Behavior analysis in consumer affairs: encouraging dental professionals to provide consumers with shielding from unnecessary X-ray exposure.
A mailed consumer request plus private baseline feedback made every dental office start shielding patients from extra X-rays.
01Research in Context
What this study did
The team asked dental offices to shield patients from extra X-rays. First they mailed a short letter from a consumer group. The letter asked for lead shielding on every X-ray. Then they sent each office a private note. The note showed how often that office already used shielding. They watched what happened next for nine months.
No money, no threats, no long training. Just one request plus one fact sheet mailed to each clinic.
What they found
Shielding jumped in every office. The change showed up right after the mailings. It stayed high for the whole study.
The jump was big enough to see quickly. Offices kept the new habit with no extra reminders.
How this fits with other research
Neef et al. (1986) did the same kind of cheap prompt. They hung a poster that praised low-fat foods in a work cafeteria. Low-fat sales rose 15 points. Same idea: small cue, big healthy choice.
Davison et al. (1984) also used quiet feedback. Burn patients saw a card that compared what they ate with what doctors wanted. Calories and protein went up. Again, simple numbers shown privately moved behavior.
Goomas et al. (2017) pushed the idea into factories. Handheld computers gave workers instant beeps when they picked the wrong item. Recall errors dropped fast. The tactic scales from paper letters to digital screens.
Why it matters
You can borrow this two-step move any time you want staff to follow a safety rule. Write one short group request. Add one private scorecard. Mail them a week apart. The cost is stamps and paper, but the gain can last months. Try it for glove use, chair positioning, or data-sheet clarity.
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02At a glance
03Original abstract
An unobtrusive observation system was developed to determine the extent to which dental professionals in two communities provided lead shielding to patients during X-ray exams. A lengthy baseline revealed low and irregular provision of shielding among half of these professionals. Subsequently, a program was undertaken by a consumer's group in which these professionals were requested to provide shielding and were given confidential feedback regarding its use during the baseline period. The provision of shielding dramatically increased at all offices and was maintained throughout a follow-up period extending to more than 9 months after the program's implementation. Little or no generalized effect was observed in the occurrence of three collateral behaviors that were also assessed throughout the study.
Journal of applied behavior analysis, 1983 · doi:10.1901/jaba.1983.16-13