Engagement with daily testing instead of self-isolating in contacts of confirmed cases of SARS-CoV-2.
Engagement with daily testing instead of self-isolating in contacts of confirmed cases of SARS-CoV-2.
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参与日常测试，而不是自我隔离，以与已确认的SARS-COV-2病例接触。
DOI：
10.1186/s12889-021-11135-7
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发表时间：
2021-06-05
影响因子：
4.5
通讯作者：
Yardley L
中科院分区：
文献类型：
--
作者：
Martin AF;Denford S;Love N;Ready D;Oliver I;Amlôt R;Rubin GJ;Yardley L
2020 年 12 月，英格兰公共卫生部门与 NHS Test and Trace 启动了一项试点研究，其中确诊为 COVID-19 的人的密切接触者可以选择在家中进行侧流装置抗原检测，作为自我隔离 10-14 天的替代方案。在这项研究中，我们评估了日常测试的参与度，并评估了对阳性或阴性测试结果后的行为相关规则的遵守程度。我们对试点研究进行了服务评估，检查了评估问卷答复者的一部分的调查答复。我们使用了一项在线横断面调查，向同意每日检测的 COVID-19 确诊病例的成年接触者提供。我们使用了一组未接受检测而是自我隔离的接触者作为对照组。在没有提供检测选择的受访者和少数族裔人群中，日常检测的接受度较低。总体而言，52% 的受访者表示，如果他们知道自己的联系人可以选择进行日常检测，他们更有可能在检测结果呈阳性后分享他们接触过的人的详细信息。只有 2% 的人表示他们不太可能提供其联系人的详细信息。在他们试图自我隔离的日子里，19% 的参与者表示他们离开了家，没有显着的群体差异。阴性测试后，13% 的受访者表示他们增加了接触次数，但大多数 (58%) 表示危险接触次数减少了。我们的数据表明，每日检测可能是可以接受的，可能有助于在 COVID-19 检测呈阳性的人之间分享密切接触者的联系方式，并促进坚持自我隔离。需要更好地了解如何使所有家庭更容易接受这一选择。接受负面测试对行为的影响仍然是一种风险，需要通过适当的消息传递进行监控和减轻。未来的研究应该在感染水平较低、检测更加熟悉、活动限制减少的背景下考察人们的态度和行为。在线版本包含可在 10.1186/s12889-021-11135-7 获取的补充材料。
In December 2020, Public Health England with NHS Test and Trace initiated a pilot study in which close contacts of people with confirmed COVID-19 were given the option to carryout lateral flow device antigen tests at home, as an alternative to self-isolation for 10–14 days. In this study, we evaluated engagement with daily testing, and assessed levels of adherence to the rules relating to behaviour following positive or negative test results. We conducted a service evaluation of the pilot study, examining survey responses from a subset of those who responded to an evaluation questionnaire. We used an online cross-sectional survey offered to adult contacts of confirmed COVID-19 cases who consented to daily testing. We used a comparison group of contacts who were not offered testing and instead self-isolated. Acceptability of daily testing was lower among survey respondents who were not offered the option of testing and among people from ethnic minority groups. Overall, 52% of respondents reported being more likely to share details of people that they had been in contact with following a positive test result, if they knew that their contacts would be offered the option of daily testing. Only 2% reported that they would be less likely to provide details of their contacts. On the days that they were trying to self-isolate, 19% of participants reported that they left the house, with no significant group differences. Following a negative test, 13% of respondents reported that they increased their contacts, but most (58%) reported having fewer risky contacts. Our data suggest that daily testing is potentially acceptable, may facilitate sharing contact details of close contacts among those who test positive for COVID-19, and promote adherence to self-isolation. A better understanding is needed of how to make this option more acceptable for all households. The impact of receiving a negative test on behaviour remains a risk that needs to be monitored and mitigated by appropriate messaging. Future research should examine attitudes and behaviour in a context where infection levels are lower, testing is more familiar, and restrictions on activity have been reduced. The online version contains supplementary material available at 10.1186/s12889-021-11135-7.
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影响因子：
2.9
作者：
Atchison C;Bowman LR;Vrinten C;Redd R;Pristerà P;Eaton J;Ward H
通讯作者：
Ward H
DOI：
10.1093/pubmed/fdab005
发表时间：
2021-09-22
期刊：
Journal of public health (Oxford, England)
影响因子：
--
作者：
Denford S;Morton KS;Lambert H;Zhang J;Smith LE;Rubin GJ;Cai S;Zhang T;Robin C;Lasseter G;Hickman M;Oliver I;Yardley L
通讯作者：
Yardley L
DOI：
10.1136/bmj.n608
发表时间：
2021-03-31
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Smith LE;Potts HWW;Amlôt R;Fear NT;Michie S;Rubin GJ
通讯作者：
Rubin GJ
影响因子：
5.2
作者：
Smith, L. E.;Amlot, R.;Rubin, G. J.
通讯作者：
Rubin, G. J.