Barriers to and facilitators of populational adherence to prevention and control measures of COVID-19 and other respiratory infectious diseases: a qualitative evidence synthesis

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Abstract

Aims:

To summarise the evidence on barriers to and facilitators of population adherence to prevention and control measures for coronavirus disease 2019 (COVID-19) and other respiratory infectious diseases.

Methods:

A qualitative synthesis was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis and the Cochrane Effective Practice and Organization of Care: Qualitative Evidence Synthesis. We performed an electronic search on MEDLINE, Embase and PsycINFO from their inception to March 2023.

Results:

We included 71 studies regarding COVID-19, pneumonia, tuberculosis, influenza, pertussis and H1N1, representing 5966 participants. The measures reported were vaccinations, physical distancing, stay-at-home policy, quarantine, self-isolation, facemasks, hand hygiene, contact investigation, lockdown, infection prevention and control guidelines, and treatment. Tuberculosis-related measures were access to care, diagnosis and treatment completion. Analysis of the included studies yielded 37 barriers and 23 facilitators.

Conclusions:

This review suggests that financial and social support, assertive communication, trust in political authorities and greater regulation of social media enhance adherence to prevention and control measures for COVID-19 and infectious respiratory diseases. Designing and implementing effective educational public health interventions targeting the findings of barriers and facilitators highlighted in this review are key to reducing the impact of infectious respiratory diseases at the population level.

Abstract

Knowledge about disease, susceptibility, collective responsibility, health policies, access to information, and psycho-cognitive, socio-environmental and other aspects may affect adherence to measures for preventing respiratory infectious diseases https://bit.ly/3nUieb2

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Most cited references 143

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The PRISMA 2020 statement: an updated guideline for reporting systematic reviews

Matthew J L Page, Joanne E McKenzie, Patrick Bossuyt … (2024)

The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement, published in 2009, was designed to help systematic reviewers transparently report why the review was done, what the authors did, and what they found. Over the past decade, advances in systematic review methodology and terminology have necessitated an update to the guideline. The PRISMA 2020 statement replaces the 2009 statement and includes new reporting guidance that reflects advances in methods to identify, select, appraise, and synthesise studies. The structure and presentation of the items have been modified to facilitate implementation. In this article, we present the PRISMA 2020 27-item checklist, an expanded checklist that details reporting recommendations for each item, the PRISMA 2020 abstract checklist, and the revised flow diagrams for original and updated reviews.

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Rayyan—a web and mobile app for systematic reviews

Mourad Ouzzani, Hossam Hammady, Zbys Fedorowicz … (2017)

Background Synthesis of multiple randomized controlled trials (RCTs) in a systematic review can summarize the effects of individual outcomes and provide numerical answers about the effectiveness of interventions. Filtering of searches is time consuming, and no single method fulfills the principal requirements of speed with accuracy. Automation of systematic reviews is driven by a necessity to expedite the availability of current best evidence for policy and clinical decision-making. We developed Rayyan (http://rayyan.qcri.org), a free web and mobile app, that helps expedite the initial screening of abstracts and titles using a process of semi-automation while incorporating a high level of usability. For the beta testing phase, we used two published Cochrane reviews in which included studies had been selected manually. Their searches, with 1030 records and 273 records, were uploaded to Rayyan. Different features of Rayyan were tested using these two reviews. We also conducted a survey of Rayyan’s users and collected feedback through a built-in feature. Results Pilot testing of Rayyan focused on usability, accuracy against manual methods, and the added value of the prediction feature. The “taster” review (273 records) allowed a quick overview of Rayyan for early comments on usability. The second review (1030 records) required several iterations to identify the previously identified 11 trials. The “suggestions” and “hints,” based on the “prediction model,” appeared as testing progressed beyond five included studies. Post rollout user experiences and a reflexive response by the developers enabled real-time modifications and improvements. The survey respondents reported 40% average time savings when using Rayyan compared to others tools, with 34% of the respondents reporting more than 50% time savings. In addition, around 75% of the respondents mentioned that screening and labeling studies as well as collaborating on reviews to be the two most important features of Rayyan. As of November 2016, Rayyan users exceed 2000 from over 60 countries conducting hundreds of reviews totaling more than 1.6M citations. Feedback from users, obtained mostly through the app web site and a recent survey, has highlighted the ease in exploration of searches, the time saved, and simplicity in sharing and comparing include-exclude decisions. The strongest features of the app, identified and reported in user feedback, were its ability to help in screening and collaboration as well as the time savings it affords to users. Conclusions Rayyan is responsive and intuitive in use with significant potential to lighten the load of reviewers.

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The behaviour change wheel: A new method for characterising and designing behaviour change interventions

Susan Michie, Maartje M. van Stralen, Robert H. West (2012)

Background Improving the design and implementation of evidence-based practice depends on successful behaviour change interventions. This requires an appropriate method for characterising interventions and linking them to an analysis of the targeted behaviour. There exists a plethora of frameworks of behaviour change interventions, but it is not clear how well they serve this purpose. This paper evaluates these frameworks, and develops and evaluates a new framework aimed at overcoming their limitations. Methods A systematic search of electronic databases and consultation with behaviour change experts were used to identify frameworks of behaviour change interventions. These were evaluated according to three criteria: comprehensiveness, coherence, and a clear link to an overarching model of behaviour. A new framework was developed to meet these criteria. The reliability with which it could be applied was examined in two domains of behaviour change: tobacco control and obesity. Results Nineteen frameworks were identified covering nine intervention functions and seven policy categories that could enable those interventions. None of the frameworks reviewed covered the full range of intervention functions or policies, and only a minority met the criteria of coherence or linkage to a model of behaviour. At the centre of a proposed new framework is a 'behaviour system' involving three essential conditions: capability, opportunity, and motivation (what we term the 'COM-B system'). This forms the hub of a 'behaviour change wheel' (BCW) around which are positioned the nine intervention functions aimed at addressing deficits in one or more of these conditions; around this are placed seven categories of policy that could enable those interventions to occur. The BCW was used reliably to characterise interventions within the English Department of Health's 2010 tobacco control strategy and the National Institute of Health and Clinical Excellence's guidance on reducing obesity. Conclusions Interventions and policies to change behaviour can be usefully characterised by means of a BCW comprising: a 'behaviour system' at the hub, encircled by intervention functions and then by policy categories. Research is needed to establish how far the BCW can lead to more efficient design of effective interventions.

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Author and article information

Journal

Journal ID (nlm-ta): Eur Respir Rev

Journal ID (iso-abbrev): Eur Respir Rev

Journal ID (publisher-id): ERR

Journal ID (hwp): errev

Title: European Respiratory Review

Publisher: European Respiratory Society

ISSN (Print): 0905-9180

ISSN (Electronic): 1600-0617

Publication date Collection: 30 June 2023

Publication date (Electronic): 21 June 2023

Volume: 32

Issue: 168

Electronic Location Identifier: 220238

Affiliations

[1 ]Department of Physical Therapy, Graduate Program in Physical Therapy, Federal University of Rio Grande do Norte, Natal, RN, Brazil

[2 ]Department of Physical Therapy, State University of Paraiba, Campina Grande, PB, Brazil

[3 ]Research and Development, Myant Inc., Toronto, ON, Canada

[4 ]Department of Physical Therapy, Federal University of Delta do Parnaíba, Parnaíba, PI, Brazil

[5 ]Department of Psychology, Graduate Program in Science, Federal University of Rio Grande do Norte, Natal, RN, Brazil

[6 ]Department of Population and Public Health Sciences, University of Southern California Keck School of Medicine, Los Angeles, CA, USA

[7 ]Department of Infectious Diseases, Federal University of Rio Grande do Norte, Natal, RN, Brazil

[8 ]Public Health Department of the State of Rio Grande do Norte, Natal, RN, Brazil

[9 ]Faculty of Health Sciences of Trairi, Federal University of Rio Grande do Norte, Natal, RN, Brazil

Author notes

Corresponding author: Tácito Zaildo ( ft.tacitozaildo@ 123456gmail.com )

Author information

Tácito Zaildo https://orcid.org/0000-0002-9495-7078

Thayla Amorim Santino https://orcid.org/0000-0002-5514-762X

Gabriela Chaves https://orcid.org/0000-0002-7737-8015

Baldomero Antonio Kato da Silva https://orcid.org/0000-0001-9337-9563

João Carlos Alchieri https://orcid.org/0000-0002-4150-8519

Cecilia M. Patino https://orcid.org/0000-0001-5742-2157

Sarah Leite https://orcid.org/0000-0002-2908-8187

Kleber Giovanni Luz https://orcid.org/0000-0003-3025-0660

Ricardo Oliveira Guerra https://orcid.org/0000-0003-3824-3713

Gabriel Rodrigues da Silva https://orcid.org/0000-0003-0154-2138

Ada Cristina Jácome https://orcid.org/0000-0002-5498-3108

Karolinne Souza Monteiro https://orcid.org/0000-0003-2254-8723

Karla Morganna Pereira Pinto de Mendonça https://orcid.org/0000-0001-5734-3707

Article

Publisher ID: ERR-0238-2022

DOI: 10.1183/16000617.0238-2022

PMC ID: 10282824

PubMed ID: 37343960

SO-VID: 713925bf-615b-4028-83ad-f898e3d76a9f

License:

This version is distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0. For commercial reproduction rights and permissions contact permissions@ersnet.org

History

Date received : 02 December 2022

Date accepted : 03 April 2023

Funding

Funded by: Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, doi 10.13039/501100002322;

Award ID: Finance Code 001.

Funded by: Ministério da Ciência, Tecnologia, Inovações e Comunicações, doi 10.13039/501100011875;

Award ID: 403248/2020–5

Funded by: Conselho Nacional de Desenvolvimento Científico e Tecnológico, doi 10.13039/501100003593;

Award ID: 403248/2020–5

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Barriers to and facilitators of populational adherence to prevention and control measures of COVID-19 and other respiratory infectious diseases: a qualitative evidence synthesis

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Abstract

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European Respiratory Society: COVID-19

Most cited references 143

The PRISMA 2020 statement: an updated guideline for reporting systematic reviews

Rayyan—a web and mobile app for systematic reviews

The behaviour change wheel: A new method for characterising and designing behaviour change interventions

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