Improving the impact of non-pharmaceutical interventions during COVID-19: examining the factors that influence engagement and the impact on individuals
Improving the impact of non-pharmaceutical interventions during COVID-19: examining the factors that influence engagement and the impact on individuals
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DOI：
10.1186/s12879-020-05340-9
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发表时间：
2020-08-17
影响因子：
3.7
通讯作者：
Islam, M. Saiful
中科院分区：
文献类型：
--
作者：
Seale, Holly;Dyer, Clare E. F.;Islam, M. Saiful
在不断发展的疫情或大流行期间，非药物干预措施（NPI），包括物理距离，隔离和口罩的使用可能会使社区的峰值变平。然而，这些战略依赖于社区的理解和参与动机，以确保适当的遵守和影响。为了支持当前针对COVID-19的活动，本叙述性综述的目标是确定影响参与度的关键决定因素。我们的目标是确定发表的同行评议的文章，重点放在一般社区（不包括保健工作者），非营利机构（包括学校停课、隔离、隔离、身体距离及卫生行为），以及影响因素/特征（包括社会、身体、心理、能力、动机、经济和人口统计学）对敬业度的影响。隔离、关闭学校和个人保护行为的社会和心理因素。除了接受和遵守的影响因素，有几个关键的社区关注他们的使用，需要解决，包括潜在的经济后果。ConclusionIt重要的是，我们承认，这些战略将对个人和社会的影响。通过了解这些障碍，我们可以确定需要采取什么策略来激励个人和提高社区的遵从性。利用行为框架来规划基于这些关键障碍的干预措施，也将确保各国采取适当和有针对性的应对措施。
BackgroundDuring an evolving outbreak or pandemic, non-pharmaceutical interventions (NPIs) including physical distancing, isolation, and mask use may flatten the peak in communities. However, these strategies rely on community understanding and motivation to engage to ensure appropriate compliance and impact. To support current activities for COVID-19, the objectives of this narrative review was to identify the key determinants impacting on engagement.MethodsAn integrative narrative literature review focused on NPIs. We aimed to identify published peer-reviewed articles 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.ResultsThe results revealed that there are a range of demographic, social and psychological factors underpinning engagement with quarantine, school closures, and personal protective behaviours. Aside from the factors impacting on acceptance and compliance, there are several key community concerns about their use that need to be addressed including the potential for economic consequences.ConclusionIt is important that we acknowledge that these strategies will have an impact on an individual and the community. By understanding the barriers, we can identify what strategies need to be adopted to motivate individuals and improve community compliance. Using a behavioural framework to plan interventions based on these key barriers, will also ensure countries implement appropriate and targeted responses.