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Bowman LG, Hardesty SL, Sigurdsson SO, et al. Utilizing Group-Based Contingencies to Increase Hand Washing in a Large Human Service Setting. Behav Anal Pract. 2019;12(3):600-611doi: 10.1007/s40617-018-00328-z.
Bowman, L. G., Hardesty, S. L., Sigurdsson, S. O., McIvor, M., Orchowitz, P. M., Wagner, L. L., & Hagopian, L. P. (2019). Utilizing Group-Based Contingencies to Increase Hand Washing in a Large Human Service Setting. Behavior analysis in practice, 12(3), 600-611. https://doi.org/10.1007/s40617-018-00328-z
Bowman, Lynn G, et al. "Utilizing Group-Based Contingencies to Increase Hand Washing in a Large Human Service Setting." Behavior analysis in practice vol. 12,3 (2019): 600-611. doi: https://doi.org/10.1007/s40617-018-00328-z
Bowman LG, Hardesty SL, Sigurdsson SO, McIvor M, Orchowitz PM, Wagner LL, Hagopian LP. Utilizing Group-Based Contingencies to Increase Hand Washing in a Large Human Service Setting. Behav Anal Pract. 2019 Jan 23;12(3):600-611. doi: 10.1007/s40617-018-00328-z. eCollection 2019 Sep. PMID: 31976267; PMCID: PMC6743514.
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Behav Anal Pract. 2019 Jan 23;12(3):600-611. doi: 10.1007/s40617-018-00328-z. eCollection 2019 Sep.

Utilizing Group-Based Contingencies to Increase Hand Washing in a Large Human Service Setting.

Behavior analysis in practice

Lynn G Bowman, Samantha L Hardesty, Sigurdur O Sigurdsson, Melissa McIvor, Phillip M Orchowitz, Leaora L Wagner, Louis P Hagopian

Affiliations

  1. 1Neurobehavioral Unit, Kennedy Krieger Institute, 707 N. Broadway, Baltimore, MD 21205 USA.
  2. 2Johns Hopkins University School of Medicine, Baltimore, MD USA.
  3. 3University of Maryland, Baltimore County, Baltimore, MD USA.

PMID: 31976267 PMCID: PMC6743514 DOI: 10.1007/s40617-018-00328-z

Abstract

Hand washing is the most important preventative measure for the reduction of contagious disease. Although hand washing is easy to perform, non-adherence is a ubiquitous problem. Several studies have demonstrated the effectiveness of multi-component intervention packages to improve hand washing among employees; however, interventions are limited to acute settings, are often implemented for a short period of time, and rarely, if ever, include information on long-term effectiveness. The purpose of the current study was to utilize a behavior analytic approach to determine the stimulus conditions under which hand washing should occur, and to assess and then implement a long-term monitoring system among direct care workers in a large, non-acute inpatient unit. A single-case repeated measures reversal design was used to evaluate the effectiveness of two interventions aimed at improving hand washing adherence. A lottery was found to be effective in increasing hand hygiene for 2-years with 170 staff.

© Association for Behavior Analysis International 2019.

Keywords: Hand washing; Lottery; OBM; Standard precautions; Stimulus control

Conflict of interest statement

Conflict of InterestAll authors declare that he/she has no conflict of interest.

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