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Objectives: This study aimed to compare the effect of lecture and demonstration on knowledge and performance of hand-washing in elementary students of Kermanshah in 2018. Methods: This experimental study was conducted in 2018 with 90 students of fourth grade elementary school in Kermanshah, Iran. Students were randomly divided into three groups including demonstration education, lecture education and a control group. Data were collected using a checklist of hand-washing performance and a researcher-made questionnaire for measuring knowledge. The intervention was conducted in three sessions for both education groups. Data analysed with SPSS 22.0, using one-way ANOVA, and Repeated Measures tests. Results: The mean age of students was 9.3±0.4 years. There were no significant differences between knowledge and performance of handwashing in three groups before educational intervention. Mean scores of knowledge and performance immediately after, and one month after intervention was higher in two education groups than control group p

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