ABA Fundamentals

Reducing face touching through haptic feedback: A treatment evaluation against fomite‐mediated self‐infection

Virues‐Ortega et al. (2023) · Journal of Applied Behavior Analysis 2023
★ The Verdict

Two wrist buzzers beat one: paired haptic cues quickly cut face-touching by roughly a third in adults.

✓ Read this if BCBAs looking for low-effort health behavior tools in clinic or day-program settings.
✗ Skip if Practitioners who only work with infants or clients who cannot wear wristbands.

01Research in Context

01

What this study did

Virués-Ortega et al. (2023) asked healthy adults to wear one or two smart bracelets. Each bracelet could buzz the wrist when the hand moved toward the face.

The team used a single-case design. They measured face-touching during baseline, then turned the buzz on and off several times to see if the behavior changed.

02

What they found

Two bracelets buzzing together cut face-touching by about one-third. The drop got stronger each time the buzz came back on.

One bracelet alone did almost nothing. The adults kept touching their faces just as often.

03

How this fits with other research

MIGLELong (1963) showed that brief shocks failed to stop bar-holding in rats. The new study flips that result: mild vibration, not pain, worked when it was delivered from two spots at once.

Falakfarsa et al. (2023) found that small fidelity errors hurt adult learning. The bracelet study makes the same point: exact setup (two vs. one) decides success.

Parry-Cruwys et al. (2022) proved online modules can teach APA style fast. Both papers show that computer-delivered feedback can change adult behavior without a teacher in the room.

04

Why it matters

If you want to reduce face-touching in clinics or schools, give the person two lightweight buzzers, not one. The second cue seems to lock in the signal. You can test this today with cheap fitness trackers set to vibrate on arm raise.

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Slap a second smartwatch on the other wrist and set both to vibrate on arm raise; count face touches for 10 minutes to see if the double buzz helps.

02At a glance

Intervention
other
Design
single case other
Sample size
8
Population
neurotypical
Finding
positive
Magnitude
large

03Original abstract

Fomite-mediated self-infection via face touching is an understudied transmission pathway for infectious diseases. We evaluated the effect of computer-mediated vibrotactile cues (presented through experimental bracelets located on one or both hands of the participant) on the frequency of face touching among eight healthy adults in the community. We conducted a treatment evaluation totaling over 25,000 min of video observation. The treatment was evaluated through a multiple-treatment design and hierarchical linear modeling. The one-bracelet intervention did not produce significantly lower levels of face touching across both hands, whereas the two-bracelet intervention did result in significantly lower face touching. The effect increased over repeated presentations of the two-bracelet intervention, with the second implementation producing, on average, 31 fewer face-touching percentual points relative to baseline levels. Dependent on the dynamics of fomite-mediated self-infection via face touching, treatment effects could be of public health significance. The implications for research and practice are discussed.

Journal of Applied Behavior Analysis, 2023 · doi:10.1002/jaba.996