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. 2020 Oct 29;15(10):e0241473.
doi: 10.1371/journal.pone.0241473. eCollection 2020.

Facilitators and barriers to engagement with contact tracing during infectious disease outbreaks: A rapid review of the evidence

Odette Megnin-Viggars  1 , Patrice Carter  1 , G J Melendez-Torres  2 , Dale Weston  3 , G James Rubin  4
Affiliations

Facilitators and barriers to engagement with contact tracing during infectious disease outbreaks: A rapid review of the evidence

Odette Megnin-Viggars et al. PLoS One. .

Abstract

Background: Until a vaccine is developed, a test, trace and isolate strategy is the most effective method of controlling the COVID-19 outbreak. Contact tracing and case isolation are common methods for controlling infectious disease outbreaks. However, the effectiveness of any contact tracing system rests on public engagement. Numerous factors may influence an individual's willingness to engage with a contact tracing system. Understanding these factors has become urgent during the COVID-19 pandemic.

Objective: To identify facilitators and barriers to uptake of, and engagement with, contact tracing during infectious disease outbreaks.

Method: A rapid systematic review was conducted to identify papers based on primary research, written in English, and that assessed facilitators, barriers, and other factors associated with the uptake of, and engagement with, a contact tracing system.

Principal findings: Four themes were identified as facilitators to the uptake of, and engagement with, contact tracing: collective responsibility; personal benefit; co-production of contact tracing systems; and the perception of the system as efficient, rigorous and reliable. Five themes were identified as barriers to the uptake of, and engagement with, contact tracing: privacy concerns; mistrust and/or apprehension; unmet need for more information and support; fear of stigmatization; and mode-specific challenges.

Conclusions: By focusing on the factors that have been identified, contact tracing services are more likely to get people to engage with them, identify more potentially ill contacts, and reduce transmission.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Fig 1
Fig 1. PRISMA flowchart.
Fig 2
Fig 2. Facilitators of contact tracing theme map.
Fig 3
Fig 3. Barriers to contact tracing theme map.
See this image and copyright information in PMC

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References

    1. World Health Organization. Coronavirus disease (COVID-19): situation report– 196. 3 August 2020. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situatio...
    1. Keeling MJ, Hollingsworth TD, Read JM. The efficacy of contact tracing for the containment of the 2019 novel coronavirus (COVID-19). MedRxiv [preprint]. 2020 medRxiv 20023036 [posted 2020 February 17]. https://www.medrxiv.org/content/10.1101/2020.02.14.20023036v1 - DOI - PMC - PubMed
    1. Baraniuk C. Covid-19 contact tracing: a briefing. BMJ. 2020. May 13;369. - PubMed
    1. Kucharski AJ, Klepac P, Conlan A, Kissler SM, Tang M, Fry H, et al. Effectiveness of isolation, testing, contact tracing and physical distancing on reducing transmission of SARS-CoV-2 in different settings. Lancet Infectious Diseases. 2020; 10: P1151–1160. 10.1016/S1473-3099(20)30457-6 - DOI - PMC - PubMed
    1. Carter P, Megnin-Viggars O, Rubin GJ. What factors influence symptom reporting during an emerging infectious disease outbreak? A rapid review of the evidence. MedRxiv [preprint]. 2020 medRxiv 20159897 [posted 2020 July 24]. https://www.medrxiv.org/content/10.1101/2020.07.23.20159897v1 - DOI - PMC - PubMed

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