Evidence map›Paper›PMID 41071768›Full record

ArticlePLOS global public health2025

Perceptions of COVID-19-related nudges in the Arab world: A cross-country analysis of approval rates and associated factors.

Fadi Makki, Belal Nedal Sabbah, Hani Tamim, Mariam Abdelnabi, Paola Schietekat, Nabil Saleh, Ali Osseiran, Abdulkarim Almakadma, Mohamed Al-Komi, Ebaa Alsayed and 6 more

Abstract read
In one paragraph

Article in PLOS global public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Fadi MakkiNudge Lebanon, Beirut, Lebanon.
Belal Nedal SabbahCollege of Medicine, Alfaisal University, Riyadh, Saudi Arabia.ORCID https://orcid.org/0000-0001-9131-7430
Hani TamimCollege of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
Mariam AbdelnabiNudge Lebanon, Beirut, Lebanon.ORCID https://orcid.org/0009-0008-6276-8716
Paola SchietekatNeovantas Consulting, Madrid, Spain.ORCID https://orcid.org/0000-0002-2367-2075
Nabil SalehNL Partners, Toronto, Canada.ORCID https://orcid.org/0000-0002-7189-5249
Ali OsseiranNudge Lebanon, Beirut, Lebanon.ORCID https://orcid.org/0000-0002-4750-9141
Abdulkarim AlmakadmaCollege of Medicine, Alfaisal University, Riyadh, Saudi Arabia.ORCID https://orcid.org/0000-0002-2244-8194
Mohamed Al-KomiBehavioral and Economic Decision-Making Lab, School of Business, American University in Cairo, Cairo, Egypt.ORCID https://orcid.org/0000-0003-0307-2926
Ebaa AlsayedBehavioral and Economic Decision-Making Lab, School of Business, American University in Cairo, Cairo, Egypt.
Rajaa FakhouryCollege of Medicine, Alfaisal University, Riyadh, Saudi Arabia.ORCID https://orcid.org/0000-0002-2091-0066
Fatima SalehFaculty of Health Sciences, Beirut Arab University, Beirut, Lebanon.ORCID https://orcid.org/0000-0002-3225-3673
Basema SaddikDepartment of Public Health and Epidemiology, College of Medicine and Health Sciences, Khalifa University, Abu Dhabi, United Arab Emirates.ORCID https://orcid.org/0000-0002-4682-5927
Hana M A FakhouryCollege of Medicine, Alfaisal University, Riyadh, Saudi Arabia.ORCID https://orcid.org/0000-0001-9974-2108
Sarah DaherCollege of Medicine, Alfaisal University, Riyadh, Saudi Arabia.ORCID https://orcid.org/0009-0000-2965-8154
Cass R SunsteinHarvard University, Cambridge, Massachusetts, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID-19 pandemic has necessitated novel approaches to influence public behavior. While "nudging" has gained prominence in Western contexts, its perception and effectiveness in the Arab world remain understudied. This study aimed to investigate the approval of COVID-19-related nudges across four Arab countries and explore associated sociodemographic factors. A cross-sectional study was conducted from November 2020 to January 2022, involving 698 participants from Egypt, Lebanon, Saudi Arabia, and the United Arab Emirates. Participants were presented with eight hypothetical COVID-19-related nudges categorized according to distinct behavioral mechanisms: choice architecture (e.g., floor markers, prominent placement of fruits and vegetables), information disclosure (publicly sharing infection causes), moral appeals (letters from elderly urging compliance), social norm enforcement (public shaming of violators and use of spoilers on billboards), and surveillance-based interventions (GPS tracking of quarantined individuals). Approval rates varied widely (50%-95%). Less intrusive nudges received the highest support: supermarket floor markers (95.4%), prominent display of fruits and vegetables (88.8%), park area divisions (82.0%), infection cause disclosure (86.5%), and elderly letters urging compliance (84.1%). Approval was lower for more intrusive measures, including billboard spoilers (52.0%) and public shaming of curfew violators (49.9%). GPS tracking, the most intrusive intervention, received intermediate approval (72.8%). Higher COVID-19 concern was significantly associated with greater approval of nudges (p < 0.001), with age, gender, and family COVID-19 status also influencing approval rates. These findings demonstrate generally positive attitudes towards COVID-19-related nudges among university affiliates in four Arab countries, with clear variations according to nudge type, intrusiveness, and sociodemographic characteristics. While the results offer valuable insights for culturally tailored behavioral interventions in the Arab world, they reflect a university setting and may not be generalizable to the broader public.

Identifiers

PMID41071768
PMCPMC12513628

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.