Infection Control Behavior at Home During the COVID-19 Pandemic: Observational Study of a Web-Based Behavioral Intervention (Germ Defence).
Infection Control Behavior at Home During the COVID-19 Pandemic: Observational Study of a Web-Based Behavioral Intervention (Germ Defence).
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DOI：
10.2196/22197
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发表时间：
2021-02-25
影响因子：
7.4
通讯作者：
Yardley L
中科院分区：
文献类型：
--
作者：
Ainsworth B;Miller S;Denison-Day J;Stuart B;Groot J;Rice C;Bostock J;Hu XY;Morton K;Towler L;Moore M;Willcox M;Chadborn T;Gold N;Amlôt R;Little P;Yardley L
为控制COVID-19大流行，人们应在家中采取保护行为（自我隔离、保持社交距离、将购物和包裹放在一边、戴上面罩、清洁和消毒以及洗手）。目前，帮助个人进行这些行为的支持有限。本研究旨在报告英国当前的家庭感染控制行为，并研究如何改进这些行为。这是一项务实的横断面观察性研究，研究对象是2020年5月6日至24日期间来自GermDefence的匿名参与者数据。Germ Defence是一个开放访问的全自动网站，为家庭内的感染控制提供行为建议。共有28，285名用户根据家庭状况从四个网站途径寻求建议（一般保护自己的建议，如果用户出现症状则保护他人，如果家庭成员出现症状则保护自己，以及保护高风险家庭成员）。用户报告了家中当前的感染控制行为以及改变这些行为的意图。目前的行为在所有感染控制措施中各不相同，但有时在（面部覆盖：平均值1.61，SD 1.19;社交距离：平均值2.40，SD 1.22;隔离：平均值2.78，SD 1.29;将包裹和购物放在一边：平均值2.75，SD 1.55），并且经常（清洁和消毒：平均值3.17，SD 1.18），洗手除外（非常频繁：平均值4.00，SD 1.03）。无论使用何种网站路径，行为都相似。使用GermDefence后，用户记录了改善所有网站途径和所有行为的感染控制行为的意图（总体平均感染控制得分平均差异为0.30，95%CI 0.29-0.31）。自我报告的除洗手外的感染控制行为低于最佳感染预防，尽管洗手要高得多。在细菌防御中使用行为改变技术的建议导致了改善这些行为的意图。在国家和地方公共卫生和初级保健指导中促进细菌防御可以减少COVID-19的传播。
To control the COVID-19 pandemic, people should adopt protective behaviors at home (self-isolation, social distancing, putting shopping and packages aside, wearing face coverings, cleaning and disinfecting, and handwashing). There is currently limited support to help individuals conduct these behaviors. This study aims to report current household infection control behaviors in the United Kingdom and examine how they might be improved. This was a pragmatic cross-sectional observational study of anonymous participant data from Germ Defence between May 6-24, 2020. Germ Defence is an open-access fully automated website providing behavioral advice for infection control within households. A total of 28,285 users sought advice from four website pathways based on household status (advice to protect themselves generally, to protect others if the user was showing symptoms, to protect themselves if household members were showing symptoms, and to protect a household member who is at high risk). Users reported current infection control behaviors within the home and intentions to change these behaviors. Current behaviors varied across all infection control measures but were between sometimes (face covering: mean 1.61, SD 1.19; social distancing: mean 2.40, SD 1.22; isolating: mean 2.78, SD 1.29; putting packages and shopping aside: mean 2.75, SD 1.55) and quite often (cleaning and disinfecting: mean 3.17, SD 1.18), except for handwashing (very often: mean 4.00, SD 1.03). Behaviors were similar regardless of the website pathway used. After using Germ Defence, users recorded intentions to improve infection control behavior across all website pathways and for all behaviors (overall average infection control score mean difference 0.30, 95% CI 0.29-0.31). Self-reported infection control behaviors other than handwashing are lower than is optimal for infection prevention, although handwashing is much higher. Advice using behavior change techniques in Germ Defence led to intentions to improve these behaviors. Promoting Germ Defence within national and local public health and primary care guidance could reduce COVID-19 transmission.
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DOI：
10.1016/0749-5978(91)90020-t
发表时间：
1991-12-01
影响因子：
4.6
作者：
AJZEN, I
通讯作者：
AJZEN, I
DOI：
10.1007/s12160-016-9866-9
发表时间：
2017-06
期刊：
Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
影响因子：
--
作者：
Ainsworth B;Steele M;Stuart B;Joseph J;Miller S;Morrison L;Little P;Yardley L
通讯作者：
Yardley L
影响因子：
6.9
作者：
Jenner, E. A.;Fletcher, B. (C);Scott, G. M.
通讯作者：
Scott, G. M.
影响因子：
29.9
作者：
West, Robert;Michie, Susan;Amlot, Richard
通讯作者：
Amlot, Richard
影响因子：
168.9
作者：
Little, Paul;Stuart, Beth;Yardley, Lucy
通讯作者：
Yardley, Lucy