Evidence map›Paper›PMID 41311828›Full record

ArticleInfection prevention in practice2025

Impact of a nudge-based intervention on hand soap usage in a Japanese Hospital: interrupted time series analysis.

Tetsuji Morishita, Masayoshi Monji, Masao Kuwabara, Shin Lee, Makoto Hayashi, Hisashi Tsurumi, Hidetoshi Matsunami

Abstract read
In one paragraph

Article in Infection prevention in practice, 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

7 authors.

Tetsuji MorishitaDepartment of Internal Medicine, Matsunami General Hospital, Gifu, 501-6062, Japan.
Masayoshi MonjiMatsunami General Hospital, 185-1 Dendai, Kasamatsu-cho, Hashima-gun, Gifu, Japan.
Masao KuwabaraMatsunami General Hospital, 185-1 Dendai, Kasamatsu-cho, Hashima-gun, Gifu, Japan.
Shin LeeMatsunami General Hospital, 185-1 Dendai, Kasamatsu-cho, Hashima-gun, Gifu, Japan.
Makoto HayashiDepartment of Internal Medicine, Matsunami General Hospital, Gifu, 501-6062, Japan.
Hisashi TsurumiMatsunami General Hospital, 185-1 Dendai, Kasamatsu-cho, Hashima-gun, Gifu, Japan.
Hidetoshi MatsunamiMatsunami General Hospital, 185-1 Dendai, Kasamatsu-cho, Hashima-gun, Gifu, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study aimed to evaluate the effectiveness of nudge-based messages on hand soap usage in a Japanese hospital setting. Methods: Interrupted time series analysis was conducted using monthly hand soap usage data from April 2022 to March 2024. The following nudge messages were placed in restrooms: "Are your neighbors washing their hands with soap?" (men) and "Water does not disinfect; soap works!" (women). A generalized least squares model with harmonic terms was used to analyze the data, accounting for seasonality and autocorrelation. Results: The intervention was associated with an immediate increase of 147.85 units/month in hand soap usage (95% confidence interval [CI]: 61.87-233.83; Conclusions: These findings suggest that nudge-based interventions can be effective in promoting hand hygiene in Japanese health-care settings, but the effect may wane over time.

Indexed as

Behavioral economicsHand hygieneHospitalInfection controlInterrupted time series analysisNudge

Identifiers

PMID41311828
PMCPMC12651484

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Registered trials

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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.