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

During 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....

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Bibliographic Details
Published in:	BMC infectious diseases 2020-08, Vol.20 (1), p.607-607, Article 607
Main Authors:	Seale, Holly, Dyer, Clare E F, Abdi, Ikram, Rahman, Kazi M, Sun, Yanni, Qureshi, Mohammed O, Dowell-Day, Alexander, Sward, Jonathon, Islam, M Saiful
Format:	Article
Language:	eng
Subjects:	Acceptance Citizen participation Community Coronavirus Infections - epidemiology Coronavirus Infections - prevention & control Coronaviruses COVID-19 Demographics Disease Outbreaks Epidemics Health aspects Humans Hygiene Identification methods Impact analysis Infectious diseases Literature reviews Masks Medical personnel Motivation Non-pharmaceutical interventions Pandemic Pandemics Pandemics - prevention & control Pharmaceuticals Pneumonia, Viral - epidemiology Pneumonia, Viral - prevention & control Psychological factors Quarantine Quarantine - methods Schools Social Isolation
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Summary:	During 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. An 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. The 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. It 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.
ISSN:	1471-2334 1471-2334