Predictors of adherence to public health instructions during the COVID-19 pandemic

Pollak, Yehuda; Dayan, Haym; Shoham, Rachel; Berger, Itai

doi:10.1101/2020.04.24.20076620

Cited by 18 publications

(17 citation statements)

References 13 publications

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“…These findings mirror research in other countries. 19 , 20 , 21 Non-adherence was associated with decreased perceived social norms, 19 , 22 lower perceived social pressure to adhere to measures and decreased knowledge of measures. 5 These findings suggest that improvement in adherence to lockdown measures is likely to be achieved by emphasising these are actions that most people are taking, that are having a positive impact, and that others around you want you to do.…”

Section: Discussionmentioning

confidence: 97%

Factors associated with adherence to self-isolation and lockdown measures in the UK: a cross-sectional survey

et al. 2020

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Objectives To investigate factors associated with adherence to self-isolation and lockdown measures due to COVID-19 in the UK. Study design Online cross-sectional survey. Methods Data were collected between 6th and 7th May 2020. A total of 2240 participants living in the UK aged 18 years or older were recruited from YouGov's online research panel. Results A total of 217 people (9.7%) reported that they or someone in their household had symptoms of COVID-19 (cough or high temperature/fever) in the last 7 days. Of these people, 75.1% had left the home in the last 24 h (defined as non-adherent). Men were more likely to be non-adherent, as were people who were less worried about COVID-19, and who perceived a smaller risk of catching COVID-19. Adherence was associated with having received help from someone outside your household. Results should be taken with caution as there was no evidence for associations when controlling for multiple analyses. Of people reporting no symptoms in the household, 24.5% had gone out shopping for non-essentials in the last week (defined as non-adherent). Factors associated with non-adherence and with a higher total number of outings in the last week included decreased perceived effectiveness of government ‘lockdown’ measures, decreased perceived severity of COVID-19 and decreased estimates of how many other people were following lockdown rules. Having received help was associated with better adherence. Conclusions Adherence to self-isolation is poor. As we move into a new phase of contact tracing and self-isolation, it is essential that adherence is improved. Communications should aim to increase knowledge about actions to take when symptomatic or if you have been in contact with a possible COVID-19 case. They should also emphasise the risk of catching and spreading COVID-19 when out and about and the effectiveness of preventative measures. Using volunteer networks effectively to support people in isolation may promote adherence.

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Section: Discussionmentioning

confidence: 97%

Factors associated with adherence to self-isolation and lockdown measures in the UK: a cross-sectional survey

et al. 2020

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“…These findings are in line with research from other countries. (23)(24)(25) Increased perceived social norms were also associated with adherence to lockdown measures. (23,26) Other factors identified by a recent rapid review of adherence to quarantine,( 9) such as lower perceived social pressure to adhere to measures and decreased perceived legal consequences of not following measures were also associated with non-adherence to lockdown measures.…”

Section: Discussionmentioning

confidence: 98%

Factors associated with adherence to self-isolation and lockdown measures in the UK; a cross-sectional survey

Smith

Amlôt

Lambert

et al. 2020

Preprint

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Objectives: To investigate factors associated with adherence to self-isolation and lockdown measures due to COVID-19 in the UK. Design: Online cross-sectional survey. Setting: Data were collected between 6th and 7th May 2020. Participants: 2240 participants living in the UK aged 18 years or over. Participants were recruited from YouGov's online research panel. Main outcome measures: Having gone out in the last 24 hours in those who reported symptoms of COVID-19 in their household. Having gone out shopping for items other than groceries, toiletries or medicines (non-essentials), and total number of outings, in the last week in those who reported no symptoms of COVID-19 in their household. Results: 217 people (9.7%) reported that they or someone in their household had symptoms of COVID-19 (cough or high temperature / fever) in the last seven days. Of these people, 75.1% had left the home in the last 24 hours (defined as non-adherent). Factors associated with non-adherence were being male, less worried about COVID-19, and perceiving a smaller risk of catching COVID-19. Adherence was associated with having received help from someone outside your household. Results should be taken with caution as there was no evidence for associations when controlling for multiple analyses. Of people reporting no symptoms in the household, 24.5% had gone out shopping for non-essentials in the last week (defined as non-adherent). Factors associated with non-adherence and with a higher total number of outings in the last week included decreased perceived effectiveness of Government "lockdown" measures, decreased perceived severity of COVID-19, and decreased estimates of how many other people were following lockdown rules. Having received help was associated with better adherence. Conclusions: Adherence to self-isolation is poor. As we move into a new phase of contact tracing and self-isolation, it is essential that adherence is improved. Communications should aim to increase knowledge about actions to take when symptomatic or if you have been in contact with a possible COVID-19 case. They should also emphasise the risk of catching and spreading COVID-19 when out and about and the effectiveness of preventative measures. Using volunteer networks effectively to support people in isolation may promote adherence.

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“…Moreover, ADHD symptoms have been associated with poorer adherence to COVID-19 preventative measures (e.g. social distancing, mask wearing, personal hygiene; Pollak et al, 2020). ADHD is also associated with increased health risk behaviors such as smoking, substance use, unhealthy food consumption, and driving risks (Barkley, 2015;Molina & Pelham, 2014).…”

Section: Discussionmentioning

confidence: 99%

Coping with COVID-19: Longitudinal Impact of the Pandemic on Adjustment and Links with Coping for Adolescents with and without ADHD

Dvorsky

Breaux

Cusick

et al. 2021

Res Child Adolesc Psychopathol

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Understanding factors that foster resilience and buffer against the negative psychological impact of COVID-19 is critical to inform efforts to promote adjustment, reduce risk, and improve care, particularly for adolescents with neurodevelopmental disorders. This prospective longitudinal study addresses this gap by investigating the impact of the COVID-19 pandemic on adolescents' mental health and substance use, and by assessing specific positive coping strategies among adolescents with and without attention-deficit/hyperactivity disorder (ADHD). Using multi-group autoregressive cross-lagged path models, the present study explored the reciprocal influence of positive coping behaviors on multiple adjustment outcomes including mental health symptoms, substance use, stress, and worry. Participants included 238 adolescents (132 male participants; ages 15-17; 118 with ADHD). Parents provided ratings of adolescent routines, and adolescents provided ratings of coping behaviors and psychological adjustment in spring (May/June), summer (July/August), and fall (October/November) 2020. All models included the effects of adjustment at the prior timepoint as well as relevant covariates including adolescent race, ethnicity, sex, medication status, and family income. Adolescents with ADHD were at greater risk for experiencing increases in mental health symptoms and substance use throughout the pandemic, relative to adolescents without ADHD. The use of positive coping strategies and adolescent routines buffered against increases in substance use and mental health problems for adolescents with ADHD. These findings have important clinical and public policy relevance for parents, schools, and employers who may aim to prioritize keeping schedules as consistent as possible to promote healthy adjustment.

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Predictors of adherence to public health instructions during the COVID-19 pandemic

Cited by 18 publications

References 13 publications

Factors associated with adherence to self-isolation and lockdown measures in the UK: a cross-sectional survey

Factors associated with adherence to self-isolation and lockdown measures in the UK: a cross-sectional survey

Factors associated with adherence to self-isolation and lockdown measures in the UK; a cross-sectional survey

Coping with COVID-19: Longitudinal Impact of the Pandemic on Adjustment and Links with Coping for Adolescents with and without ADHD

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