title: Promoting a Hand Hygiene Program Using Social Media: An Observational Study.
abstract: BACKGROUND
  Hand hygiene is an important component in infection control to protect patient safety and reduce health care-associated infection.
  
  
  OBJECTIVE
  Our aim was to evaluate the efficacy of different social media on the promotion of a hand hygiene (HH) program.
  
  
  METHODS
  The observational study was conducted from May 5 to December 31, 2014, at a 2600-bed tertiary care hospital. A 3-minute video of an HH campaign in 8 languages was posted to YouTube. The Chinese version was promoted through three platforms: the hospital website, the hospital group email, and the Facebook site of a well-known Internet illustrator. The video traffic was analyzed via Google Analytics. HH compliance was measured in November 2013 and 2014.
  
  
  RESULTS
  There were 5252 views of the video, mainly of the Chinese-language version (3509/5252, 66.81%). The NTUH website had 24,000 subscribers, and 151 of them viewed the video (connection rate was 151/24,000, 0.63%). There were 9967 users of the hospital email group and the connection rate was 0.91% (91/9967). The connection rate was 6.17% (807/13,080) from Facebook, significantly higher than the other 2 venues (both P<.001). HH compliance sustained from 83.7% (473/565) in 2013 to 86.7% (589/679) in 2014 (P=.13) among all HCWs.
  
  
  CONCLUSIONS
  Facebook had the highest connection rate in the HH video campaign. The use of novel social media such as Facebook should be considered for future programs that promote hand hygiene and other healthy behaviors.
authors.affiliation: National Taiwan University Hospital Taipei Taiwan.
authors.forename: Sung-Ching
authors.identifier: 0000-0003-3154-6690
authors.initials: SC
authors.lastname: Pan
authors.affiliation: National Taiwan University Hospital Taipei Taiwan.
authors.forename: Wang-Huei
authors.identifier: 0000-0002-5605-7853
authors.initials: WH
authors.lastname: Sheng
authors.affiliation: National Taiwan University Hospital Taipei Taiwan.
authors.forename: Kuei-Lien
authors.identifier: 0000-0001-7239-1424
authors.initials: KL
authors.lastname: Tien
authors.affiliation: National Taiwan University Hospital Taipei Taiwan.
authors.forename: Kuang-Tse
authors.identifier: 0000-0002-9505-8728
authors.initials: KT
authors.lastname: Chien
authors.affiliation: National Taiwan University Hospital Taipei Taiwan.
authors.forename: Yee-Chun
authors.identifier: 0000-0002-1816-9010
authors.initials: YC
authors.lastname: Chen
authors.affiliation: National Taiwan University Hospital Taipei Taiwan.
authors.forename: Shawn-Chwen
authors.identifier: 0000-0001-6505-4139
authors.initials: SC
authors.lastname: Chang
keywords: hand hygiene; infection control; social media