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Infection control in the home: a qualitative study exploring perceptions and experiences of adhering to protective behaviours in the home during the COVID-19 pandemic

Infection control in the home: a qualitative study exploring perceptions and experiences of adhering to protective behaviours in the home during the COVID-19 pandemic
Infection control in the home: a qualitative study exploring perceptions and experiences of adhering to protective behaviours in the home during the COVID-19 pandemic

Objectives We sought to explore people's experiences and perceptions of implementing infection control behaviours in the home during the COVID-19 pandemic, guided by an online behavioural intervention. Design Inductive qualitative study. Setting UK public during the COVID-19 pandemic. Participants Thirteen people took part in telephone interviews, and 124 completed a qualitative open-text survey. All were recruited from the public. Most survey participants were aged over 60 years, while interview participants were more distributed in age. Most reported being at increased risk from COVID-19, and were white British. Intervention Online behavioural intervention to support infection control behaviours in the home during the COVID-19 pandemic. Data collection Telephone think-aloud interviews and qualitative survey data. Data analysis The think-aloud interview data and qualitative survey data were analysed independently using inductive thematic analysis. The findings were subsequently triangulated. Results Thematic analysis of the telephone interviews generated seven themes: perceived risk; belief in the effectiveness of protective behaviours; acceptability of distancing and isolation; having capacity to perform the behaviours; habit forming reduces effort; having the confidence to perform the behaviours; and social norms affect motivation to engage in the behaviours. The themes identified from the survey data mapped well onto the interview analysis. Isolating and social distancing at home were less acceptable than cleaning and handwashing, influenced by the need for intimacy with household members. This was especially true in the absence of symptoms and when perceived risk was low. People felt more empowered when they understood that even small changes, such as spending some time apart, were worthwhile to reduce exposure and lessen viral load. Conclusions The current study provided valuable insight into the acceptability and feasibility of protective behaviours, and how public health guidance could be incorporated into a behaviour change intervention for the public during a pandemic.

covid-19, infection control, public health, qualitative research
2044-6055
Morton, Kate
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Towler, Lauren
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Groot, Julia
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Miller, Sascha
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Ainsworth, Benjamin
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Denison-Day, James
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Rice, Cathy
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Bostock, Jennifer
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Willcox, Merlin
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Little, Paul
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Yardley, Lucy
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Morton, Kate
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Towler, Lauren
ebb4fb4e-703f-4e52-a9dc-53e72ca68e8f
Groot, Julia
cc29dc97-a3aa-4036-a46a-a913828f2962
Miller, Sascha
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Ainsworth, Benjamin
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Denison-Day, James
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Rice, Cathy
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Bostock, Jennifer
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Willcox, Merlin
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Little, Paul
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Yardley, Lucy
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Morton, Kate, Towler, Lauren, Groot, Julia, Miller, Sascha, Ainsworth, Benjamin, Denison-Day, James, Rice, Cathy, Bostock, Jennifer, Willcox, Merlin, Little, Paul and Yardley, Lucy (2021) Infection control in the home: a qualitative study exploring perceptions and experiences of adhering to protective behaviours in the home during the COVID-19 pandemic. BMJ Open, 11 (12), [e056161]. (doi:10.1136/bmjopen-2021-056161).

Record type: Article

Abstract

Objectives We sought to explore people's experiences and perceptions of implementing infection control behaviours in the home during the COVID-19 pandemic, guided by an online behavioural intervention. Design Inductive qualitative study. Setting UK public during the COVID-19 pandemic. Participants Thirteen people took part in telephone interviews, and 124 completed a qualitative open-text survey. All were recruited from the public. Most survey participants were aged over 60 years, while interview participants were more distributed in age. Most reported being at increased risk from COVID-19, and were white British. Intervention Online behavioural intervention to support infection control behaviours in the home during the COVID-19 pandemic. Data collection Telephone think-aloud interviews and qualitative survey data. Data analysis The think-aloud interview data and qualitative survey data were analysed independently using inductive thematic analysis. The findings were subsequently triangulated. Results Thematic analysis of the telephone interviews generated seven themes: perceived risk; belief in the effectiveness of protective behaviours; acceptability of distancing and isolation; having capacity to perform the behaviours; habit forming reduces effort; having the confidence to perform the behaviours; and social norms affect motivation to engage in the behaviours. The themes identified from the survey data mapped well onto the interview analysis. Isolating and social distancing at home were less acceptable than cleaning and handwashing, influenced by the need for intimacy with household members. This was especially true in the absence of symptoms and when perceived risk was low. People felt more empowered when they understood that even small changes, such as spending some time apart, were worthwhile to reduce exposure and lessen viral load. Conclusions The current study provided valuable insight into the acceptability and feasibility of protective behaviours, and how public health guidance could be incorporated into a behaviour change intervention for the public during a pandemic.

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Accepted/In Press date: 9 November 2021
Published date: 1 December 2021
Keywords: covid-19, infection control, public health, qualitative research

Identifiers

Local EPrints ID: 452765
URI: http://eprints.soton.ac.uk/id/eprint/452765
ISSN: 2044-6055
PURE UUID: 18fe18ae-d385-42de-bdf5-b4e4c54a5153
ORCID for Kate Morton: ORCID iD orcid.org/0000-0002-6674-0314
ORCID for Lauren Towler: ORCID iD orcid.org/0000-0002-6597-0927
ORCID for Sascha Miller: ORCID iD orcid.org/0000-0002-1949-5774
ORCID for Benjamin Ainsworth: ORCID iD orcid.org/0000-0002-5098-1092
ORCID for James Denison-Day: ORCID iD orcid.org/0000-0003-0223-0005
ORCID for Merlin Willcox: ORCID iD orcid.org/0000-0002-5227-3444
ORCID for Paul Little: ORCID iD orcid.org/0000-0003-3664-1873
ORCID for Lucy Yardley: ORCID iD orcid.org/0000-0002-3853-883X

Catalogue record

Date deposited: 20 Dec 2021 17:32
Last modified: 12 Nov 2024 03:01

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Contributors

Author: Kate Morton ORCID iD
Author: Lauren Towler ORCID iD
Author: Julia Groot
Author: Sascha Miller ORCID iD
Author: Benjamin Ainsworth ORCID iD
Author: Cathy Rice
Author: Jennifer Bostock
Author: Merlin Willcox ORCID iD
Author: Paul Little ORCID iD
Author: Lucy Yardley ORCID iD

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