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Improving the impact of nonpharmaceutical interventions during COVID-19: examining the factors that influence engagement and the impact on individuals


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Seale, H, Dyer, CEF, Abdi, I, Rahman, KZ, Sun, Y, Qureshi, MO, Dowell-Day, A, Sward, J ORCID: 0000-0002-2022-6192 and Islam, MS 2020 , 'Improving the impact of nonpharmaceutical interventions during COVID-19: examining the factors that influence engagement and the impact on individuals' , BMC Infectious Diseases, vol. 20 , pp. 1-13 , doi: 10.1186/s12879-020-05340-9.

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Background: During an evolving outbreak or pandemic, non-pharmaceutical interventions (NPIs) including physicaldistancing, isolation, and mask use may flatten the peak in communities. However, these strategies rely on communityunderstanding and motivation to engage to ensure appropriate compliance and impact. To support current activitiesfor COVID-19, the objectives of this narrative review was to identify the key determinants impacting on engagement.Methods: An integrative narrative literature review focused on NPIs. We aimed to identify published peer-reviewedarticles that focused on the general community (excluding healthcare workers), NPIs (including school closure,quarantine, isolation, physical distancing and hygiene behaviours), and factors/characteristics (including social, physical,psychological, capacity, motivation, economic and demographic) that impact on engagement.Results: The results revealed that there are a range of demographic, social and psychological factors underpinningengagement with quarantine, school closures, and personal protective behaviours. Aside from the factors impacting onacceptance and compliance, there are several key community concerns about their use that need to be addressedincluding the potential for economic consequences.Conclusion: It is important that we acknowledge that these strategies will have an impact on an individual and thecommunity. By understanding the barriers, we can identify what strategies need to be adopted to motivate individualsand improve community compliance. Using a behavioural framework to plan interventions based on these key barriers,will also ensure countries implement appropriate and targeted responses.

Item Type: Article
Authors/Creators:Seale, H and Dyer, CEF and Abdi, I and Rahman, KZ and Sun, Y and Qureshi, MO and Dowell-Day, A and Sward, J and Islam, MS
Keywords: COVID-19, pandemic, non-pharmaceutical interventions, quarantine behaviour
Journal or Publication Title: BMC Infectious Diseases
Publisher: Biomed Central Ltd
ISSN: 1471-2334
DOI / ID Number: 10.1186/s12879-020-05340-9
Copyright Information:

Copyright 2020 the authors. Licensed under Creative Commons Attribution 4.0 International (CC BY 4.0)

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