Evidence map›Paper›PMID 36909296›Full record

ArticleInfluenza and other respiratory viruses2023

Public health and social measures during health emergencies such as the COVID-19 pandemic: An initial framework to conceptualize and classify measures.

Eva A Rehfuess, Ani Movsisyan, Lisa M Pfadenhauer, Jacob Burns, Ramona Ludolph, Susan Michie, Brigitte Strahwald

Open access · goldAbstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
10.0field-weighted citation impact, top 2% 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.

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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Measures implemented in the school setting to contain the COVID-19 pandemic.The Cochrane database of systematic reviews · 2024
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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

7 authors at 3 institutions in 4 countries.

Eva A RehfuessInstitute for Medical Information Processing, Biometry and Epidemiology LMU Munich Munich Germany.ORCID 0000-0002-4318-8846
Ani MovsisyanInstitute for Medical Information Processing, Biometry and Epidemiology LMU Munich Munich Germany.
Lisa M PfadenhauerInstitute for Medical Information Processing, Biometry and Epidemiology LMU Munich Munich Germany.
Jacob BurnsInstitute for Medical Information Processing, Biometry and Epidemiology LMU Munich Munich Germany.
Ramona LudolphDepartment of Epidemic and Pandemic Preparedness and Prevention WHO Health Emergencies Programme, World Health Organization Geneva Switzerland.
Susan MichieUCL Centre for Behaviour Change University College London London UK.
Brigitte StrahwaldInstitute for Medical Information Processing, Biometry and Epidemiology LMU Munich Munich Germany.
Zimmer Biomet (Netherlands) · NLUniversity College London · GBWorld Health Organization · CH

Funding

World Health Organization 001
6 · The paper itself

Abstract

Background: Public health and social measures (PHSM) intend to reduce the transmission of infectious diseases and to reduce the burden on health systems, economies and societies. During the COVID-19 pandemic, PHSM have been selected, combined and implemented in a variable manner and inconsistently categorized in policy trackers. This paper presents an initial conceptual framework depicting how PHSM operate in a complex system, enabling a wide-reaching description of these measures and their intended and unintended outcomes. Methods: In a multi-stage development process, we combined (i) a complexity perspective and systems thinking; (ii) literature on existing COVID-19 PHSM frameworks, taxonomies and policy trackers; (iii) expert input and (iv) application to school and international travel measures. Results: The initial framework reflects our current understanding of how PHSM are intended to achieve transmission-related outcomes in a complex system, offering visualizations, definitions and worked examples. First, PHSM operate through two basic mechanisms, that is, reducing contacts and/or making contacts safer. Second, PHSM are defined not only by the measures themselves but by their stringency and application to specific populations and settings. Third, PHSM are critically influenced by contextual factors. The framework provides a tool for structured thinking and further development, rather than a ready-to-use tool for practice. Conclusions: This conceptual framework seeks to facilitate coordinated, interdisciplinary research on PHSM effectiveness, impact and implementation; enable consistent, coherent PHSM monitoring and evaluation; and contribute to evidence-informed decision-making on PHSM implementation, adaptation and de-implementation. We expect this framework to be modified and refined over time.

Indexed as

COVID-19EmergenciesHumansPandemicsPublic Healthcomplex interventionsCOVID‐19evidence‐informed decision‐makingnon‐pharmacological interventionspandemic preparednesssystems thinking

Identifiers

PMID36909296
PMCPMC9996427
OpenAlexW4323663564

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.