ArticleJournal of public health management and practice : JPHMP
Protective Behaviors Following Digital COVID-19 Exposure Notifications, Washington State, September 1, 2021, to March 1, 2022.
Article in Journal of public health management and practice : JPHMP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Exploring Attitudes and Obstacles Around Digital Public Health Tools: Insights From a Statewide Cross-Sectional Survey on Washington's Vaccine Verification System.Journal of medical Internet research · 2025Article
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9 authors.
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Abstract
contextDigital exposure notification (EN) systems were widely used to supplement public health case investigations and contact tracing during the 2019 coronavirus disease (COVID-19) pandemic. In Washington State, the state Department of Health (DOH) implemented one such system, WA Notify, which generated ENs based on smartphone Bluetooth proximity detection. However, the privacy preserving measures of this technology prevented collection of information on how users responded after seeing an EN on their device.
objectiveTo understand the influence of ENs on intended and implemented protective behaviors among WA Notify users.
designTwo self-report surveys were administered by the WA DOH: a baseline survey regarding planned protective behaviors, available immediately after seeing an EN, and a follow-up survey distributed 2 weeks later regarding actual protective behaviors implemented. Self-reported planned and implemented protective behaviors were compared across 3 time periods relevant to the COVID-19 pandemic. Poisson regression was used to compare the probability of engaging in various protective behaviors across demographic characteristics and other contextual factors.
settingWashington State.
participantsA total of 4280 individuals who chose to respond to both surveys and who completed the initial survey between September 1, 2021, and March 1, 2022.
main outcome measuresSelf-reported plans for and engagement in protective behaviors (quarantining, testing, and symptom watching).
resultsThe proportion of individuals who reported implementing quarantining and symptom watching after seeing an EN was higher than the proportion that reported planning to engage in each respective behavior. Respondents who reported experiencing symptoms when seeing an EN were more likely to quarantine and test for COVID-19 compared to those with no symptoms.
conclusionPlans to engage in protective behaviors after initially seeing an EN can change and may be influenced by evolving personal and contextual factors. Future digital EN systems can be improved through messaging tailored to encourage protective behaviors relevant to disease prevention.
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