An Education Intervention in an Incarcerated Population to Reduce the Occurrence of Infectious Skin Diseases

A study conducted at a Midwest county confinement center focused on detainees’ intention to wash their hands to prevent the spread of infectious skin diseases. Results of a qualitative interview and learning style inventory were used in conjunction with the theory of planned behavior to develop a Standard Precautions DVD to address hand washing, use of personal protective equipment while cleaning body fluids, and handling of laundry. A postintervention survey revealed significant knowledge-based learning among inmates. A regression model predicting behavioral intention (hand washing) with three predictor variables (attitude toward action, subjective norm, and perceived behavioral control) was developed. The highest correlation was found to be between inmates’ subjective norms and their intent to wash their hands, which indicates that inmates’ behavior after watching the DVD is most influenced by how others view them, with family members having the greatest influence on subjective norms.