Location of Repository

What infection control measures will people carry out to reduce transmission of pandemic influenza? A focus group study

By Leanne G Morrison and Lucy Yardley

Abstract

Background: pandemic influenza poses a future health threat against which infection control behaviours may be an important defence. However, there is little qualitative research examining perceptions of infection control measures in the context of pandemic influenza.<br/><br/>Methods: eight focus groups and one interview were conducted with a purposive sample of 31 participants. Participants were invited to discuss their perceptions of infection transmission and likely adherence to infection control measures in both non-pandemic and pandemic contexts. Infection control measures discussed included handwashing, social distancing and cough hygiene<br/>(e.g. covering mouth, disposing of tissues immediately etc.).<br/><br/>Results: thematic analysis revealed that although participants were knowledgeable about infection transmission, most expressed unfavourable attitudes toward control behaviours in non-pandemic situations. However, with the provision of adequate education about control measures and appropriate practical support (e.g. memory aids, access to facilities), most individuals report that<br/>they are likely to adhere to infection control protocols in the event of a pandemic. Of the behaviours likely to influence infection transmission, handwashing was regarded by our participants as more feasible than cough and sneeze hygiene and more acceptable than social distancing.<br/><br/>Conclusion: handwashing could prove a useful target for health promotion, but interventions to promote infection control may need to address a number of factors identified within this study as potential barriers to carrying out infection control behaviour

Topics: QR180, R1
Year: 2009
OAI identifier: oai:eprints.soton.ac.uk:180767
Provided by: e-Prints Soton

Suggested articles

Preview

Citations

  1. About Pandemic Flu doi
  2. (2007). Anticipated and current preventive behaviors in response to an anticipated human-tohuman H5N1 epidemic in the Hong Kong Chinese general population. BMC Infect Dis doi
  3. (2009). Aunger RV: Planned, motivated and habitual hygiene behaviour: an eleven country review. Health Educ Res doi
  4. (1990). Basics of Qualitative Research:
  5. (2006). Cairncross S: Effectiveness of handwashing in preventing SARS: a review. Trop Med Int Health doi
  6. (2006). Calnan W: Perceptions of infection control practices among health professionals. Contemp Nurse doi
  7. (2000). Carmeli Y: A survey on handwashing practices and opinions of healthcare workers. doi
  8. (2003). CB: Transmission of influenza: implications for control in health care settings. Clin Infect Dis
  9. (1999). Changing attitudes of healthcare workers to comply with infection control procedures. doi
  10. (2006). Collins A: Societal responses to familiar versus unfamiliar risk: comparisons of influenza and SARS in Korea. Risk Anal doi
  11. (2004). Content and thematic analysis.
  12. (2008). Demonstrating validity in qualitative psychology.
  13. (2008). Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ doi
  14. (2006). Does changing behavioral intentions engender behavior change? A meta-analysis of the experimental evidence. Psychological Bulletin doi
  15. (1998). Evaluation of a cold/flu self-care public education campaign. Health Educ Res doi
  16. (2004). Factors influencing the wearing of facemasks to prevent the severe acute respiratory syndrome among adult Chinese in Hong Kong. Prev Med doi
  17. (2005). Fielding R: Longitudinal assessment of community psychobehavioral responses during and after the 2003 outbreak of severe acute respiratory syndrome in Hong Kong. Clin Infect Dis doi
  18. (1982). Groupthink: Psychological Studies of Policy Decisions and Fiascoes 2nd edition. doi
  19. (2002). Guideline for hand hygiene in health-care settings: recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/ APIC/IDSA Hand Hygiene Task Force. Infect Control Hosp Epidemiol doi
  20. (2001). Handwashing and respiratory illness among young adults in military training. doi
  21. (2006). Handwashing and risk of respiratory infections: a quantitative systematic review. Trop Med Int Health doi
  22. (1999). Health Promotion Planning: an Educational and Ecological Approach 3rd edition. Mountain View, California: Mayfield Pub. Co;
  23. (2002). Healthcare personnel and hand decontamination in intensive care units: knowledge, attitudes, and behaviour in Italy. J Hosp Infect doi
  24. (2009). Healthcare workers' attitudes to working during pandemic influenza: a qualitative study. BMC Public Health doi
  25. (2003). JH: Monitoring community responses to the SARS epidemic in Hong Kong: from day 10 to day 62. J Epidemiol Community Health. doi
  26. (1995). Kretzer EK: Compliance with handwashing and barrier precautions. doi
  27. (2006). MW: Why healthcare workers don't wash their hands: a behavioral explanation. Infection Control and Hospital Epidemiology doi
  28. (2007). ND: Meta-analysis of the relationship between risk perception and health behavior: the example of vaccination. Health Psychol doi
  29. (2000). Objectivity and reliability in qualitative analysis: realist, contextualist and radical constructionist epistemologies. doi
  30. Organisation: WHO global influenza preparedness plan. In The role of WHO and recommendations for national measures before and during pandemics Geneva: World Health Organisation;
  31. (2004). Pang E: SARS related preventive and risk behaviours practised by Hong Kong-mainland China cross border travellers during the outbreak of the SARS epidemic in Hong Kong. doi
  32. (2000). Perneger TV: Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. Lancet doi
  33. (2004). Perneger TV: Hand hygiene among physicians: performance, beliefs, and perceptions. Ann Intern Med
  34. (2006). Reducing the impact of the next influenza pandemic using household-based public health interventions. PLoS Med doi
  35. (2008). Responses of Chinese elderly to the threat of severe acute respiratory syndrome (SARS) in a Canadian community. Public Health Nurs doi
  36. (2005). Risk perception and compliance with quarantine during the SARS outbreak. doi
  37. (1996). Sampling for qualitative research. Fam Pract doi
  38. (1997). Self-efficacy: the Exercise of Control doi
  39. (2008). Social contact networks for the spread of pandemic influenza in children and teenagers. doi
  40. (2008). T: Healthcare workers' attitudes towards working during pandemic influenza: a multi method study. BMC Public Health doi
  41. Ten things you need to know about pandemic influenza [http://who.int/csr/disease/influenza/pandemic10things/en/print.html]
  42. (2004). TH: A tale of two cities: community psychobehavioral surveillance and related impact on outbreak control in Hong Kong and Singapore during the severe acute respiratory syndrome epidemic. Infect Control Hosp Epidemiol doi
  43. (2005). The experience of quarantine for individuals affected by SARS in Toronto. Public Health Nurs doi
  44. (2006). Using thematic analysis in psychology. Qual Res Psychol doi
  45. (2006). Why tell me now?&quot; the public and healthcare providers weigh in on pandemic influenza messages. J Public Health Manag Pract doi
  46. (2005). Wing YK: SARS-related perceptions in Hong Kong. Emerg Infect Dis

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.