Interventions to promote physical distancing behaviour during infectious disease pandemics or epidemics: A systematic review

Epton, T (通讯作者),Univ Manchester, Manchester Ctr Hlth Psychol, Oxford Rd, Manchester M13 9PT, England.
2022-6
Objectives: Physical distancing, defined as keeping 1-2m apart when co-located, can prevent cases of droplet or aerosol transmitted infectious diseases such as SARS-CoV2. During the COVID-19 pandemic, distancing was a recommendation or a requirement in many countries. This systematic review aimed to determine which interventions and behavior change techniques (BCTs) are effective in promoting adherence to distancing and through which potential mechanisms of action (MOAs).Methods: Six databases were searched. The review included studies that were (a) conducted on humans, (b) reported physical distancing interventions, (c) included any comparator (e.g., pre-intervention versus post intervention; randomized controlled trial), and (d) reported actual distancing or predictors of distancing behavior. Risk of bias was assessed using the Mixed Methods Appraisal Tool. BCTs and potential MoAs were identified in each intervention.Results: Six articles (with seven studies and 19 comparisons) indicated that distancing interventions could successfully change MoAs and behavior. Successful BCTs (MoAs) included feedback on behavior (e.g., motivation); information about health consequences, salience of health consequences (e.g., beliefs about consequences), demonstration (e.g., beliefs about capabilities), and restructuring the physical environment (e.g., environmental context and resources). The most promising interventions were proximity buzzers, directional systems, and posters with loss framed messages that demonstrated the behaviors.Conclusions: The evidence indicates several BCTs and potential MoAs that should be targeted in interventions and highlights gaps that should be the focus of future research.
SOCIAL SCIENCE & MEDICINE
卷号:303
ISSN:0277-9536|收录类别:SCIE
语种
英语
来源机构
University of Manchester; University of Southampton; University of Teesside; University of London; University College London; Cardiff University; University of Teesside; University of London; University College London; Public Health England; University of Bath; University of West England; University of Dundee; University of Teesside; University of Southampton; University of London; University College London; Royal National Orthopaedic Hospital NHS Trust; City University London; University of Warwick; Queens University Belfast; Sheffield Hallam University; University of Manchester; University of Leeds; Birmingham City University; University of London; University College London; University of Stirling; University of Manchester; University of Bedfordshire; University of Sussex; University of Manchester; University of Manchester; University of Manchester
资助信息
Funding This review received no funding. The work of John Drury on this paper was supported by a grant from the ESRC (reference number ES/V005383/1) . The work of Christopher Armitage on this paper was supported by NIHR Manchester Biomedical Research Centre and NIHR Greater Manchester Patient Safety Translational Research Centre.
被引频次(WOS)
2
被引频次(其他)
2
180天使用计数
2
2013以来使用计数
4
EISSN
1873-5347
出版年
2022-6
DOI
10.1016/j.socscimed.2022.114946
关键词
Systematic review Physical distancing COVID-19 Social distancing
资助机构
ESRC(UK Research & Innovation (UKRI)Economic & Social Research Council (ESRC)) NIHR Manchester Biomedical Research Centre(National Institute for Health Research (NIHR)) NIHR Greater Manchester Patient Safety Translational Research Centre
WOS学科分类
Public, Environmental & Occupational Health Social Sciences, Biomedical
学科领域
循证公共卫生 循证社会科学-综合