Protective Behaviors Following Digital COVID-19 Exposure Notifications, Washington State, September 1, 2021, to March 1, 2022.

Publication date: Dec 13, 2024

Digital exposure notification (EN) systems were widely used to supplement public health case investigations and contact tracing during the 2019 coronavirus disease (COVID-19) pandemic. In Washington State, the state Department of Health (DOH) implemented one such system, WA Notify, which generated ENs based on smartphone Bluetooth proximity detection. However, the privacy preserving measures of this technology prevented collection of information on how users responded after seeing an EN on their device. To understand the influence of ENs on intended and implemented protective behaviors among WA Notify users. Two self-report surveys were administered by the WA DOH: a baseline survey regarding planned protective behaviors, available immediately after seeing an EN, and a follow-up survey distributed 2 weeks later regarding actual protective behaviors implemented. Self-reported planned and implemented protective behaviors were compared across 3 time periods relevant to the COVID-19 pandemic. Poisson regression was used to compare the probability of engaging in various protective behaviors across demographic characteristics and other contextual factors. Washington State. A total of 4280 individuals who chose to respond to both surveys and who completed the initial survey between September 1, 2021, and March 1, 2022. Self-reported plans for and engagement in protective behaviors (quarantining, testing, and symptom watching). The proportion of individuals who reported implementing quarantining and symptom watching after seeing an EN was higher than the proportion that reported planning to engage in each respective behavior. Respondents who reported experiencing symptoms when seeing an EN were more likely to quarantine and test for COVID-19 compared to those with no symptoms. Plans to engage in protective behaviors after initially seeing an EN can change and may be influenced by evolving personal and contextual factors. Future digital EN systems can be improved through messaging tailored to encourage protective behaviors relevant to disease prevention.

Concepts Keywords
Bluetooth Behaviors
Coronavirus Covid
Demographic Digital
Smartphone Exposure
Implemented
March
Protective
Public
Reported
Self
September
State
Survey
Systems
Washington

Semantics

Type Source Name
disease MESH COVID-19
disease IDO contact tracing
pathway KEGG Coronavirus disease
disease MESH privacy
disease IDO symptom

Original Article

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