scholarly journals Why do people opt-out or not opt-out of automatic enrolment? A focus group study of automatic enrolment into a workplace pension in the United Kingdom

2017 ◽  
Vol 27 (5) ◽  
pp. 447-457 ◽  
Author(s):  
Rajiv Prabhakar

Automatic enrolment (AE) into a workplace pension is an important recent development in pension policy. An important question for this policy is why do people opt-out or not opt-out of AE? This question is important for understanding the power of suggestion associated with AE as well as responding to concerns that women might face undue pressure to opt-out. This article addresses this question through a focus group study into the United Kingdom’s new AE policy. Women were more likely than men to cite lack of affordability as a reason for opting out. Lack of information also seemed important for the power of suggestion associated with AE. Further research should explore how to make AE less gender blind as well as the types of information or advice that should be provided alongside AE.

2021 ◽  
Author(s):  
Simon Nicholas Williams

Objectives This study explored public attitudes to COVID-19 ‘booster’ vaccines and influenza vaccines, including participants intentions to have them or not, and their preferences on how and when they should be administered. Study design. Qualitative study using online focus groups and interviews.Methods Group and individual online interviews were conducted with a diverse sample of 21 adults in the United Kingdom to explore their views on the issue of COVID-19 booster and influenza vaccination. Data were analysed using a framework approach.Results Three themes emerged to unpack participants views on COVID-19 booster and flu vaccinations: (1) Booster intentions correspond with decisions around initial vaccination (2) Mixed views on booster and flu vaccines (3) Mixed views on whether to get COVID-19 booster and flu vaccines together or separately. Those who had been more willing to accept their initial COVID-19 vaccine were more willing to accept a booster and a flu vaccine, whereas those who had been more hesitant about their initial COVID-19 vaccine were more hesitant about getting a booster and a flu vaccine – including the idea of getting them together.Conclusions Public health messaging related to COVID-19 boosters might emphasise that they can be seen as: an extension of their initial decision to get vaccination; a way to maintain population immunity over the longer term; a collective act (to protect others); a way to maintain freedoms or ‘normality’. Messaging around boosters and influenza vaccines needs to emphasise they are safe and convenient to be taken together and that both are important, especially for those clinically vulnerable


Author(s):  
Sylvie Laforet ◽  
Hannah Limahelu

This wireless advertising is considered to be an important alternative advertising medium in the future, due to its numerous advantages over traditional media. However, little research has been conducted on consumer acceptance of this medium in particular, in the United Kingdom. This study explores consumers’ attitudes towards and acceptance of mobile advertising, using focus group interviews. Results indicate that British consumers generally do not accept mobile advertising. Although mobile adverts are seen as interesting, eye catching, and motivating consumers to browse. Consumers who accept the technology do not see the need to have adverts on their mobiles. Those who dislike this medium are comfortable with using the Internet through their PCs as they do not see the benefits of mobile advertising, due to its small screen and speed limitation. Managerial considerations are also discussed.


2020 ◽  
pp. 119-136
Author(s):  
Nina Amelung ◽  
Rafaela Granja ◽  
Helena Machado

Abstract The UK is the possessor of the world’s oldest and largest DNA database by proportion of population: the National Criminal Intelligence DNA Database, established in 1995. As a nation-state that holds one of the world’s largest DNA databases, the UK has been dealing systematically with the societal effects triggered by various ethical controversies. In terms of bordering practices, the UK serves as an example of an ambivalent mode of re- and debordering. This ambivalence derives from the UK’s changing position regarding the Prüm system. In 2014, the UK government, driven by the parliament, decided to opt out of the Prüm Decisions. In 2015, after a Prüm-style pilot project run with other EU Member States, the UK decided to opt in. This decision, nonetheless, included the imposition of limits on other EU countries’ access to the UK’s data. Consequently, the UK’s debordering practices co-exist with rebordering attempts aimed at restricting access to their own data.


2020 ◽  
pp. 000486742097326
Author(s):  
Catherine Henshall ◽  
Jennifer Potts ◽  
Sophie Walker ◽  
Mark Hancock ◽  
Mark Underwood ◽  
...  

Objective: Recruitment to clinical research in the National Health Service remains challenging. One barrier is accessing patients to discuss research participation. Two general approaches are used in the United Kingdom to facilitate this: an ‘opt-in’ approach (when clinicians communicate research opportunities to patients) and an ‘opt-out’ approach (all patients have the right to be informed of relevant research opportunities). No evidence-based data are available, however, to inform the decision about which approach is preferable. This study aimed to collect information from ‘opt-in’ and ‘opt-out’ Trusts and identify which of the two approaches is optimal for ensuring National Health Service patients are given opportunities to discuss research participation. Method: This sequential mixed methods study comprised three phases: (1) an Appreciative Inquiry across UK Trusts, (2) online surveys and (3) focus groups with National Health Service staff and patients at a representative mental health Trust. Results: The study was conducted between June and October 2019. Out of seven National Health Service Mental Health Trusts contacted (three ‘opt-out’ and four ‘opt-in’), only four took part in phase 1 of the study and three of them were ‘opt-out’ Trusts. Benefits of an ‘opt-out’ approach included greater inclusivity of patients and the removal of research gatekeepers, while the involvement of research-active clinicians and established patient–clinician relationships were cited as important to ‘opt-in’ success. Phases 2 and 3 were conducted at a different Trust (Oxford Health NHS Foundation Trust) which was using an ‘opt-in’ approach. Of 333 staff and member survey responders, 267 (80.2%) favoured moving to an ‘opt-out’ approach (phase 2). Nineteen staff and 16 patients and carers participated in focus groups (phase 3). Concern was raised by staff regarding the lack of time for clinical research, with clinical work taking precedence over research; patients were concerned about a lack of research activity; all considered research to be beneficial and were supportive of a move to ‘opt-out’. Conclusion: Findings suggest that ‘opt-out’ is more beneficial than ‘opt-in’, with the potential to vastly increase patient access to research opportunities and to enable greater equality of information provision for currently marginalised groups. This should ensure that healthcare research is more representative of the entire population, including those with a mental health diagnosis.


2021 ◽  
pp. 095646242110454
Author(s):  
Margaret Kingston ◽  
Alex Thomas Leech ◽  
Bethany Stott ◽  
Koon Chan ◽  
Kim Macleod ◽  
...  

All pregnant women in the United Kingdom are offered and encouraged to take up screening for human immunodeficiency virus (HIV), hepatitis B and syphilis, with excellent uptake rates and engagement in care resulting in very few infants being infected with HIV in the United Kingdom. However, in that small number of women who decline testing, there remains an opportunity to offer further support to test and engage them and their baby in care, even if this happens in labour or immediately after birth. In addition, these women may be at increased risk of HIV. Our hospital is in an extremely high prevalence area for HIV, and most untested individuals are of childbearing age. We embarked on a quality improvement project to engage all women delivering at our unit in HIV testing or to test their babies via cord blood at birth. We sought to do this in a constructive and inclusive way, led by the HIV specialist midwife with the support of the HIV antenatal and the hospital senior management teams. Following an initial evaluation, the approach was modified and an innovative approach together with a trusted advocate was used to engage a particularly hard-to-reach group. We have achieved 100% uptake of HIV testing and made two HIV diagnoses that would not otherwise have been made; both in women who reported themselves not to be at risk and both engaged in care and delivered HIV-negative infants.


Healthcare ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. 21
Author(s):  
Heesook Son ◽  
Youngmi Kang

Despite the adverse effects of negative coping after receiving a stoma, there is a lack of information on how patients cope with ostomies and on their families’ experiences throughout the coping process. We aimed to explore the coping experiences of individuals with ostomies throughout their illness, applying the Corbin and Strauss Chronic Illness Trajectory Framework, using exploratory qualitative methods involving focus group interviews. Purposive sampling was utilized to recruit 19 participants (split across three groups) through an ostomy association in South Korea. Two focus group interviews were separately conducted from March through to May 2017 until data saturation was achieved. Using qualitative content analysis, we analyzed the transcribed interviews and identified words and themes to interpret the results. The coping experiences of patients with ostomies were expressed through three interrelated themes: struggling and suffering, learning how to live with ostomy, and living with ostomy. We found gender differences in spousal support and a struggle among older patients regarding social coping. The themes identified suggest that gender should be considered when designing interventions to help patients cope with ostomies.


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