the variables that affect children's compliance with hospital rules are affected by the education level of the mother and the age of the child. Therefore, to ensure homogeneity in the groups, they were stratified as the mother's education level (primary school, high school, university) and age group (1-3 and 4-6). In the study, randomizer.org was used to select 6-block A and B block combinations. Eligible participants were randomly assigned to experimental and control groups using the permuted block randomization method on a 1:1 basis.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
* Mothers with children in the play (1-3) and preschool (4-6) periods * Those who keep toys (plastic, metal, wooden, technological) with their children * Mothers who are always with their children as companions * Mothers whose children receive inpatient treatment for at least 3 days
Exclusion criteria
* Mother has hearing, vision or mental problems * The mother has been diagnosed with OCD (Obsessive Compulsive Disorder) or has an obsession with cleaning. * Not being able to speak Turkish * Being under 18 years of age * Do not place the child in isolation (contact isolation, droplet isolation, respiratory isolation).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sociodemographic Questionnaire | First measurement-First day of hospitalization | Demographic data for the mother and her sick child were questioned in the form prepared by the researchers in line with the literature (Avila-Aguero et al. 2004; Merriman et al. 2002, Deshpande et al. 2020). As variables related to the mother, age, family type, number of children, education level, employment status, perception of economic situation, place of residence and the status of receiving information about toy hygiene were questioned. For the child; It was composed of questions asking age, gender, medical diagnosis, presence of chronic disease, hospitalization, room type, and hospitalization experience. |
| Toy Hygiene Information Form | First measurement-First day of hospitalization | The toy hygiene information form, prepared by the researchers in line with the literature (Avila-Aguero et al. 2004; Yokoe et al. 2009), was composed of two parts. In the first part, the types of toys that parents prefer to buy for their children, their preference for buying cleanable toys, the situation of cleaning toys before bringing them to the hospital, their practices to ensure toy hygiene in the hospital environment, and the difficulties they experience in ensuring toy hygiene in the hospital environment are questioned. In the second part of the form, a knowledge test consisting of 31 items was prepared to determine the knowledge level of mothers regarding toy hygiene. The second part of the form is answered as true or false. A high score from the knowledge test is interpreted as a high level of toy hygiene knowledge. |
| Toy Surface Cleaning Level Record Form | First measurement-First day of hospitalization | This form was created by researchers to record the level of surface cleanliness by taking a swab from the toy surface with the 3M™ Clean-Trace™ ATP device before and after the training. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Toy Hygiene Information Form | Second measurement-Third day of hospitalization | The toy hygiene information form, prepared by the researchers in line with the literature (Avila-Aguero et al. 2004; Yokoe et al. 2009), was composed of two parts. In the first part, the types of toys that parents prefer to buy for their children, their preference for buying cleanable toys, the situation of cleaning toys before bringing them to the hospital, their practices to ensure toy hygiene in the hospital environment, and the difficulties they experience in ensuring toy hygiene in the hospital environment are questioned. In the second part of the form, a knowledge test consisting of 31 items was prepared to determine the knowledge level of mothers regarding toy hygiene. The second part of the form is answered as true or false. A high score from the knowledge test is interpreted as a high level of toy hygiene knowledge. Only the second part of the form was remeasured. |
| Toy Surface Cleaning Level Record Form | Second measurement-Third day of hospitalization | This form was created by researchers to record the level of surface cleanliness by taking a swab from the toy surface with the 3M™ Clean-Trace™ ATP device before and after the training. |
Countries
Turkey (Türkiye)
Outcome results
None listed