Abstract
Background: To determine the effects of an educational playful intervention on nasal hygiene behaviors among preschool (3-4 years old) children. Methods: A quasi-experimental before-after study was conducted with 39 children attending public daycare center in Sao Paulo, Brazil. A group-based intervention consisted of two educational sessions to promote healthy behaviors for nasal hygiene. It was adopted playful strategies such as a story told by puppets, card games and simulation of nasal hygiene in front of the mirror. The outcome was evaluated by observing six healthy behaviors for nasal hygiene one week before and after the intervention. Differences in the outcome before and after the intervention were tested using Wilcoxon signed rank test and McNemar’s test.Results: The median of healthy nasal hygiene behaviors went from 3.0 to 4.0 after the intervention, with a significant statistical difference (P=0.0004) and a difference of behaviors. After the intervention, forcing the air out of one opened nostril increased from 5.1%to 30.8% (P=0.001, CI 95%: 0-0.440), forcing the air out of the other nostril increased from 5.1% to 28.2% (P=0.003/CI 95%: 0-0.50), throwing the piece of toilet paper in the garbage increased from 53.8% to 87.21% (P=0.04, CI 95%: 0.035-0.65), and sanitizing the hands with soap and water increased from 15.4% to 43.6% (P=0.039-0.76). Conclusion: the educational playful intervention improved the autonomy of preschoolers to adopt healthy nasal hygiene behaviors.
Highlights
Childhood is the period of life when the architecture of the developing brain is most open to the influences of relationships and experiences, establishing either a sturdy or a weak foundation for health, learning, and behavior throughout life.[1]
As our data were non-parametric, the air out of one opened nostril increased from 5.1% to differences in the outcome before and after the 30.8% (P = 0.001, CI 95%: 0-0.440), forcing the air out of intervention were tested using Wilcoxon signed rank the other nostril increased from 5.1% to 28.2% (P = 0.003, test for quantitative data and McNemar’s test to analyze CI 95%: 0-0.50), throwing the piece of toilet paper in the paired nominal data
We Results of the study showed that the educational playful observed that 3R-eyseuarlt-sold children showed some difficulty to play with the card game and 4-year-old children were intervention considerably increased adoption of healthy behaviors for nasal hygiene among preschool children at excited about this challenge
Summary
Childhood is the period of life when the architecture of the developing brain is most open to the influences of relationships and experiences, establishing either a sturdy or a weak foundation for health, learning, and behavior throughout life.[1]. Evidence regarding the effects of an educational playful intervention on healthy nasal hygiene behaviors in children aged 3-4 years attending a daycare center remains unmet. The aim of this study was to determine the effects of an educational playful intervention on nasal hygiene behaviors among preschool (3-4 years old) children.
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