Facilitators and barriers to engagement with contact tracing during infectious disease outbreaks: A rapid review of the evidence

Odette Megnin-Viggars*, Patrice Carter, G. J. Melendez-Torres, Dale Weston, G. James Rubin

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

68 Citations (Scopus)
8 Downloads (Pure)

Abstract

Background: Until a vaccine is developed, a test, trace and isolate strategy is the most effective method of controlling the COVID-19 outbreak. Contact tracing and case isolation are common methods for controlling infectious disease outbreaks. However, the effectiveness of any contact tracing system rests on public engagement. Numerous factors may influence an individual’s willingness to engage with a contact tracing system. Understanding these factors has become urgent during the COVID-19 pandemic. 

Objective: To identify facilitators and barriers to uptake of, and engagement with, contact tracing during infectious disease outbreaks. 

Method: A rapid systematic review was conducted to identify papers based on primary research, written in English, and that assessed facilitators, barriers, and other factors associated with the uptake of, and engagement with, a contact tracing system. 

Principal findings: Four themes were identified as facilitators to the uptake of, and engagement with, contact tracing: collective responsibility; personal benefit; co-production of contact tracing systems; and the perception of the system as efficient, rigorous and reliable. Five themes were identified as barriers to the uptake of, and engagement with, contact tracing: privacy concerns; mistrust and/or apprehension; unmet need for more information and support; fear of stigmatization; and mode-specific challenges. 

Conclusions: By focusing on the factors that have been identified, contact tracing services are more likely to get people to engage with them, identify more potentially ill contacts, and reduce transmission.

Original languageEnglish
Article numbere0241473
JournalPLoS ONE
Volume15
Issue number10 October
DOIs
Publication statusPublished - 29 Oct 2020

Bibliographical note

Funding Information: PC and OMV were funded by Go-Science; the review was conducted at the request of the Scientific Pandemic Influenza Group on Behaviours (SPI-B), a behavioural science advisory group for the Scientific Advisory Group for Emergencies (SAGE): Coronavirus (COVID-19) response team, who provide scientific and technical advice to support UK government decision makers. GJR and DW were funded by the National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Emergency Preparedness and Response, a partnership between Public Health England, King's College London and the University of East Anglia. DW is also supported by the National Institute for Health Research Health Protection Research Unit (NIHR HPRU) in Behaviour Change and Evaluation, a partnership between Public Health England and the University of Bristol.

Open Access: This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Publisher Copyright: © 2020 Megnin-Viggars et al.

Citation: Megnin-Viggars O, Carter P, Melendez-Torres GJ, Weston D, Rubin GJ (2020) Facilitators and barriers to engagement with contact tracing during infectious disease outbreaks: A rapid review of the evidence. PLoS ONE 15(10): e0241473.

DOI: https://doi.org/10.1371/journal.pone.0241473

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