How do we engage people in testing for COVID-19? A rapid qualitative evaluation of a testing programme in schools, GP surgeries and a university.

COVID-19 testing Community engagement Rapid qualitative evaluation

Journal

BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562

Informations de publication

Date de publication:
14 02 2022
Historique:
received: 04 06 2021
accepted: 27 01 2022
entrez: 15 2 2022
pubmed: 16 2 2022
medline: 19 2 2022
Statut: epublish

Résumé

The UK Scientific Advisory Group for Emergencies (SAGE) emphasises the need for high levels of engagement with communities and individuals to ensure the effectiveness of any COVID-19 testing programme. A novel pilot health surveillance programme to assess the feasibility of weekly community RT-LAMP (Reverse transcription loop-mediated isothermal amplification) testing for the SARS-CoV-2 virus using saliva samples collected at home was developed and piloted by the University of Southampton and Southampton City Council. Rapid qualitative evaluation was conducted to explore experiences of those who took part in the programme, of those who declined and of those in the educational and healthcare organisations involved in the pilot testing who were responsible for roll-out. This included 77 interviews and 20 focus groups with 223 staff, students, pupils and household members from four schools, one university, and one community healthcare NHS trust. The insights generated and informed the design and modification of the Southampton COVID-19 Saliva Testing Programme and the next phase of community-testing. Discussions revealed that high levels of communication, trust and convenience were necessary to ensure people's engagement with the programme. Participants felt reassured by and pride in taking part in this novel programme. They suggested modifications to reduce the programme's environmental impact and overcome cultural barriers to participation. Participants' and stakeholders' motivations, challenges and concerns need to be understood and these insights used to modify the programme in a continuous, real-time process to ensure and sustain engagement with testing over the extended period necessary. Community leaders and stakeholder organisations should be involved throughout programme development and implementation to optimise engagement.

Sections du résumé

BACKGROUND
The UK Scientific Advisory Group for Emergencies (SAGE) emphasises the need for high levels of engagement with communities and individuals to ensure the effectiveness of any COVID-19 testing programme. A novel pilot health surveillance programme to assess the feasibility of weekly community RT-LAMP (Reverse transcription loop-mediated isothermal amplification) testing for the SARS-CoV-2 virus using saliva samples collected at home was developed and piloted by the University of Southampton and Southampton City Council.
METHODS
Rapid qualitative evaluation was conducted to explore experiences of those who took part in the programme, of those who declined and of those in the educational and healthcare organisations involved in the pilot testing who were responsible for roll-out. This included 77 interviews and 20 focus groups with 223 staff, students, pupils and household members from four schools, one university, and one community healthcare NHS trust. The insights generated and informed the design and modification of the Southampton COVID-19 Saliva Testing Programme and the next phase of community-testing.
RESULTS
Discussions revealed that high levels of communication, trust and convenience were necessary to ensure people's engagement with the programme. Participants felt reassured by and pride in taking part in this novel programme. They suggested modifications to reduce the programme's environmental impact and overcome cultural barriers to participation.
CONCLUSIONS
Participants' and stakeholders' motivations, challenges and concerns need to be understood and these insights used to modify the programme in a continuous, real-time process to ensure and sustain engagement with testing over the extended period necessary. Community leaders and stakeholder organisations should be involved throughout programme development and implementation to optimise engagement.

Identifiants

pubmed: 35164728
doi: 10.1186/s12889-022-12657-4
pii: 10.1186/s12889-022-12657-4
pmc: PMC8842975
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

305

Subventions

Organisme : Medical Research Council
ID : MC_PC_21003
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_PC_21000
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_UU_12011/4
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_PC_MR/R018545/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_PC_21001
Pays : United Kingdom

Informations de copyright

© 2022. The Author(s).

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Auteurs

Daniella Watson (D)

School of Human Development and Health, Faculty of Medicine, Global Health Research Institute, University of Southampton, Southampton, United Kingdom. D.Watson@soton.ac.uk.

Natalia Laverty Baralle (NL)

School of Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.

Jawahr Alagil (J)

School of Health Sciences, Faculty of Life and Environmental Sciences, University of Southampton, Southampton, United Kingdom.
College of Applied Medical Sciences, Health Rehabilitation Department, King Saud University, Riyadh, Kingdom of Saudi Arabia.

Krithika Anil (K)

School of Health Professions, Faculty of Health and Human Sciences, University of Plymouth, Plymouth, United Kingdom.

Sandy Ciccognani (S)

School of Health Sciences, Faculty of Life and Environmental Sciences, University of Southampton, Southampton, United Kingdom.

Rachel Dewar-Haggart (R)

School of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.

Sarah Fearn (S)

School of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.

Julia Groot (J)

Department of Psychology, University of Bath, Bath, United Kingdom.

Kathryn Knowles (K)

School of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.

Claire Meagher (C)

School of Health Sciences, Faculty of Life and Environmental Sciences, University of Southampton, Southampton, United Kingdom.

Carmel McGrath (C)

School of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.
NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospitals Southampton NHS Foundation Trust, Southampton, United Kingdom.

Sarah Muir (S)

School of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.

Jo Musgrove (J)

School of Human Development and Health, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.

Kate Glyn-Owen (K)

School of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.

Kath Woods-Townsend (K)

NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospitals Southampton NHS Foundation Trust, Southampton, United Kingdom.
Southampton Education School, Faculty of Social Sciences, University of Southampton, Southampton, United Kingdom.

Andrew Mortimore (A)

School of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.

Paul Roderick (P)

School of Primary Care, Population Sciences and Medical Education, Faculty of Medicine, University of Southampton, Southampton, United Kingdom.

Janis Baird (J)

NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospitals Southampton NHS Foundation Trust, Southampton, United Kingdom.
MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, United Kingdom.

Hazel Inskip (H)

NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospitals Southampton NHS Foundation Trust, Southampton, United Kingdom.
MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, United Kingdom.

Keith Godfrey (K)

NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospitals Southampton NHS Foundation Trust, Southampton, United Kingdom.
MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, United Kingdom.

Mary Barker (M)

School of Health Sciences, Faculty of Life and Environmental Sciences, University of Southampton, Southampton, United Kingdom.
NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospitals Southampton NHS Foundation Trust, Southampton, United Kingdom.
MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, United Kingdom.
School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

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