The roles of general health and COVID-19 proximity in contact tracing app usage: cross-sectional survey study

Background: Contact tracing apps are considered useful means to monitor SARS-CoV-2 infections during the off-peak stages of the COVID-19 pandemic. Their effectiveness is, however, dependent on the uptake of such COVID-19 apps. Objective: We examined the role of individuals’ general health status in their willingness to use a COVID-19 tracing app as well as the roles of socioeconomic characteristics and COVID-19 proximity. Methods: We drew data from the WageIndicator Foundation Living and Working in Coronavirus Times survey. The survey collected data on labor market status as well as the potential confounders of the relationship between general health and COVID-19 tracing app usage, such as sociodemographics and regular smartphone usage data. The survey also contained information that allowed us to examine the role of COVID-19 proximity, such as whether an individual has contracted SARS-CoV-2, whether an individual has family members and colleagues with COVID-19, and whether an individual exhibits COVID-19 pandemic–induced depressive and anxiety symptoms. We selected data that were collected in Spain, Italy, Germany, and the Netherlands from individuals aged between 18 and 70 years (N=4504). Logistic regressions were used to measure individuals’ willingness to use a COVID-19 tracing app. Results: We found that the influence that socioeconomic factors have on COVID-19 tracing app usage varied dramatically between the four countries, although individuals experiencing forms of not being employed (ie, recent job loss and inactivity) consistently had a lower willingness to use a contact tracing app (effect size: 24.6%) compared to that of employees (effect size: 33.4%; P Conclusions: Current public health policies aim to promote the use of smartphone-based contact tracing apps during the off-peak periods of the COVID-19 pandemic. Campaigns that emphasize the health benefits of COVID-19 tracing apps may contribute the most to the uptake of such apps. Public health campaigns that rely on digital platforms would also benefit from seriously considering the country-specific distribution of privacy concerns

A Survey of COVID-19 Contact Tracing Apps

The recent outbreak of COVID-19 has taken the world by surprise, forcing lockdowns and straining public health care systems. COVID-19 is known to be a highly infectious virus, and infected individuals do not initially exhibit symptoms, while some remain asymptomatic. Thus, a non-negligible fraction of the population can, at any given time, be a hidden source of transmissions. In response, many governments have shown great interest in smartphone contact tracing apps that help automate the difficult task of tracing all recent contacts of newly identified infected individuals. However, tracing apps have generated much discussion around their key attributes, including system architecture, data management, privacy, security, proximity estimation, and attack vulnerability. In this article, we provide the first comprehensive review of these much-discussed tracing app attributes. We also present an overview of many proposed tracing app examples, some of which have been deployed countrywide, and discuss the concerns users have reported regarding their usage. We close by outlining potential research directions for next-generation app design, which would facilitate improved tracing and security performance, as well as wide adoption by the population at large.Comment: Paper has been accepted for publication in IEEE Access. Currently available on IEEE ACCESS early access (see DOI

Privacy in times of COVID-19: a pilot study in the Republic of Ireland

Contact tracing apps used in tracing and mitigating the spread of COVID-19 have sparked discussions and controversies worldwide with major concerns around privacy. COVID Tracker app used in the Republic of Ireland was praised in general for the way it addressed privacy and was used as baseline for other contact tracing apps worldwide. The success of the app is dependent on the general public uptake, hence their voice and attitude is the one that really matters. This paper focuses on developing a survey and the methods aiming to examine the attitudes toward privacy during COVID-19 of the general public in the Republic of Ireland and their impact on the uptake of the COVID tracker app. Various privacy models are used and health belief model as well in this purpose. A pilot study with 286 participants show a change in attitude towards privacy during COVID-19 pandemic, with more people willing to share their data in the interest of saving lives. However, privacy attitudes are shown to have impacted the adoption of the app in Ireland

Privacy in times of COVID-19: a pilot study in the Republic of Ireland

Contact tracing apps used in tracing and mitigating the spread of COVID-19 have sparked discussions and controversies worldwide with major concerns around privacy. COVID Tracker app used in the Republic of Ireland was praised in general for the way it addressed privacy and was used as baseline for other contact tracing apps worldwide. The success of the app is dependent on the general public uptake, hence their voice and attitude is the one that really matters. This paper focuses on developing a survey and the methods aiming to examine the attitudes toward privacy during COVID-19 of the general public in the Republic of Ireland and their impact on the uptake of the COVID tracker app. Various privacy models are used and health belief model as well in this purpose. A pilot study with 286 participants show a change in attitude towards privacy during COVID-19 pandemic, with more people willing to share their data in the interest of saving lives. However, privacy attitudes are shown to have impacted the adoption of the app in Ireland

Irish attitudes toward COVID tracker app & privacy: sentiment analysis on Twitter and survey data

Contact tracing apps used in tracing and mitigating the spread of COVID-19 have sparked discussions and controversies worldwide. The major concerns in relation to these apps are around privacy. Ireland was in general praised for the design of its COVID tracker app, and the transparency through which privacy issues were addressed. However, the "voice" of the Irish public was not really heard or analysed. This study aimed to analyse the Irish public sentiment towards privacy and COVID tracker app. For this purpose we have conducted sentiment analysis on Twitter data collected from public Twitter accounts from Republic of Ireland. We collected COVID-19 related tweets generated in Ireland over a period of time from January 1, 2020 up to December 31, 2020 in order to perform sentiment analysis on this data set. Moreover, the study performed sentiment analysis on the feedback received from a national survey on privacy conducted in Republic of Ireland. The findings of the study reveal a significant criticism towards the app that relate to privacy concerns, but other aspects of the app as well. The findings also reveal some positive attitude towards the fight against COVID-19, but these are not necessarily related to the technological solutions employed for this purpose. The findings of the study contributed to the formulation of useful recommendations communicated to the relevant Irish actors

Behavioural pre-testing of COVID Tracker, Ireland’s contact-tracing app. ESRI Working Paper 687 December 2020.

Contact-tracing mobile phone apps have the potential to play a role in controlling the spread of COVID-19, but their success hinges on widespread uptake by the public. We report a study that behaviourally pre-tested COVID Tracker, Ireland’s contact-tracing app, prior to its launch with a large sample of smartphone users. The study was funded by the Department of Health and run in co-operation with the app’s developers, NearForm. Participants were randomised to receive different versions of a trial app. They responded to an online survey while downloading and using the app on their phones in real-time. The experimental manipulations focused on three broad areas: (i) the level of privacy assurance provided in the app, (ii) the goal-framing of the purpose of the app, and (iii) the structuring of the exposure notification received by users if they are recorded as a close contact. Almost one in five participants mentioned privacy concerns in relation to their likelihood of downloading the app. Including additional assurances regarding the privacy of users’ data in the app successfully lowered participants’ privacy concerns and boosted engagement. This finding fed into the final version of the app released in July 2020. We also found minor beneficial effects of restructuring the exposure notification but did not find any significant differences between two different types of goal-framing, other than a subtle effect on how the exposure notification is interpreted. Overall, our results demonstrate the value of pre-testing contact-tracing apps from a behavioural perspective to boost uptake, trust, and participation

Adoption of a contact tracing app for containing COVID-19 : a health belief model approach

Background: To track and reduce the spread of COVID-19, apps have been developed to identify contact with individuals infected with SARS-CoV-2 and warn those who are at risk of having contracted the virus. However, the effectiveness of these apps depends highly on their uptake by the general population. Objective: The present study investigated factors influencing app use intention, based on the health belief model. In addition, associations with respondents’ level of news consumption and their health condition were investigated. Methods: A survey was administered in Flanders, Belgium, to 1500 respondents, aged 18 to 64 years. Structural equation modeling was used to investigate relationships across the model’s constructs. Results: In total, 48.70% (n=730) of respondents indicated that they intend to use a COVID-19 tracing app. The most important predictor was the perceived benefits of the app, followed by self-efficacy and perceived barriers. Perceived severity and perceived susceptibility were not related to app uptake intention. Moreover, cues to action (ie, individuals’ exposure to [digital] media content) were positively associated with app use intention. As the respondents’ age increased, their perceived benefits and self-efficacy for app usage decreased. Conclusions: Initiatives to stimulate the uptake of contact tracing apps should enhance perceived benefits and self-efficacy. A perceived barrier for some potential users is privacy concerns. Therefore, when developing and launching an app, clarification on how individuals’ privacy will be protected is needed. To sustain perceived benefits in the long run, supplementary options could be integrated to inform and assist users

Self-Focused and Other-Focused Health Concerns as Predictors of the Uptake of Corona Contact Tracing Apps: Empirical Study

Background Corona contact tracing apps are a novel and promising measure to reduce the spread of COVID-19. They can help to balance the need to maintain normal life and economic activities as much as possible while still avoiding exponentially growing case numbers. However, a majority of citizens need to be willing to install such an app for it to be effective. Hence, knowledge about drivers for app uptake is crucial. Objective This study aimed to add to our understanding of underlying psychological factors motivating app uptake. More specifically, we investigated the role of concern for one’s own health and concern to unknowingly infect others. Methods A two-wave survey with 346 German-speaking participants from Switzerland and Germany was conducted. We measured the uptake of two decentralized contact tracing apps officially launched by governments (Corona-Warn-App, Germany; SwissCovid, Switzerland), as well as concerns regarding COVID-19 and control variables. Results Controlling for demographic variables and general attitudes toward the government and the pandemic, logistic regression analysis showed a significant effect of self-focused concerns (odds ratio [OR] 1.64, P=.002). Meanwhile, concern of unknowingly infecting others did not contribute significantly to the prediction of app uptake over and above concern for one’s own health (OR 1.01, P=.92). Longitudinal analyses replicated this pattern and showed no support for the possibility that app uptake provokes changes in levels of concern. Testing for a curvilinear relationship, there was no evidence that “too much” concern leads to defensive reactions and reduces app uptake. Conclusions As one of the first studies to assess the installation of already launched corona tracing apps, this study extends our knowledge of the motivational landscape of app uptake. Based on this, practical implications for communication strategies and app design are discussed