The Influence of Normative Perceptions on the Uptake of Digital Contact Tracing Device for COVID-19: Findings from Singapore (Preprint)

2021 ◽  
Author(s):  
Jeong Kyu Lee ◽  
Lavinia Lin ◽  
Hyunjin Kang
Keyword(s):  
Interpersonal Communication ◽  
Online Survey ◽  
Mobile App ◽  
Contact Tracing ◽  
Outcome Variable ◽  
Regression Analyses ◽  
Injunctive Norms ◽  
Descriptive Norms ◽  
Cross Sectional ◽  
Device Use

BACKGROUND In 2020, the Singapore government rolled out the TraceTogether (TT) Programme, a digital system to facilitate contact tracing efforts in response to the COVID-19 pandemic. This system is available as a smartphone app and Bluetooth-enabled token to help identify close contacts. As of February 1 2021, more than 80% of the population have either downloaded the mobile app or collected the token in Singapore. Despite the high adoption rate of the TT mobile app and token (i.e. device), it is unclear about the uptake and usage by the public, which is the key to contain the spread of COVID-19 in the community. OBJECTIVE This study aimed to investigate the normative influences on the TT device use for contact tracing purposes, informed by the Theory of Normative Social Behaviour (TNSB). METHODS Cross-sectional data (n = 1,137) were collected from January to February 2021 by a local research company through sending invitation emails to their panel members about participation in an online survey. Multivariate (linear and ordinal logistic) regression analyses were carried out to assess the relationships of the outcome variables (TT device usage and behavioural intentions) to potential predictors including perceived social norms, perceive community and interpersonal communication. RESULTS Regression analyses indicated that descriptive norms (unstandardized regression coefficient, β = 0.31, SE = 0.29, P < .001) and injunctive norms (β = 0.16, SE = 0.16, P < .001) were significantly, positively associated with intentions to use TT device. It was also found that descriptive norms was a significant predictor of TT device use frequency (adjusted odds ratio, OR = 2.08, 95% CI: 1.66 – 2.61, P < .001). Although injunctive norms was not significantly related to TT device use frequency, it moderated the relationship between descriptive norms and the outcome variable (OR = 1.12, 95% CI: 1.03 – 1.21, P = .005). CONCLUSIONS Findings provide theoretical and practical implications for norm-based communication interventions to increase the uptake of the digital contact tracing device and other preventive behaviours for COVID-19. CLINICALTRIAL N/A

scholarly journals Diabetes Management Experience and the State of Hypoglycemia: National Online Survey Study

JMIR Diabetes ◽  
10.2196/17890 ◽  
2020 ◽  
Vol 5 (2) ◽  
pp. e17890
Author(s):  
Karim Zahed ◽  
Farzan Sasangohar ◽  
Ranjana Mehta ◽  
Madhav Erraguntla ◽  
Khalid Qaraqe
Keyword(s):  
Blood Sugar ◽  
Online Survey ◽  
Diabetes Management ◽  
Nonparametric Tests ◽  
Mobile App ◽  
Survey Study ◽  
Management Tool ◽  
False Alarms ◽  
Diabetic Patients ◽  
Cross Sectional

Background Hypoglycemia, or low blood sugar levels, in people with diabetes can be a serious life-threatening condition, and serious outcomes can be avoided if low levels of blood sugar are proactively detected. Although technologies exist to detect the onset of hypoglycemia, they are invasive or costly or exhibit a high incidence of false alarms. Tremors are commonly reported symptoms of hypoglycemia and may be used to detect hypoglycemic events, yet their onset is not well researched or understood. Objective This study aimed to understand diabetic patients’ perceptions of hypoglycemic tremors, as well as their user experiences with technology to manage diabetes, and expectations from a self-management tool to ultimately inform the design of a noninvasive and cost-effective technology that detects tremors associated with hypoglycemia. Methods A cross-sectional internet panel survey was administered to adult patients with type 1 diabetes using the Qualtrics platform in May 2019. The questions focused on 3 main constructs: (1) perceived experiences of hypoglycemia, (2) experiences and expectations about a diabetes management device and mobile app, and (3) beliefs and attitudes regarding intention to use a diabetes management device. The analysis in this paper focuses on the first two constructs. Nonparametric tests were used to analyze the Likert scale data, with a Mann-Whitney U test, Kruskal-Wallis test, and Games-Howell post hoc test as applicable, for subgroup comparisons to highlight differences in perceived frequency, severity, and noticeability of hypoglycemic tremors across age, gender, years living with diabetes, and physical activity. Results Data from 212 respondents (129 [60.8%] females) revealed statistically significant differences in perceived noticeability of tremors by gender, whereby males noticed their tremors more (P<.001), and age, with the older population reporting lower noticeability than the young and middle age groups (P<.001). Individuals living longer with diabetes noticed their tremors significantly less than those with diabetes for ≤1 year but not in terms of frequency or severity. Additionally, the majority of our participants (150/212, 70.7%) reported experience with diabetes-monitoring devices. Conclusions Our findings support the need for cost-efficient and noninvasive continuous monitoring technologies. Although hypoglycemic tremors were perceived to occur frequently, such tremors were not found to be severe compared with other symptoms such as sweating, which was the highest rated symptom in our study. Using a combination of tremor and galvanic skin response sensors may show promise in detecting the onset of hypoglycemic events.

scholarly journals Consumer empowerment on online purchasing

2020 ◽  
Vol 11 (1) ◽  
pp. 236
Author(s):  
Megawati Simanjuntak
Keyword(s):  
Low Income ◽  
Online Survey ◽  
Cross Sectional Study ◽  
Adult Males ◽  
Regression Analyses ◽  
Sectional Study ◽  
Consumer Empowerment ◽  
Cross Sectional ◽  
Social Demographic ◽  
Group Regression

This research investigates the influence of social, demographic, and economic characteristics toward consumer empowerment on online purchasing in Asia, using a cross-sectional study through an online survey of 100 samples who experienced online purchasing. Multiple linear regression is performed for data analysis. The result showed that early adult males withhigh education, Javanese ethnic, lived in an urban area and were an employee with more than one million incomes per month was the most empowered group. Regression analyses resultreveals that gender, ethnic, and income significantly negatively influenced consumer empowerment. Meanwhile, a male with non-Sundanese ethnic and low income would increase the consumer empowerment index.

Social norm perceptions predict citizenship behaviors

2015 ◽  
Vol 30 (8) ◽  
pp. 894-908 ◽  
Author(s):  
Ryan P. Jacobson ◽  
Kathryn J. L. Jacobson ◽  
Jacqueline N. Hood
Keyword(s):  
Hierarchical Regression ◽  
Need To Belong ◽  
Citizenship Behaviors ◽  
Injunctive Norm ◽  
Injunctive Norms ◽  
Descriptive Norms ◽  
Cross Sectional ◽  
Content Type ◽  
Study Results ◽  
The Individual

Purpose – The purpose of this paper is to examine the extent to which perceptions of injunctive and descriptive norms for workplace organizational citizenship behaviors (OCBs) affect an individual’s frequency of performing such behaviors. The study also explores whether the effects of norm perceptions are moderated by the individual’s need to belong (NTB) to social groups. Design/methodology/approach – Hierarchical regression analysis was used to analyze data from 77 employed MBA students. Perceptions of OCB norms and NTB were assessed with an initial survey. Eight weeks later, a second survey assessed the individual frequency of OCBs. Findings – Descriptive norms, injunctive norms, and NTB independently predicted OCB frequency. Additionally, NTB moderated the effects of injunctive norm perceptions. The injunctive norm was particularly influential for employees high in NTB. Research limitations/implications – Limitations of this study include its cross-sectional nature and the possibility of common method bias. Practical implications – Study results indicate that managers can encourage OCBs by drawing attention to the prevalence of OCBs in the workplace (descriptive norm) and by showing approval of OCBs (injunctive norm). Hiring those with high NTB will also increase OCBs and enhance the effects of any effort on management’s part to signify approval of OCBs. OCBs can also be encouraged through new employee orientation and training that emphasizes the descriptive and injunctive norms for OCBs. Originality/value – This is the first study to demonstrate social norms and NTB as predictors of workplace OCBs. This study also provides the first evidence that the effects of injunctive norms are moderated by NTB.

scholarly journals Diabetes Management Experience and the State of Hypoglycemia: National Online Survey Study (Preprint)

2020 ◽  
Author(s):  
Karim Zahed ◽  
Farzan Sasangohar ◽  
Ranjana Mehta ◽  
Madhav Erraguntla ◽  
Khalid Qaraqe
Keyword(s):  
Blood Sugar ◽  
Online Survey ◽  
Diabetes Management ◽  
Nonparametric Tests ◽  
Mobile App ◽  
Survey Study ◽  
Management Tool ◽  
False Alarms ◽  
Diabetic Patients ◽  
Cross Sectional

BACKGROUND Hypoglycemia, or low blood sugar levels, in people with diabetes can be a serious life-threatening condition, and serious outcomes can be avoided if low levels of blood sugar are proactively detected. Although technologies exist to detect the onset of hypoglycemia, they are invasive or costly or exhibit a high incidence of false alarms. Tremors are commonly reported symptoms of hypoglycemia and may be used to detect hypoglycemic events, yet their onset is not well researched or understood. OBJECTIVE This study aimed to understand diabetic patients’ perceptions of hypoglycemic tremors, as well as their user experiences with technology to manage diabetes, and expectations from a self-management tool to ultimately inform the design of a noninvasive and cost-effective technology that detects tremors associated with hypoglycemia. METHODS A cross-sectional internet panel survey was administered to adult patients with type 1 diabetes using the Qualtrics platform in May 2019. The questions focused on 3 main constructs: (1) perceived experiences of hypoglycemia, (2) experiences and expectations about a diabetes management device and mobile app, and (3) beliefs and attitudes regarding intention to use a diabetes management device. The analysis in this paper focuses on the first two constructs. Nonparametric tests were used to analyze the Likert scale data, with a Mann-Whitney <i>U</i> test, Kruskal-Wallis test, and Games-Howell post hoc test as applicable, for subgroup comparisons to highlight differences in perceived frequency, severity, and noticeability of hypoglycemic tremors across age, gender, years living with diabetes, and physical activity. RESULTS Data from 212 respondents (129 [60.8%] females) revealed statistically significant differences in perceived noticeability of tremors by gender, whereby males noticed their tremors more (<i>P</i>&lt;.001), and age, with the older population reporting lower noticeability than the young and middle age groups (<i>P</i>&lt;.001). Individuals living longer with diabetes noticed their tremors significantly less than those with diabetes for ≤1 year but not in terms of frequency or severity. Additionally, the majority of our participants (150/212, 70.7%) reported experience with diabetes-monitoring devices. CONCLUSIONS Our findings support the need for cost-efficient and noninvasive continuous monitoring technologies. Although hypoglycemic tremors were perceived to occur frequently, such tremors were not found to be severe compared with other symptoms such as sweating, which was the highest rated symptom in our study. Using a combination of tremor and galvanic skin response sensors may show promise in detecting the onset of hypoglycemic events.

scholarly journals Contact Tracing is Associated with Lower COVID-19 Case Fatality Rates: Evidence from 40 countries

2020 ◽  
Author(s):  
ABDULLAH YALAMAN ◽  
GOKCE BASBUG ◽  
CEYHUN ELGIN ◽  
ALISON P. GALVANI
Keyword(s):  
Panel Data ◽  
Early Detection ◽  
Medical Care ◽  
Regression Models ◽  
Case Fatality ◽  
Control Measures ◽  
Contact Tracing ◽  
Regression Analyses ◽  
Cross Sectional ◽  
Lower Case

Abstract The coronavirus disease (COVID-19) outbreak has killed over 725,000 people since its emergence in late 2019. As of early August 2020, there has been substantial variability in the policies and intensity of diagnostic efforts between countries. In this paper, we quantitatively evaluate the effectiveness of the national contact tracing policy in decreasing case fatality rates of COVID-19 in 40 countries. Our regression analyses indicate that countries that utilize comprehensive contact tracing have significantly lower case fatality rates. The association of contact tracing policy and case fatality rates is robust and observed in regression models using cross-sectional and panel data, even controlling for the number of tests conducted and non-pharmaceutical control measures adopted by governments. Our results suggest that comprehensive contact tracing is instrumental not only to curtailing transmission but also to reducing case fatality rates by early detection and isolation of secondary cases and ultimately diminishing the burden on the healthcare system and speeding the rate at which infected individuals receive the medical care they need to maximize their chance of recovery.

scholarly journals Global Imperative of Suicidal Ideation in 10 Countries Amid the COVID-19 Pandemic

2021 ◽  
Vol 11 ◽  
Author(s):  
Teris Cheung ◽  
Simon Ching Lam ◽  
Paul Hong Lee ◽  
Yu Tao Xiang ◽  
Paul Siu Fai Yip ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Health Beliefs ◽  
Online Survey ◽  
Well Being ◽  
Cross Sectional Study ◽  
Outcome Variable ◽  
Cross Sectional ◽  
Patient Health ◽  
Novel Coronavirus ◽  
The Uk

Background: The novel coronavirus (COVID-19) has had a detrimental impact on individuals' psychological well-being; however, a multi-country comparison on the prevalence of suicidal ideation due to the virus is still lacking.Objectives: To examine the prevalence and correlates of suicidal ideation among the general population across 10 countries during the COVID-19 pandemic.Materials and methods: This was a cross-sectional study which used convenience sampling and collected data by conducting an online survey. Participants were sourced from 10 Eastern and Western countries. The Patient Health Questionnaire (PHQ-9) was used to measure the outcome variable of suicidal ideation. Ordinal regression analysis was used to identify significant predictors associated with suicidal ideation.Results: A total of 25,053 participants (22.7% male) were recruited. Results from the analysis showed that the UK and Brazil had the lowest odds of suicidal ideation compared to Macau (p &lt; 0.05). Furthermore, younger age, male, married, and differences in health beliefs were significantly associated with suicidal ideation (p &lt; 0.05).Conclusions: The findings highlight the need for joint international collaboration to formulate effective suicide prevention strategies in a timely manner and the need to implement online mental health promotion platforms. In doing so, the potential global rising death rates by suicide during the pandemic can be reduced.

scholarly journals Willingness to Seek Diagnostic Testing for SARS-CoV-2 With Home, Drive-through, and Clinic-Based Specimen Collection Locations

2020 ◽  
Vol 7 (7) ◽  
Author(s):  
Aaron J Siegler ◽  
Eric Hall ◽  
Nicole Luisi ◽  
Maria Zlotorzynska ◽  
Gretchen Wilde ◽  
...  
Keyword(s):  
Online Survey ◽  
Clinical Care ◽  
Diagnostic Testing ◽  
The United States ◽  
Contact Tracing ◽  
Cross Sectional ◽  
Specimen Collection ◽  
Home Based ◽  
Home Testing

Abstract Background SARS-CoV-2 virus testing for persons with COVID-19 symptoms, and contact tracing for those testing positive, will be critical to successful epidemic control. Willingness of persons experiencing symptoms to seek testing may determine the success of this strategy. Methods A cross-sectional online survey in the United States measured willingness to seek testing if feeling ill under different specimen collection scenarios: home-based saliva, home-based swab, drive-through facility swab, and clinic-based swab. Instructions clarified that home-collected specimens would be mailed to a laboratory for testing. We presented similar willingness questions regarding testing during follow-up care. Results Of 1435 participants, comprising a broad range of sociodemographic groups, 92% were willing to test with a home saliva specimen, 88% with home swab, 71% with drive-through swab, and 60% with clinic-collected swab. Moreover, 68% indicated they would be more likely to get tested if there was a home testing option. There were no significant differences in willingness items across sociodemographic variables or for those currently experiencing COVID-19 symptoms. Results were nearly identical for willingness to receive testing for follow-up COVID-19 care. Conclusions We observed a hierarchy of willingness to test for SARS-CoV-2, ordered by the degree of contact required. Home specimen collection options could result in up to one-third more symptomatic persons seeking testing, facilitating contact tracing and optimal clinical care. Remote specimen collection options may ease supply chain challenges and decrease the likelihood of nosocomial transmission. As home specimen collection options receive regulatory approval, they should be scaled rapidly by health systems.

scholarly journals Netiquette Between Students and Their Lecturers on Facebook: Injunctive and Descriptive Social Norms

2018 ◽  
Vol 4 (3) ◽  
pp. 205630511878962
Author(s):  
Stephanie B. Linek ◽  
Anika Ostermaier-Grabow
Keyword(s):  
Social Networks ◽  
Empirical Study ◽  
Social Norms ◽  
Online Survey ◽  
Common Ground ◽  
Individual Case ◽  
Subjective Perception ◽  
Injunctive Norms ◽  
Descriptive Norms ◽  
The Individual

There is an ongoing discussion if and how students and lecturers should interact with each other on social networks. In this article, we present an empirical study on the so-called netiquette for Facebook contacts between students and their lecturers (hereinafter called SL-contacts). In addition, we investigated the subjective perception of the majority’s behavior. This enabled a comparison between two different kinds of social norms: the injunctive norms (netiquette) and the descriptive norms (majority). Database was an online survey with 2,849 participants (2,550 students and 299 lecturers). SL-contacts were quite rare in our sample and usually initiated by students. Our results showed that the appropriateness of SL-contacts depends on the individual case. In addition, we found that injunctive and descriptive norms are in line with each other. Overall, our results indicate that there is a common ground of understanding, and SL-contacts are less critical than they might appear.

scholarly journals Cross-sectional assessment of predictors for COVID-19 vaccine uptake: an online survey in Greece

2021 ◽  
Author(s):  
Petros A Galanis ◽  
Irene Vraka ◽  
Olga Siskou ◽  
Olympia Konstantakopoulou ◽  
Aglaia Katsiroumpa ◽  
...  
Keyword(s):  
General Population ◽  
Online Survey ◽  
Demographic Data ◽  
Scale Up ◽  
Cross Sectional Study ◽  
Vaccination Rate ◽  
Vaccine Uptake ◽  
Outcome Variable ◽  
Cross Sectional ◽  
Level Of Education

Background: A high level of COVID-19 vaccine uptake in the general population is essential to control the pandemic. Objective: To estimate the percentage of the general population vaccinated against the COVID-19 and to investigate the factors associated with COVID-19 vaccine uptake. Methods: We conducted an online cross-sectional study in Greece during August 2021. We included individuals over 18 years of age. Independent variables included socio-demographic data of the participants and attitudes towards COVID-19 vaccination and pandemic. Our outcome variable was COVID-19 vaccination status, measured through yes/no answers. Results: Most participants had been vaccinated against the COVID-19 (87.8%), while about half had been vaccinated against influenza (52.5%). Multivariate analysis identified that increased age and a higher level of education were associated with an increased likelihood of COVID-19 vaccination. Also, participants working in health services, participants without a previous COVID-19 diagnosis, and those with previous seasonal influenza vaccination history had a greater probability to take a COVID-19 vaccine. Additionally, increased self-perceived severity of COVID-19, knowledge regarding COVID-19, and trust in COVID-19 vaccines and scientists were associated with COVID-19 vaccine uptake. On the other hand, the likelihood of vaccination was lower for participants who were more concerned about the side effects of COVID-19 vaccination. Conclusions: Understanding the factors affecting individuals decision to take a COVID-19 vaccine is essential to improve the COVID-19 vaccination coverage rate. Policymakers and scientists should scale up their efforts to increase the COVID-19 vaccination rate among specific population groups such as young people, people with a low level of education, people with negative attitudes towards vaccination, etc.

scholarly journals Self-Testing as an Invaluable Tool in Fighting the COVID-19 Pandemic

2021 ◽  
Vol 12 ◽  
pp. 215013272110477
Author(s):  
Paraskevi Goggolidou ◽  
Ioannis Hodges-Mameletzis ◽  
Satvinder Purewal ◽  
Aikaterini Karakoula ◽  
Tracy Warr
Keyword(s):  
Online Survey ◽  
Contact Tracing ◽  
University Graduates ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Prick Test ◽  
Home Based ◽  
Self Testing ◽  
Self Test

Objectives: The United Kingdom and a number of European Union countries are offering and distributing rapid antigen detection tests (RADTs) for self-test use to detect SARS-CoV-2. For instance, Greece, in the midst of its third wave of COVID-19, announced the provision of RADTs for self-testing through retail pharmacies. With the aim to determine the acceptability and feasibility of COVID-19 self-testing, we ran a cross-sectional survey on residents of Greece and Cyprus, aged over 18 years. Methods: An online survey using the JISC platform was distributed to 1000 individuals who completed the survey anonymously. Data was collated and analyzed for complete responses by chi-squared and logistic regression analyses. Results: A total of 248 complete responses were obtained, with balanced gender distribution and particular demographics representative of the 2 countries. The majority of participants (79%; n = 196) reported willingness to self-test and the remaining individuals reported no (10.5%; n = 26) or don’t know (10.5%; n = 26). Being a university graduate significantly predicted the likelihood of being willing to self-test (odds ratio [OR] = 3.455, P < .001). Pearson Chi-square test found significant differences between university graduates versus non-graduates on the type of COVID-19 test preferred (χ2 = 8.95, df = 3, P < .03); graduates were more likely to prefer saliva testing and less likely to prefer the finger prick test than non-graduates. Conclusions: Our survey data evidences the acceptability of home-based self-testing, with a preference for saliva as choice of biological material for sampling. A number of factors, such as accessible reporting, contact tracing infrastructures, central registration, and validation for the implementation of different RADTs need to be taken collectively into consideration before self-testing can be universally and reliably scaled up.

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