How identification with the social environment and with the government guide the use of the official COVID-19 contact tracing app: Three quantitative survey studies.
TL;DR: In this article, the authors investigated the preconditions under which people are willing to use a COVID-19 contact tracing app (i.e., their use intentions and use).
Abstract: Background: Official contact tracing apps have been implemented and recommended for use across nations to track and contain the spread of COVID-19. Such apps can be effective if people are willing to use them. Accordingly, many attempts are being made to motivate citizens to make use of the officially recommended apps.
Objective: The aim of this research was to contribute to an understanding of the preconditions under which people are willing to use a COVID-19 contact tracing app (ie, their use intentions and use). To go beyond personal motives in favor of app use, it is important to take people’s social relationships into account, under the hypothesis that the more people identify with the beneficiaries of app use (ie, people living close by in their social environment) and with the source recommending the app (ie, members of the government), the more likely they will be to accept the officially recommended contact tracing app.
Methods: Before, right after, and 5 months after the official contact tracing app was launched in Germany, a total of 1044 people participated in three separate surveys. Structural equation modeling was used to test the hypotheses, examining the same model in all studies at these critical points in time.
Results: Across the three surveys, both identification with the beneficiaries (people living in their social environment) and with the source recommending the app (members of the government) predicted greater intention to use and use (installation) of the official contact tracing app. Trust in the source (members of the government) served as a mediator. Other types of identification (with people in Germany or people around the world) did not explain the observed results. The findings were highly consistent across the three surveys.
Conclusions: Attempts to motivate people to use new health technology (or potentially new measures more generally) not only for their personal benefit but also for collective benefits should take the social context into account (ie, the social groups people belong to and identify with). The more important the beneficiaries and the sources of such measures are to people’s sense of the self, the more willing they will likely be to adhere to and support such measures.
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TL;DR: There are multiple exemplars of telehealth instigated rapidly to provide care for people with COVID-19, to manage the spread of the pandemic or to maintain safe routine diagnostic or treatment services, but these initiatives must accommodate preferences and address the risk of increasing the digital divide.
Abstract: The World Health Organization defines telemedicine as “an interaction between a healthcare provider and a patient when the two are separated by distance”. The coronavirus disease 2019 (COVID-19) pandemic has forced a dramatic shift to telephone and video consulting for follow-up and routine ambulatory care for reasons of infection control. Short message service (“text”) messaging has proved a useful adjunct to remote consulting, allowing the transfer of photographs and documents. Maintaining the care of noncommunicable diseases is a core component of pandemic preparedness and telemedicine has developed to enable (for example) remote monitoring of sleep apnoea, telemonitoring of COPD, digital support for asthma self-management and remote delivery of pulmonary rehabilitation. There are multiple exemplars of telehealth instigated rapidly to provide care for people with COVID-19, to manage the spread of the pandemic or to maintain safe routine diagnostic or treatment services. Despite many positive examples of equivalent functionality and safety, there remain questions about the impact of remote delivery of care on rapport and the longer term impact on patient/professional relationships. Although telehealth has the potential to contribute to universal health coverage by providing cost-effective accessible care, there is a risk of increasing social health inequalities if the “digital divide” excludes those most in need of care. As we emerge from the pandemic, the balance of remote versus face-to-face consulting, and the specific role of digital health in different clinical and healthcare contexts will evolve. What is clear is that telemedicine in one form or another will be part of the “new norm”. The #COVID19 pandemic has forced a dramatic shift to remote care and accelerated multiple telemedicine initiatives. As they evolve into the new norm, these initiatives must accommodate preferences and address the risk of increasing the digital divide. https://bit.ly/3sj5WYL
8 citations
TL;DR: In this paper , the role of DCTAs in the prevention of COVID-19 was analyzed in terms of both the responsibility and inconvenience to life in a large-scale DCTA overuse environment, based on the normative activation model.
Abstract: During the COVID-19 pandemic, many countries have used digital contact tracing apps (DCTAs) to implement contact tracing. Although the use of DCTAs has contributed to the prevention and control of COVID-19, there are doubts in academia about their actual effectiveness. In this study, the role of DCTAs in the prevention of COVID-19 was analyzed in terms of both the responsibility and inconvenience to life in a large-scale DCTA overuse environment, based on the normative activation model. The findings suggest that the overuse of a DCTA activates people’s personal norms by triggering awareness of the consequences and ascription of responsibility, leading people to consistently cooperate with the government to prevent COVID-19. However, the inconvenience of living with DCTA overuse weakens the effect of the awareness of consequences and ascription of responsibility and the role of the ascription of responsibility in influencing personal norms. These effects may bear on people’s willingness to consistently cooperate with the government to prevent COVID-19. The results of this study confirm the effectiveness of DCTA in counteracting pandemics from a social responsibility perspective in a large-scale environment where DCTA is used, enriching the literature on DCTA research in the COVID-19 pandemic. The results of this study can also help governments develop and improve policies to prevent COVID-19, as well as improve the DCTAs’ operating patterns.
3 citations
19 Jan 2023
TL;DR: In this paper , the influence of peer groups' social environments on the usage of the German Corona-Warn-App (CWA) during two periods with relatively lower death rates and higher death rates caused by SARS-CoV-2 was investigated.
Abstract: BACKGROUND The German Corona-Warn-App (CWA) is a contact tracing app to mitigate the spread of SARS-CoV-2. As of today, it has been downloaded approximately 45 million times. OBJECTIVE This study aims to investigate the influence of (non)users’ social environments on the usage of the CWA during 2 periods with relatively lower death rates and higher death rates caused by SARS-CoV-2. METHODS We conducted a longitudinal survey study in Germany with 833 participants in 2 waves to investigate how participants perceive their peer groups’ opinion about making use of the German CWA to mitigate the risk of SARS-CoV-2. In addition, we asked whether this perceived opinion, in turn, influences the participants with respect to their own decision to use the CWA. We analyzed these questions with generalized estimating equations. Further, 2 related sample tests were performed to test for differences between users of the CWA and nonusers and between the 2 points in time (wave 1 with the highest death rates observable during the pandemic in Germany versus wave 2 with significantly lower death rates). RESULTS Participants perceived that peer groups have a positive opinion toward using the CWA, with more positive opinions by the media, family doctors, politicians, and virologists/Robert Koch Institute and a lower, only slightly negative opinion originating from social media. Users of the CWA perceived their peer groups’ opinions about using the app as more positive than nonusers do. Furthermore, the perceived positive opinion of the media (<i>P</i>=.001) and politicians (<i>P</i><.001) was significantly lower in wave 2 compared with that in wave 1. The perceived opinion of friends and family (<i>P</i><.001) as well as their perceived influence (<i>P</i>=.02) among nonusers toward using the CWA was significantly higher in the latter period compared with that in wave 1. The influence of virologists (in Germany primarily communicated via the Robert Koch Institute) had the highest positive effect on using the CWA (B=0.363, <i>P</i><.001). We only found 1 decreasing effect of the influence of politicians (B=–0.098, <i>P</i>=.04). CONCLUSIONS Opinions of peer groups play an important role when it comes to the adoption of the CWA. Our results show that the influence of virologists/Robert Koch Institute and family/friends exerts the strongest effect on participants’ decisions to use the CWA while politicians had a slightly negative influence. Our results also indicate that it is crucial to accompany the introduction of such a contact tracing app with explanations and a media campaign to support its adoption that is backed up by political decision makers and subject matter experts.
TL;DR: In this paper , the authors conducted a longitudinal survey study in Germany with 833 participants in two waves to investigate how participants perceive their peer groups' opinion about making use of the German Corona-Warn-App (CWA) to mitigate the risk of SARS-CoV-2.
Abstract: Background The German Corona-Warn-App (CWA) is a contact tracing app to mitigate the spread of SARS-CoV-2. As of today, it has been downloaded approximately 45 million times. Objective This study aims to investigate the influence of (non)users’ social environments on the usage of the CWA during 2 periods with relatively lower death rates and higher death rates caused by SARS-CoV-2. Methods We conducted a longitudinal survey study in Germany with 833 participants in 2 waves to investigate how participants perceive their peer groups’ opinion about making use of the German CWA to mitigate the risk of SARS-CoV-2. In addition, we asked whether this perceived opinion, in turn, influences the participants with respect to their own decision to use the CWA. We analyzed these questions with generalized estimating equations. Further, 2 related sample tests were performed to test for differences between users of the CWA and nonusers and between the 2 points in time (wave 1 with the highest death rates observable during the pandemic in Germany versus wave 2 with significantly lower death rates). Results Participants perceived that peer groups have a positive opinion toward using the CWA, with more positive opinions by the media, family doctors, politicians, and virologists/Robert Koch Institute and a lower, only slightly negative opinion originating from social media. Users of the CWA perceived their peer groups’ opinions about using the app as more positive than nonusers do. Furthermore, the perceived positive opinion of the media (P=.001) and politicians (P<.001) was significantly lower in wave 2 compared with that in wave 1. The perceived opinion of friends and family (P<.001) as well as their perceived influence (P=.02) among nonusers toward using the CWA was significantly higher in the latter period compared with that in wave 1. The influence of virologists (in Germany primarily communicated via the Robert Koch Institute) had the highest positive effect on using the CWA (B=0.363, P<.001). We only found 1 decreasing effect of the influence of politicians (B=–0.098, P=.04). Conclusions Opinions of peer groups play an important role when it comes to the adoption of the CWA. Our results show that the influence of virologists/Robert Koch Institute and family/friends exerts the strongest effect on participants’ decisions to use the CWA while politicians had a slightly negative influence. Our results also indicate that it is crucial to accompany the introduction of such a contact tracing app with explanations and a media campaign to support its adoption that is backed up by political decision makers and subject matter experts.
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TL;DR: This work draws from the vast body of research on the technology acceptance model (TAM) to develop a comprehensive nomological network of the determinants of individual level IT adoption and use and present a research agenda focused on potential pre- and postimplementation interventions that can enhance employees' adopted and use of IT.
Abstract: Prior research has provided valuable insights into how and why employees make a decision about the adoption and use of information technologies (ITs) in the workplace. From an organizational point of view, however, the more important issue is how managers make informed decisions about interventions that can lead to greater acceptance and effective utilization of IT. There is limited research in the IT implementation literature that deals with the role of interventions to aid such managerial decision making. Particularly, there is a need to understand how various interventions can influence the known determinants of IT adoption and use. To address this gap in the literature, we draw from the vast body of research on the technology acceptance model (TAM), particularly the work on the determinants of perceived usefulness and perceived ease of use, and: (i) develop a comprehensive nomological network (integrated model) of the determinants of individual level (IT) adoption and use; (ii) empirically test the proposed integrated model; and (iii) present a research agenda focused on potential pre- and postimplementation interventions that can enhance employees' adoption and use of IT. Our findings and research agenda have important implications for managerial decision making on IT implementation in organizations.
5,246 citations
TL;DR: The Health Belief Model (HBM) as mentioned in this paper is a well-known theory in the field of epidemiology that has been the subject of considerable direct study and has directly or indirectly spawned a good deal of additional research.
Abstract: I t is always difficult to trace the historical development of a theory that has been the subject of considerable direct study and has directly or indirectly spawned a good deal of additional research. This is certainly true of the Health Belief Model, perhaps even more than usual because the Model grew out of a set of independent, applied research problems with which a group of investigators in the Public Health Service were confronted between 1950 and 1960. Thus, the theory and development of the Model grew simultaneously with the solution of practical problems. Two classes of circumstances should be described which were largely responsible for the type of model that ultimately emerged. These concern the settings in which research was required and the training and background experiences of those who participated in the development of the Model.
4,844 citations
New York University1, University of Chicago2, Mackenzie Presbyterian University3, Middlesex University4, University of Kent5, Nicolaus Copernicus University in Toruń6, Harvard University7, Yale University8, Stanford University9, Northwestern University10, University of Sussex11, Utrecht University12, University of California, San Diego13, University of Maryland, College Park14, McGovern Institute for Brain Research15, University of Queensland16, University of Michigan17, California Institute of Technology18, Lehigh University19, University of Regina20, University of Oregon21, Ohio State University22, Massachusetts Institute of Technology23, University of St Andrews24, University of Cambridge25, University of British Columbia26, University of Illinois at Chicago27, University of California, Berkeley28, Carleton University29, VU University Amsterdam30, Cornell University31
TL;DR: Evidence from a selection of research topics relevant to pandemics is discussed, including work on navigating threats, social and cultural influences on behaviour, science communication, moral decision-making, leadership, and stress and coping.
Abstract: The COVID-19 pandemic represents a massive global health crisis. Because the crisis requires large-scale behaviour change and places significant psychological burdens on individuals, insights from the social and behavioural sciences can be used to help align human behaviour with the recommendations of epidemiologists and public health experts. Here we discuss evidence from a selection of research topics relevant to pandemics, including work on navigating threats, social and cultural influences on behaviour, science communication, moral decision-making, leadership, and stress and coping. In each section, we note the nature and quality of prior research, including uncertainty and unsettled issues. We identify several insights for effective response to the COVID-19 pandemic and highlight important gaps researchers should move quickly to fill in the coming weeks and months.
3,223 citations
TL;DR: In this paper, a review of the research on intergroup discrimination in favor of one's own group is reviewed in terms of the basis of differentiati on between in-group and out-group, and the response measure on which ingroup bias is assessed.
Abstract: Experimental research on intergroup discrimination in favor of one's own group is reviewed in terms of the basis of differentiati on between in-group and outgroup and in terms of the response measure on which in-group bias is assessed. Results of the research reviewed suggest that (a) factors such as intergroup competition, similarity, and status differentials affect in-group bias indirectly by influencing the salience of distinctions between in-group and out-group, (b) the degree of intergroup differentiation on a particular response dimension is a joint function of the relevance of intergroup distinctions and the favorableness of the in-group's position on that dimension, and (c) the enhancement of in-group bias is more related to increased favoritism toward in-group members than to increased hostility toward out-group members. The implications of these results for positive applications of group identification are discussed. In 1906, sociologist William Sumner articulated a functionalist approach to the nature of intergroup attitudes in his exposition of the concept of ethnocentrism . The differentiation of peoples into distinct ethnic groups originates, according to Sumner, in context of the "conditions of the struggle for existence." At the individual level, the psychological consequences of this differentiation both reflect and sustain the basic state of conflict between the in-group (or "we-group") and out-groups (or "others-groups"):
3,172 citations
TL;DR: Les auteurs ont explore les effets structurant sur des decisions impliquant l'utilisation de ressources communes, en fonction de l'identite sociale, de la taille du groupe de sujets (N=88) and de la structure de decision as discussed by the authors.
Abstract: Les auteurs ont explore les effets structurant sur des decisions impliquant l'utilisation de ressources communes, en fonction de l'identite sociale, de la taille du groupe de sujets (N=88) et de la structure de decision
1,122 citations