Iranian Journal of Nursing and Midwifery Research1735-906617520120731728728ENDepartment of Med-Surg, University of Medical Sciences, Mashhad, IranNursing and Midwifery Faculty, University of Medical Sciences, Mashhad, IranNursing and Midwifery Faculty, University of Medical Sciences, Mashhad, IranNursing and Midwifery Faculty, University of Medical Sciences, Mashhad, IranNursing and Midwifery Faculty, University of Medical Sciences, Mashhad, Iran20120731<ul><li><strong>Introduction: </strong>Adherence to diet and fluids is the cornerstone of patients undergoing hemodialysis. By informing hemodialysis patients we can help them have a proper diet and reduce mortality and complications of toxins. Face to face education is one of the most common methods of training in health care system. But advantages of video- based education are being simple and cost-effective, although this method is virtual.</li><li><strong>Materials and Methods</strong>: Seventy-five hemodialysis patients were divided randomly into face to face and video-based education groups. A training manual was designed based on Orem&rsquo;s self-care model. Content of training manual was same in both the groups. In the face to face group, 2 educational sessions were accomplished during dialysis with a 1-week time interval. In the video-based education group, a produced film, separated to 2 episodes was presented during dialysis with a 1-week time interval. An Attitude questionnaire was completed as a pretest and at the end of weeks 2 and 4. SPSS software version 11.5 was used for analysis.</li><li><strong>Results: </strong>Attitudes about fluid and diet adherence at the end of weeks 2 and 4 are not significantly different in face to face or video-based education groups. The patients&rsquo; attitude had a significant difference in face to face group between the 3 study phases (pre-, 2, and 4 weeks postintervention). The same results were obtained in 3 phases of video-based education group.</li><li><strong>Conclusion</strong>: Our findings showed that video-based education could be as effective as face to face method. It is recommended that more investment be devoted to video-based education.</li><li><strong>Key words: </strong>Attitude and patient adherence, instructional films and videos, patient education, renal dialysis</li></ul>http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/728http://ijnmr.mui.ac.ir/index.php/ijnmr/article/download/728/494