Who is engaging with lateral flow testing for COVID-19 in the UK? The COVID-19 Rapid Survey of Adherence to Interventions and Responses (CORSAIR) study

Smith, Louise; Potts, Henry W W; Amlôt, Richard; Fear, Nicola T.; Michie, Susan; Rubin, G James

doi:10.1136/bmjopen-2021-058060

Cited by 22 publications

(27 citation statements)

References 26 publications

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“…We have previously shown that use of a test is more common in employees who work for specific sectors where daily LFTs are the norm. 13 It may be that taking a test is a marker of working in a sector where tackling the spread of infectious disease is viewed as a priority. It may also be that using tests indicates adherence to government advice in general.…”

Section: Discussionmentioning

confidence: 99%

Do people with symptoms of an infectious illness follow advice to stay at home? Evidence from a series of cross-sectional surveys about presenteeism in the UK

Rubin

Smith

Amlôt³

et al. 2022

BMJ Open

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ObjectivesTo assess the percentage of people in the UK with cough, fever or loss of taste or smell who have not had a positive COVID-19 test result who had been to work, to shops, socialised or provided care to a vulnerable person in the 10 days after developing symptoms. To investigate whether these rates differed according to the type of symptom, what the participant thought the cause of their symptoms was and whether they had taken a COVID-19 test.DesignFour online cross-sectional surveys using non-probability quota sampling method (n=8547).SettingData were collected across the UK from 20 September to 3 November 2021, via a market research company.ParticipantsAged over 16 years living in the UK.Primary outcome measuresOut-of-home activity.Results498 participants reported one or more symptoms and had not had a positive COVID-19 test result. Within that group, about half of employed participants had attended work while symptomatic (51.2%–56.3% depending on the symptom, 95% CIs 42.2% to 65.6%). Rates of other contact behaviours ranged from 31.4% (caring for a vulnerable person after developing a cough: 95% CI 24.3% to 38.4%) to 61.5% (shopping for groceries or pharmacy after developing a cough: 95% CI 54.1% to 68.9%). There were no differences according to type of symptom experienced or what the participant felt might be the cause. People who had taken a COVID-19 test were less likely to go out shopping for non-essentials than people who had not taken a test.ConclusionMany people in the UK with symptoms of an infectious disease were not following government advice to stay at home if they believed they had an infectious illness. Reducing these rates may require a shift in our national attitude to the acceptability of people attending work with infectious illnesses.

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Section: Discussionmentioning

confidence: 99%

Do people with symptoms of an infectious illness follow advice to stay at home? Evidence from a series of cross-sectional surveys about presenteeism in the UK

Rubin

Smith

Amlôt³

et al. 2022

BMJ Open

Self Cite

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“…In the UK, large studies have found that compliance with NPIs was generally high and sustained throughout the duration of the first two years when legal measures were in place (Fancourt et al 2022). However, other research suggests that adherence to specific behaviours, for example home-testing and self-isolation may have relatively low at various points during the pandemic (Rubin et al 2022;Smith et al 2022). Our qualitative research earlier in the pandemic revealed that whilst people reported high self-adherence to COVID-19 guidance and rules, they perceived there to be low adherence in others (Williams et al 2020;.…”

Section: Introductionmentioning

confidence: 58%

Navigating the ‘new normal’: Public attitudes and behaviours two years into the COVID-19 pandemic in the UK

Williams¹,

Dienes²

2022

Preprint

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Objectives The study explored public attitudes and behaviours in relation to COVID-19 two years into the pandemic. Design This Qualitative study consisted of online focus groups carried out between 15th-30th June 2022. Data were analysed using a framework approachSetting Focus groups took place via online videoconferencingParticipants Participants (n= 28) were all UK residents aged 18 years or older, representing a range of gender and ethnic backgrounds, invited from the Public Views during the Covid Pandemic (PVCOVID) study.Results Most participants reported feeling ‘back to normal’, not having thought much about COVID-19 recently, and were not wearing masks or socially distancing. Lack of media coverage was a big factor cited, as was the perception that new variants were ‘milder.’ A minority of participants were still wearing masks or socially distancing and some argued they felt ‘reconditioned’ to be more cautious or less socially active. Identifying COVID-19 symptoms, and distinguishing them from flu was challenging, with some suggesting they would test on ‘instinct’ or if they felt very unwell. Intention to take a COVID-19 test and to socially distance if unwell was generally high. There was a modest appetite for future boosters, with those already triple-jabbed suggesting they would receive another dose in future, particularly if it was officially recommended. Some participants argued they would only change their behaviour if the situation was ‘serious’ (e.g. if the death rate increased significantly). Most participants said they would adopt more caution if there was a future wave, although many argued that the lack of trust caused by UK political figures breaking rules (‘Partygate’) would harm future compliance. Conclusions. The study suggests that the ‘Living with COVID’ strategy and the relative lack of media coverage have contributed to a sense of things being ‘back to normal’. If future developments in the pandemic require behavioural change, public health policy and communication will need to overcome this perception and barriers such as a lack of trust in government and the perception of the virus as milder.

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“…This work was undertaken in a region with a high number of cases and therefore young people may have been more concerned about infecting others, compared with places where the incidence was lower. Previous research has highlighted that concern about COVID-19 and the impact to self and others contributed to willingness to test,20 as well as adherence to other public health measures such as self-isolation 4…”

Section: Discussionmentioning

confidence: 99%

“…With LFTs, results were provided on the test kit within 30 min of taking a test. Results should have been registered with an official government agency, for example, GOV.UK or NHS Test and Trace, however research suggests this was not done routinely 4…”

Section: Introductionmentioning

confidence: 99%

Engagement with regular asymptomatic COVID-19 testing in young people in North West England: a qualitative focus group study

Thorpe¹,

Carter²,

Robin³

2023

BMJ Open

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ObjectivesCommunities in North West England had some of the highest incidence of COVID-19, particularly in their younger populations. Test kits were provided to young people in Blackburn with Darwen to encourage regular testing and reduce COVID-19 transmission. The aim of this study was to identify barriers and facilitators to engaging in regular asymptomatic testing in young people.DesignFocus groups.SettingYoung people and parents of school-aged children in North West England.Participants14 participants aged 12–15 years, 13 participants aged 16–25 years and 9 participants who were parents of school-aged children.ResultsSix focus groups (36 participants) were conducted. Analysis identified young people were not against testing and many wanted to test to protect others; however, they felt their needs were not met when they were seeking information on the importance of testing and accessing tests. Young people also felt they wanted more autonomy to make decisions and access tests themselves, without having to rely on parents. Language barriers and challenges with the testing process, particularly reporting the results, were also identified as barriers for parents and young people. Parents were reluctant to test in the absence of symptoms and also noted that young people were very adaptable and testing became more acceptable to them as the pandemic progressed.ConclusionsTailored messaging for young people would help this group engage in regular testing and feel part of the COVID-19 response. Regular testing is not currently required in England, however, it is important to understand barriers to engaging in testing for young people, as testing may be reintroduced in response to this or future pandemics.

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Who is engaging with lateral flow testing for COVID-19 in the UK? The COVID-19 Rapid Survey of Adherence to Interventions and Responses (CORSAIR) study

Cited by 22 publications

References 26 publications

Do people with symptoms of an infectious illness follow advice to stay at home? Evidence from a series of cross-sectional surveys about presenteeism in the UK

Do people with symptoms of an infectious illness follow advice to stay at home? Evidence from a series of cross-sectional surveys about presenteeism in the UK

Navigating the ‘new normal’: Public attitudes and behaviours two years into the COVID-19 pandemic in the UK

Engagement with regular asymptomatic COVID-19 testing in young people in North West England: a qualitative focus group study

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