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Mixed-methods exploration of views on choice in a university asymptomatic COVID-19 testing programme.

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cam.depositDate2022-01-08
cam.orpheus.counter2
cam.orpheus.successWed Mar 23 10:26:22 GMT 2022 - Embargo updated
datacite.ispreviousversionof.handlehttps://www.repository.cam.ac.uk/handle/1810/334515
dc.contributor.authorCox, Caitríona
dc.contributor.authorAnsari, Akbar
dc.contributor.authorMcLaughlin, Meredith
dc.contributor.authorvan der Scheer, Jan
dc.contributor.authorBousfield, Jennifer
dc.contributor.authorGeorge, Jenny
dc.contributor.authorLeach, Brandi
dc.contributor.authorParkinson, Sarah
dc.contributor.authorDixon-Woods, Mary
dc.contributor.orcidCox, Caitríona [0000-0001-9416-9509]
dc.contributor.orcidvan der Scheer, Jan [0000-0002-4368-0355]
dc.contributor.orcidDixon-Woods, Mary [0000-0002-5915-0041]
dc.date.accessioned2022-01-11T00:32:03Z
dc.date.available2022-01-11T00:32:03Z
dc.date.issued2022-02-28
dc.date.updated2022-01-08T17:16:35Z
dc.description.abstractAsymptomatic COVID-19 testing programmes are being introduced in higher education institutions, but stakeholder views regarding the acceptability of mandating or incentivizing participation remain little understood. A mixed-method study (semi-structured interviews and a survey including open and closed questions) was undertaken in a case study university with a student testing programme. Survey data were analysed descriptively; analysis for interviews was based on the framework method. Two hundred and thirty-nine people participated in the study: 213 in the survey (189 students, 24 staff), and 26 in interviews (19 students, 7 staff). There was majority (62%) but not universal support for voluntary participation, with a range of concerns expressed about the potentially negative effects of mandating testing. Those who supported mandatory testing tended to do so on the grounds that it would protect others. There was also majority (64%) opposition to penalties for refusing to test. Views on restricting access to face-to-face teaching for non-participants were polarized. Three-quarters (75%) supported incentives, though there were some concerns about effectiveness and unintended consequences. Participants emphasized the importance of communication about the potential benefits of testing. Preserving the voluntariness of participation in student asymptomatic testing programmes is likely to be the most ethically sound policy unless circumstances change.
dc.description.sponsorshipCaitriona Cox, lead researcher, is a National Institute for Health Research (NIHR) academic clinical fellow. This study is funded by Mary Dixon-Woods’ NIHR Senior Investigator award (NF-SI-0617-10026), by the Wellcome Trust through a contract award for a project on ethical issues in COVID-19 testing, and by The Healthcare Improvement Studies Institute (THIS Institute), University of Cambridge. THIS Institute is supported by the Health Foundation, an independent charity committed to bringing about better health and healthcare for people in the UK.
dc.identifier.doi10.17863/CAM.80049
dc.identifier.eissn1467-8519
dc.identifier.issn0269-9702
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/332602
dc.language.isoeng
dc.publisherWiley
dc.publisher.departmentDepartment of Public Health And Primary Care, This Institute
dc.rightsAll Rights Reserved
dc.rights.urihttp://www.rioxx.net/licenses/all-rights-reserved
dc.titleMixed-methods exploration of views on choice in a university asymptomatic COVID-19 testing programme.
dc.typeArticle
dcterms.dateAccepted2021-12-03
prism.publicationNameBioethics
pubs.funder-project-idHealth Foundation (unknown)
pubs.funder-project-idDepartment of Health (via National Institute for Health Research (NIHR)) (NF-SI-0617-10026)
pubs.licence-display-nameApollo Repository Deposit Licence Agreement
pubs.licence-identifierapollo-deposit-licence-2-1
rioxxterms.typeJournal Article/Review
rioxxterms.versionAM
rioxxterms.versionofrecord10.1111/bioe.13012

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