The Effect of an Interactive Booklet on Hand Washing Performance in Children with Attention Deficit and Hyperactivity Disorder (ADHD)
Said, D., Abdallah, A., Ahmed, A., Mansy, A. (2025). The Effect of an Interactive Booklet on Hand Washing Performance in Children with Attention Deficit and Hyperactivity Disorder (ADHD). EKB Journal Management System, 6(2), 249-269. doi: 10.21608/ejnsr.2025.372542.1436
Doaa Abdelgawad Said; Asmaa A. Abdallah; Ahmed Sabry Ahmed; Aml Reda Mohamed Ebrahem Mansy. "The Effect of an Interactive Booklet on Hand Washing Performance in Children with Attention Deficit and Hyperactivity Disorder (ADHD)". EKB Journal Management System, 6, 2, 2025, 249-269. doi: 10.21608/ejnsr.2025.372542.1436
Said, D., Abdallah, A., Ahmed, A., Mansy, A. (2025). 'The Effect of an Interactive Booklet on Hand Washing Performance in Children with Attention Deficit and Hyperactivity Disorder (ADHD)', EKB Journal Management System, 6(2), pp. 249-269. doi: 10.21608/ejnsr.2025.372542.1436
Said, D., Abdallah, A., Ahmed, A., Mansy, A. The Effect of an Interactive Booklet on Hand Washing Performance in Children with Attention Deficit and Hyperactivity Disorder (ADHD). EKB Journal Management System, 2025; 6(2): 249-269. doi: 10.21608/ejnsr.2025.372542.1436

The Effect of an Interactive Booklet on Hand Washing Performance in Children with Attention Deficit and Hyperactivity Disorder (ADHD)

International Egyptian Journal of Nursing Sciences and Research
Volume 6, Issue 2, May 2025, Page 249-269  XML PDF (1.04 MB)
Document Type: Original Article
DOI: 10.21608/ejnsr.2025.372542.1436
View on SCiNiTO View on SCiNiTO
Authors
Doaa Abdelgawad Said1; Asmaa A. Abdallah email 2; Ahmed Sabry Ahmed3; Aml Reda Mohamed Ebrahem Mansy4
1Pediatric health Nursing, Mansoura University, Egypt
2Community Health Nursing, Mansoura University, Egypt
3Sports kinesiology, Damietta University, Egypt
4Pediatric Health Nursing, Mansoura University, Egypt
Abstract
Background: Children with Attention Deficit and Hyperactivity Disorder (ADHD) often struggle to stay
focused, follow directions, and complete repetitive tasks, which can impede learning routine activities like hand
washing. These challenges underscore the need for tailored interactive educational interventions designed to meet
their unique needs. Therefore this study aimed to assess the effect of an interactive booklet on hand washing
performance in children with Attention Deficit and Hyperactivity Disorder (ADHD). Design: A quasi-experimental
repeated measure comparative design was used to conduct this study. Setting: The study was carried out
at an outpatient clinic affiliated with Mansoura University Children’s Hospital Dakahlia Governorate, Egypt.
Subjects: A purposive sample of 60 children with ADHD were recruited to participate in the study. Tools of data
collection: Three tools were developed, namely a structured interview schedule for socio-demographic
characteristics, a structured interview on children knowledge about hand hygiene, and an observational checklist
for hand washing. Results: The knowledge assessment displayed a significant improvement in the intervention
(booklet) group scores immediately and one month after the intervention (P-value <0.001). Similarly, the
performance assessment demonstrated a marked enhancement in the booklet group scores that was statistically
significant (P-value <0.001) at both immediate and follow-up post-tests with a highly effective size. Conclusion:
The intensive progress in hand washing knowledge and performance among children with ADHD was
demonstrated through the provision of hand washing interactive flipped education. Recommendation: Healthcare
professionals should adopt interactive educational modalities for hygiene training tailored to the cognitive and
behavioral characteristics of children with ADHD. 
Keywords
Interactive Booklet; Hand Washing; Performance; Children with ADHD
Statistics
Article View: 71
PDF Download: 63