Evidence map›Paper›PMID 33607123›Full record

ArticlePreventive medicine2021

What challenges do UK adults face when adhering to COVID-19-related instructions? Cross-sectional survey in a representative sample.

Chris Keyworth, Tracy Epton, Lucie Byrne-Davis, Jessica Z Leather, Christopher J Armitage

Abstract read
In one paragraph

Article in Preventive medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Chris KeyworthManchester Centre for Health Psychology, School of Health Sciences, The University of Manchester, M13 9PL, United Kingdom; NIHR Greater Manchester Patient Safety Translational Research Centre, The University of Manchester, Manchester Academic Health Science Centre, Manchester M13 9PL, United Kingdom. Electronic address: Chris.keyworth@manchester.ac.uk.
Tracy EptonManchester Centre for Health Psychology, School of Health Sciences, The University of Manchester, M13 9PL, United Kingdom. Electronic address: tracy.epton@manchester.ac.uk.
Lucie Byrne-DavisDivision of Medical Education, School of Medical Sciences, The University of Manchester, M13 9PL, United Kingdom. Electronic address: lucie.byrne-davis@manchester.ac.uk.
Jessica Z LeatherManchester Centre for Health Psychology, School of Health Sciences, The University of Manchester, M13 9PL, United Kingdom; NIHR Greater Manchester Patient Safety Translational Research Centre, The University of Manchester, Manchester Academic Health Science Centre, Manchester M13 9PL, United Kingdom. Electronic address: jessica.leather@manchester.ac.uk.
Christopher J ArmitageManchester Centre for Health Psychology, School of Health Sciences, The University of Manchester, M13 9PL, United Kingdom; NIHR Greater Manchester Patient Safety Translational Research Centre, The University of Manchester, Manchester Academic Health Science Centre, Manchester M13 9PL, United Kingdom; Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester M13 9PL, United Kingdom. Electronic address: chris.armitage@manchester.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adherence to government COVID-19-related instructions is reported to be high, but the psychosocial impacts of measures such as self-isolation and physical distancing could undermine long-term adherence to containment measures. The first step in designing interventions to mitigate the impacts of adhering to COVID-19-related instructions is to identify what are the most prevalent challenges and what characterises the people facing them. A cross-sectional survey was administered to a representative sample of the UK population (N = 2252), of whom n = 2139 (94.9%) reported adhering to the UK government's COVID-19-related instructions, and were included in the final analysis. Data were analysed using descriptive statistics and binary logistic regression. Of the people who reported adhering to UK government's COVID-19-related instructions, 80.3% reported experiencing challenges. Adults aged 55 years or over (OR = 1.939, 95%CI 1.331-2.825) and men (OR = 0.489, 95%CI 0.393-0.608) were least likely to report challenges. Adjusting to changes in daily routine (reported by 48.7% of the sample), mental health (reported by 41.4% of the sample) and physical health (reported by 31.5% of the sample) were the most prevalent challenges. For the first time, the present study quantifies the extent to which people experienced challenges when adhering to government COVID-19-related instructions. Few people reported experiencing no challenges when adhering to COVID-19-related instructions. Interventions to address the effects of changes in daily routine, mental health challenges, and physical health challenges should be prioritised, with a focus on key subgroups including women, younger adults, and people without care commitments.

Indexed as

Guideline AdherenceMental HealthAdultCOVID-19Cross-Sectional StudiesFemaleHumansMaleMiddle AgedQuarantineSARS-CoV-2Surveys and QuestionnairesUnited KingdomCOVID-19PreventionQuantitativeSurvey

Identifiers

PMID33607123
PMCPMC7885673

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.