INSHA: Intelligent Nudging System for Hand Hygiene Awareness

Maintaining hand hygiene is the one of the most effective way to prevent the spread of germs during a pandemic. This paper focuses on encouraging people to use a hand sanitizer more frequently by applying the nudge theory to improve hand hygiene behavior in private organizations. We propose a system that recognizes hand hygiene behavior using face recognition and detects hand sanitizer use. The system responds to the user's personal hand hygiene behavior with animation of a virtual bonsai as an interactive agent. To preserve user privacy, we implemented the system on an edge device and conducted experiments for 4 case studies in 2 real-world organizations. The results showed that the system improved the hand hygiene behavior of people in a private organization.

[1]  S. Ranchordás Nudging citizens through technology in smart cities , 2019, International Review of Law, Computers & Technology.

[2]  D. Goldmann,et al.  A Randomized, Controlled Trial of a Multifaceted Intervention Including Alcohol-Based Hand Sanitizer and Hand-Hygiene Education to Reduce Illness Transmission in the Home , 2005, Pediatrics.

[3]  Kevin Leyton-Brown,et al.  Sequential Model-Based Optimization for General Algorithm Configuration , 2011, LION.

[4]  Ming Yang,et al.  DeepFace: Closing the Gap to Human-Level Performance in Face Verification , 2014, 2014 IEEE Conference on Computer Vision and Pattern Recognition.

[5]  Evangelos Karapanos,et al.  23 Ways to Nudge: A Review of Technology-Mediated Nudging in Human-Computer Interaction , 2019, CHI.

[6]  R. Dreibelbis,et al.  Comparing the behavioural impact of a nudge‐based handwashing intervention to high‐intensity hygiene education: a cluster‐randomised trial in rural Bangladesh , 2018, Tropical medicine & international health : TM & IH.

[7]  Michael B Edmond,et al.  The use of real-time feedback via wireless technology to improve hand hygiene compliance. , 2014, American journal of infection control.

[8]  H. Mosler,et al.  Enhancing handwashing frequency and technique of primary caregivers in Harare, Zimbabwe: A cluster-randomized controlled trial using behavioral and microbial outcomes. , 2018, Social science & medicine.

[9]  This Way to Produce: Strategic Use of Arrows on Grocery Floors Facilitate Produce Spending Without Increasing Shopper Budgets. , 2016, Journal of nutrition education and behavior.

[10]  Jaynie L. Whinnery,et al.  Effect of an equipment-behavior change intervention on handwashing behavior among primary school children in Kenya: the Povu Poa school pilot study , 2019, BMC Public Health.

[11]  Li Fei-Fei,et al.  Towards Vision-Based Smart Hospitals: A System for Tracking and Monitoring Hand Hygiene Compliance , 2017, MLHC.

[12]  M. Li,et al.  RETRACTED:The Decoy Effect as a Nudge: Boosting Hand Hygiene With a Worse Option , 2019, Psychological science.

[13]  Priscila Costa,et al.  Does a playful intervention promote hand hygiene? Compliance and educator's beliefs about hand hygiene at a daycare center. , 2020, Journal of pediatric nursing.

[14]  Weihai Yu,et al.  Green Transportation Choices with IoT and Smart Nudging , 2018, Handbook of Smart Cities, Software Services and Cyber Infrastructure.

[15]  Li Fei-Fei,et al.  Automatic detection of hand hygiene using computer vision technology , 2020, J. Am. Medical Informatics Assoc..

[16]  M. Keane,et al.  When push comes to nudge: a Chinese digital civilisation in-the-making , 2019, Media International Australia.

[17]  Klaus Kabitzsch,et al.  Performance analysis of the EnOcean wireless sensor network protocol , 2010, 2010 IEEE 15th Conference on Emerging Technologies & Factory Automation (ETFA 2010).

[18]  C. Vandenbroucke-Grauls,et al.  Nudging to improve hand hygiene. , 2017, The Journal of hospital infection.

[19]  Calvin Blackwell,et al.  Nudges in the Restroom: How Hand-Washing Can Be Impacted by Environmental Cues , 2017 .

[20]  A. Wilson,et al.  Effect of a contact monitoring system with immediate visual feedback on hand hygiene compliance. , 2014, The Journal of hospital infection.

[21]  Md. Mahmudur Rahman,et al.  Effectiveness of a Behavior Change Intervention with Hand Sanitizer Use and Respiratory Hygiene in Reducing Laboratory-Confirmed Influenza among Schoolchildren in Bangladesh: A Cluster Randomized Controlled Trial. , 2019, The American journal of tropical medicine and hygiene.

[22]  Kerri A. Thom,et al.  Accuracy of a radiofrequency identification (RFID) badge system to monitor hand hygiene behavior during routine clinical activities. , 2014, American journal of infection control.

[23]  G. Kalyanaram,et al.  Nudge: Improving Decisions about Health, Wealth, and Happiness , 2011 .

[24]  A. Kramer,et al.  Effectiveness of alcohol-based hand disinfectants in a public administration: Impact on health and work performance related to acute respiratory symptoms and diarrhoea , 2010, BMC infectious diseases.

[25]  K. Yuen,et al.  Introduction of an electronic monitoring system for monitoring compliance with Moments 1 and 4 of the WHO "My 5 Moments for Hand Hygiene" methodology , 2011, BMC infectious diseases.

[26]  Chris Arney Nudge: Improving Decisions about Health, Wealth, and Happiness , 2015 .

[27]  H. Allcott,et al.  The Short-Run and Long-Run Effects of Behavioral Interventions: Experimental Evidence from Energy Conservation , 2012 .

[28]  James A. Landay,et al.  Designing Ambient Narrative-Based Interfaces to Reflect and Motivate Physical Activity , 2020, CHI.

[29]  Massimo Piccardi,et al.  The use of privacy-protected computer vision to measure the quality of healthcare worker hand hygiene , 2019, International journal for quality in health care : journal of the International Society for Quality in Health Care.