Using behavioural science to help fight the coronavirus. ESRI Working Paper No. 656 March 2020

This paper summarises useful evidence from behavioural science for fighting the COVID-19 outbreak. It is based on an extensive literature search of relevant behavioural interventions and studies of crises. The findings aim to be useful not only to government and public authorities, but to organisations, workplaces and households. Seven issues are covered: (1) Evidence on handwashing shows that education and information are not enough. Placing hand sanitisers and colourful signage in central locations (e.g. directly beyond doors, canteen entrances, the middle of entrance halls and lift lobbies) increases use substantially. All organisations and public buildings could adopt this cheap and effective practice. (2) By contrast, we lack direct evidence on reducing face touching. Articulating new norms of acceptable behaviour (as for sneezing and coughing) and keeping tissues within arm’s reach could help. (3) Isolation is likely to cause some distress and mental health problems, requiring additional services. Preparedness, through activating social networks, making concrete isolation plans, and becoming familiar with the process, helps. These supports are important, as some people may try to avoid necessary isolation. (4) Public-spirited behaviour is most likely when there is clear and frequent communication, strong group identity, and social disapproval for those who don’t comply. This has implications for language, leadership and day-to-day social interaction. (5) Authorities often overestimate the risk of panic, but undesirable behaviours to watch out for are panic buying of key supplies and xenophobic responses. Communicating the social unacceptability of both could be part of a collective strategy. (6) Evidence links crisis communication to behaviour change. As well as speed, honesty and credibility, effective communication involves empathy and promoting useful individual actions and decisions. Using multiple platforms and tailoring message to subgroups are beneficial too. (7) Risk perceptions are easily biased. Highlighting single cases or using emotive language will increase bias. Risk is probably best communicated through numbers, with ranges to describe uncertainty, emphasising that numbers in the middle are more likely. Stating a maximum, e.g. “up to X thousand”, will bias public perception. A final section discusses possibilities for combining these insights, the need for simplicity, the role of the media, and possibilities for rapid pretesting

Taking HIV testing to families: designing a family-based intervention to facilitate HIV testing, disclosure and intergenerational communication

Introduction: Facility-based HIV testing does not capture many adults and children who are at risk of HIV in South Africa. This underscores the need to provide targeted, age-appropriate HIV testing for children, adolescents and adults who are not accessing health facilities. While home based counseling and testing has been succesfully delivered in multiple settings, it also often fails to engage adolescents. To date, the full potential for testing entire families and linking them to treatment has not been evaluated. Methods: The steps to expand a successful home-based counseling and testing model to a family-based counseling and testing approach in a high HIV prevalence context in rural South Africa are described. The primary aim of this family-based model is to increase uptake of HIV testing and linkage to care for all family members, through promoting family cohesion and intergenerational communication, increasing HIV disclosure in the family, and improving antiretroviral treatment uptake, adherence and retention. We discuss the three-phased research approach that led to the development of the family-based counseling and testing intervention. Results: The family-based intervention is designed with a maximum of five sessions, depending on the configuration of the family (young, mixed and older families). There is an optional additional session for high-risk or vulnerable family situations. These sessions encourage HIV testing of adults, children and adolescents and disclosure of HIV status. Families with adolescents receive an intensive training session on intergenerational communication, identified as the key causal pathway to improve testing, linkage to care, disclosure and reduced stigma for this group. The rationale for the focus on intergenerational communication is described in relation to our formative work as well as previous literature, and potential challenges with pilot testing the intervention are explored. Conclusion: This paper maps the process for adapting a novel and largely successful home-based counseling and testing intervention for use with families. Expanding the successful home-based counseling and testing model to capture children, adolescents and men could have significant impact if the pilot is successful and scaled-up

Study to investigate factors influencing adoption of mobile devices in the healthcare environment

In this research project, modified graphene was employed as filler to enhance the electrical conductivity and to reinforce mechanical properties of natural rubber (NR). The defect sites in the graphene sheets were investigated for further modification. The latex mixing and mechanical mixing methods to load functional graphene sheets into the NR matrix, improved the mechanical and electrical properties of the composite material. Graphene was prepared by a chemical oxidation-reduction approach to fill the NR matrix. The oxidation approaches were employed in progress, which will induce various defects in the final product. It is known that these defects decrease the properties of the graphene and graphene/natural rubber composites, which are prepared by traditional method as well. However, these defects could cause improvements in performance of the graphene composites with re-designed methods, the main focus of this thesis. Before loading into NR matrix, the defect information of graphene oxide (GO) prepared using Hummers method was examined through positron testing, which is known to be highly effective in the study of the defects in graphite and its derivatives. The different types of defects were detectable, which revealed that the vacancy clusters and vacancy-oxygen group complexes were present on the GO sheets. No large open-volume hole was detected in GO. The reduction of GO by potassium carbonate (K2CO3) as a green noble preparation approach was developed, and the oxygen groups dispersion status in the GO sheet was further investigated. K2CO3 was used as a reusable reduction agent to convert GO to reduced graphene oxide (RGO) in two steps, based on the conversion of the different types of oxygen groups detected. Carbon dioxide was the only by-product of this process, which was absorbed by K2CO3. In addition, the study further elucidates the structure of GO sheets. The oxygen groups on the GO sheets not only aligned but also randomly dispersed in different areas. Antistatic NR nanocomposites with partly interconnected graphene architectures offer significant enhancement in various properties. RGO/NR composites were prepared using latex mixing and in-situ reduction process. The oxygen groups on the GO played a key role in attaching GO sheets to the surface of NR particles. Segregated current transfer routes were partly constructed in an NR matrix with an electrical conductivity of 0.1 S/m and reinforcing the tensile strength and elongation-at-break as well. Silver nanoparticles (AgNPs) were used to decorate GO, which further increased the electrical conductivity of NR nanocomposites. Electrically conductive AgNPs/RGO filled NR with well-organized three-dimensional (3D) microstructures were prepared through electrostatic self-assembly integrated latex mixing. The oxygen groups in GO acted as an anchor for AgNPs growth, resulting in the electrical conductivity of 31000 S/m for the AgNPs/RGO. A honeycomb-like AgNPs/RGO 3D network was constructed in the NR matrix after freeze-drying and hot compression moulding. The AgNPs/RGO/NR nanocomposites show a percolation threshold of 0.63 vol.% and electrical conductivity of 196 S/m at AgNPs/RGO content of 4.03 vol.%. The oxygen groups can not only be used to improve the electrical conductivity of NR but also used to reinforce mechanical properties. The effect of functionalized GO on the mechanical properties of NR was investigated through two strategies. In the first strategy, one layer of silica particles were attached to the GO surface through hydrogen bonds. The strength were reinforced because of well-dispersed SiO2/GO in the NR matrix. GO acted as a surfactant dispersed by silica into the NR matrix to reinforce the mechanical properties using latex mixing. Oxygen groups on the graphene sheets banded with silica to achieve the target. In the second strategy, the strength reinforcement of NR nanocomposites was achieved by construction of an interpenetrating network between the NR molecules and porous graphene. In this project, porous graphene loaded NR nanocomposites were prepared through an ultrasonically assisted latex mixing and in-situ reduction process. The oxygen groups showed chemo-selectivity etched by potassium permanganate (KMnO4), forming pores possessing suitable dimensions in graphene sheets. Porous graphene/NR nanocomposites show strong interactions between the NR molecules and porous graphene than RGO/NR, which contributed to an increase in tensile strength compared to the RGO/NR nanocomposites. Furthermore, the scorch time compared to RGO/NR was decreased, and density of cross-linking was increased, which demonstrate the pores on the graphene sheets formed a mass transfer route, indicating an interpenetrating network was constructed

A Comprehensive Survey on Data Utility and Privacy: Taking Indian Healthcare System as a Potential Case Study

The authors would like to thank the anonymous reviewers and editors who have been involved in examining this manuscript.Background: According to the renowned and Oscar award-winning American actor and film director Marlon Brando, “privacy is not something that I am merely entitled to, it is an absolute prerequisite.” Privacy threats and data breaches occur daily, and countries are mitigating the consequences caused by privacy and data breaches. The Indian healthcare industry is one of the largest and rapidly developing industry. Overall, healthcare management is changing from disease-centric into patient-centric systems. Healthcare data analysis also plays a crucial role in healthcare management, and the privacy of patient records must receive equal attention. Purpose: This paper mainly presents the utility and privacy factors of the Indian healthcare data and discusses the utility aspect and privacy problems concerning Indian healthcare systems. It defines policies that reform Indian healthcare systems. The case study of the NITI Aayog report is presented to explain how reformation occurs in Indian healthcare systems. Findings: It is found that there have been numerous research studies conducted on Indian healthcare data across all dimensions; however, privacy problems in healthcare, specifically in India, are caused by prevalent complacency, culture, politics, budget limitations, large population, and existing infrastructures. This paper reviews the Indian healthcare system and the applications that drive it. Additionally, the paper also maps that how privacy issues are happening in every healthcare sector in India. Originality/Value: To understand these factors and gain insights, understanding Indian healthcare systems first is crucial. To the best of our knowledge, we found no recent papers that thoroughly reviewed the Indian healthcare system and its privacy issues. The paper is original in terms of its overview of the healthcare system and privacy issues. Social Implications: Privacy has been the most ignored part of the Indian healthcare system. With India being a country with a population of 130 billion, much healthcare data are generated every day. The chances of data breaches and other privacy violations on such sensitive data cannot be avoided as they cause severe concerns for individuals. This paper segregates the healthcare system’s advances and lists the privacy that needs to be addressed first