Evidence map›Paper›PMID 33731056›Full record

ArticleBMC public health2021

Identifying targets for interventions to support public adherence to government instructions to reduce transmission of SARS-CoV-2.

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

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05377814 (Using Implementation Intentions Plans to Support Public Use of Face Coverings), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% of its field
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.

NCT05377814 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Using Implementation Intentions Plans to Support Public Use of Face Coverings

TypeinterventionalSponsorUniversity of ManchesterRan2022 to 2022Enrolled6,000ConditionsIncreased Adherence to Wearing Face CoveringsArmsVolitional help sheet
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

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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 at 2 institutions in 1 country.

Christopher J ArmitageManchester Centre for Health Psychology, School of Health Sciences, University of Manchester, Manchester, M13 9PL, UK. chris.armitage@manchester.ac.uk.ORCID 0000-0003-2365-1765
Chris KeyworthNIHR Greater Manchester Patient Safety Translational Research Centre, University of Manchester, Manchester, M13 9PL, UK.
Jessica Z LeatherNIHR Greater Manchester Patient Safety Translational Research Centre, University of Manchester, Manchester, M13 9PL, UK.
Lucie Byrne-DavisDivision of Medical Education, School of Medical Sciences, University of Manchester, Manchester, M13 9PL, UK.
Tracy EptonManchester Centre for Health Psychology, School of Health Sciences, University of Manchester, Manchester, M13 9PL, UK.
University of Manchester · GBManchester Academic Health Science Centre · GB

Funding

Manchester Centre for Health Psychology N/A
6 · The paper itself

Abstract

backgroundSARS-CoV-2 lacks sentience and can only be spread through human behaviour. Government instructions to the general public include: (a) limiting time spent outside the home, (b) staying more than 1 m away from people outside the household at all times, and (c) maintaining hand hygiene. Current evidence suggests high rates of adherence to such instructions, but interventions to sustain adherence to government instructions in the long term can only be developed if we know why people do or do not adhere to them. The aims were to assess levels of public adherence to government instructions to reduce transmission of SARS-CoV-2, but more importantly to gauge why people were or were not adhering to instructions.

methodsCross-sectional survey of 2252 adults who were representative of the UK population. Data were analysed descriptively, and using one-sample t-tests, within-participants ANOVA and multiple linear regression.

resultsThe sample reported mostly adhering to UK government instructions to reduce SARS-CoV-2 transmission, with 5% or fewer people reporting active resistance to instructions. People generally reported high levels of capability, opportunity and motivation to follow the instructions, but perceived relatively few physical and social opportunities. Multiple linear regression analyses showed that better adherence was associated with older age, being a woman, having a white ethnic background, and with perceiving greater levels of capabilities, opportunities and motivations.

conclusionsInterventions targeted at people with black, Asian and minority ethnic backgrounds, men and younger people that focus on increasing capabilities, providing greater opportunities and boosting motivations are needed to support continued adherence to government instructions to reduce SARS-CoV-2 transmission. Further research is required to track changes in people's capabilities, opportunities, motivations and behaviours in response to the ongoing emergency, any changes in government instructions, and to adapt the present procedures to other emergency situations.

Indexed as

Guideline AdherenceMotivationAdultAgedAge FactorsCOVID-19Cross-Sectional StudiesFemaleGuidelines as TopicHumansMaleMiddle AgedRace FactorsSARS-CoV-2Sex FactorsSocial ClassAdherenceCOM-BCOVID-19Hand hygieneInterventionPhysical distancingSARS-CoV-2

Identifiers

PMID33731056
PMCPMC7967094
OpenAlexW3138227275

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.