Effectiveness of a Video Vignette Intervention in improving caregivers’ knowledge on accident prevention among under-five children at Government Rajaji Hospital, Madurai.

Abstract

Background: Accidental injuries are a major cause of morbidity and mortality in children under five, most occurring at home. In India, the burden is high, and caregiver awareness on prevention remains inadequate. Aim: To assess the effectiveness of a Video Vignette Intervention in improving caregivers’ knowledge on accident prevention among under-five children at Government Rajaji Hospital, Madurai. Methods: A true experimental pre-test post-test control group design was adopted with 60 caregivers, randomized into intervention (n=30) and control (n=30) groups. Data were collected using a structured questionnaire. The intervention group received video-based education, while the control group received none. Post-test was conducted on day five. Data were analyzed using descriptive statistics, paired t-tests, and chi-square tests. Results: Pre-test knowledge levels were similar between groups (p=0.80). Post-intervention, 66.7% of caregivers in the intervention group attained above-average knowledge versus none in the control group (χ² = 34.81, p=0.001). The intervention group’s mean score improved significantly from 8.27 to 13.73 (p=0.001), while changes in the control group were minimal and not significant (7.97 to 8.30; p=0.06). Conclusion: Video Vignette Intervention significantly enhanced caregivers’ knowledge on accident prevention. Structured health education can play a vital role in reducing preventable childhood injuries.