How a smiley protects health: A pilot intervention to improve hand hygiene in hospitals by activating injunctive norms through emoticons

Gaube, Susanne and Tsivrikos, Dimitrios and Dollinger, Daniel and Lermer, Eva (2018) How a smiley protects health: A pilot intervention to improve hand hygiene in hospitals by activating injunctive norms through emoticons. PLOS ONE, 13 (5): e0197465. ISSN 1932-6203,

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Abstract

Hand hygiene practice in hospitals is unfortunately still widely insufficient, even though it is known that transmitting pathogens via hands is the leading cause of healthcare-associated infections. Previous research has shown that improving knowledge, providing feedback on past behaviour and targeting social norms are promising approaches to improve hand hygiene practices. The present field experiment was designed to direct people on when to perform hand hygiene and prevent forgetfulness. This intervention is the first to examine the effect of inducing injunctive social norms via an emoticon-basedfeed back system on hand hygiene behaviour. Electronic monitoring and feedback devices were installed in hospital patient rooms on top of hand-rub dispensers, next to the doorway, for a period of 17 weeks. In the emoticon condition, screens at the devices activated whenever a person entered or exited the room. Before using the alcohol-based hand-rub dispenser, a frowny face was displayed, indicating that hand hygiene should be performed. If the dispenser was subsequently used, this picture changed to a smiley face to positively reinforce the correct behaviour. Hand hygiene behaviour in the emoticon rooms significantly outperformed the behaviour in three other tested conditions. The strong effect in this field experiment indicates that activating injunctive norms may be a promising approach to improve hand hygiene behaviour. Theoretical and practical implications of these findings are discussed.

Item Type: Article
Uncontrolled Keywords: CARE WORKERS; BEHAVIOR-CHANGE; TRANSMISSION; ADHERENCE; FEEDBACK; PERCEPTIONS; TECHNOLOGY; GUIDELINES; ATTITUDES; VISITORS;
Subjects: 100 Philosophy & psychology > 150 Psychology
Divisions: Psychology and Pedagogy > Institut für Psychologie
Psychology and Pedagogy > Institut für Psychologie > Lehrstuhl für Psychologie V (Sozial-, Arbeits- und Organisationspsychologie) - Prof. Dr. Peter Fischer
Depositing User: Dr. Gernot Deinzer
Date Deposited: 09 Mar 2020 13:19
Last Modified: 09 Mar 2020 13:19
URI: https://pred.uni-regensburg.de/id/eprint/14569

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