Does a Playful Intervention Promote Hand Hygiene? Compliance and Educator's Beliefs about Hand Hygiene at a Daycare Center.

Purpose: Our purpose was to analyze hand hygiene compliance before and after a playful intervention, and caregivers' beliefs, perception of self-efficacy, and barriers to hand hygiene at a daycare center in Brazil.

Design And Methods: This a quasi-experimental study was conducted from January to July 2017 in a daycare center that provides full-time education for children aged zero to four years from low-income families. The playful intervention with 24 caregivers included an emoji card game to address their beliefs and perception of self-efficacy and a product that reveals dirty areas on washed hands.