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Behavioral economic methods to inform infectious disease response: Prevention, testing, and vaccination in the COVID-19 pandemic.
Strickland, Justin C; Reed, Derek D; Hursh, Steven R; Schwartz, Lindsay P; Foster, Rachel N S; Gelino, Brett W; LeComte, Robert S; Oda, Fernanda S; Salzer, Allyson R; Schneider, Tadd D; Dayton, Lauren; Latkin, Carl; Johnson, Matthew W.
  • Strickland JC; Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, United States of America.
  • Reed DD; Department of Applied Behavioral Science, University of Kansas, Lawrence, KS, United States of America.
  • Hursh SR; Cofrin Logan Center for Addiction Research and Treatment, University of Kansas, Lawrence, KS, United States of America.
  • Schwartz LP; Applied Behavioral Biology Unit, Institutes for Behavior Resources, Baltimore, MD, United States of America.
  • Foster RNS; Applied Behavioral Biology Unit, Institutes for Behavior Resources, Baltimore, MD, United States of America.
  • Gelino BW; Department of Applied Behavioral Science, University of Kansas, Lawrence, KS, United States of America.
  • LeComte RS; Department of Applied Behavioral Science, University of Kansas, Lawrence, KS, United States of America.
  • Oda FS; Department of Applied Behavioral Science, University of Kansas, Lawrence, KS, United States of America.
  • Salzer AR; Department of Applied Behavioral Science, University of Kansas, Lawrence, KS, United States of America.
  • Schneider TD; Department of Applied Behavioral Science, University of Kansas, Lawrence, KS, United States of America.
  • Dayton L; Department of Applied Behavioral Science, University of Kansas, Lawrence, KS, United States of America.
  • Latkin C; Department of Health, Behavior and Society, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, United States of America.
  • Johnson MW; Department of Health, Behavior and Society, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, United States of America.
PLoS One ; 17(1): e0258828, 2022.
Article in English | MEDLINE | ID: covidwho-1638062
ABSTRACT
The role of human behavior to thwart transmission of infectious diseases like COVID-19 is evident. Psychological and behavioral science are key areas to understand decision-making processes underlying engagement in preventive health behaviors. Here we adapt well validated methods from behavioral economic discounting and demand frameworks to evaluate variables (e.g., delay, cost, probability) known to impact health behavior engagement. We examine the contribution of these mechanisms within a broader response class of behaviors reflecting adherence to public health recommendations made during the COVID-19 pandemic. Four crowdsourced samples (total N = 1,366) completed individual experiments probing a response class including social (physical) distancing, facemask wearing, COVID-19 testing, and COVID-19 vaccination. We also measure the extent to which choice architecture manipulations (e.g., framing, opt-in/opt-out) may promote (or discourage) behavior engagement. We find that people are more likely to socially distance when specified activities are framed as high risk, that facemask use during social interaction decreases systematically with greater social relationship, that describing delay until testing (rather than delay until results) increases testing likelihood, and that framing vaccine safety in a positive valence improves vaccine acceptance. These findings collectively emphasize the flexibility of methods from diverse areas of behavioral science for informing public health crisis management.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Health Behavior / Vaccination / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Vaccines Limits: Adult / Female / Humans / Male / Middle aged / Young adult Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2022 Document Type: Article Affiliation country: Journal.pone.0258828

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Health Behavior / Vaccination / COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Vaccines Limits: Adult / Female / Humans / Male / Middle aged / Young adult Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2022 Document Type: Article Affiliation country: Journal.pone.0258828