Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Field Epidemiology, Field Service, National Infection Service, Public Health England, Bristol, UK; NIHR Health Protection Research Unit in Behavioural Science and Evaluation, Bristol Medical School, University of Bristol, Bristol, UK; NIHR Health Protection Research Unit in Emerging and Zoonotic Infections, University of Liverpool, Liverpool, UK; NIHR Health Protection Research Unit in Gastrointestinal Infections, University of Liverpool, Liverpool, UK.
Public Health. 2021 Apr;193:116-123. doi: 10.1016/j.puhe.2021.01.028. Epub 2021 Feb 10.
In the containment phase of the response to the COVID-19 outbreak, Public Health England (PHE) delivered advice to travellers arriving at major UK ports. We aimed to rapidly evaluate the impact and effectiveness of these communication materials for passengers in the early stages of the pandemic.
The study design used is the mixed-methods evaluation.
A questionnaire survey and follow-up interviews with passengers arriving at London Heathrow Airport on scheduled flights from China and Singapore. The survey assessed passengers' knowledge of symptoms, actions to take, and attitudes towards PHE COVID-19 public health information; interviews explored their views of official public health information and self-isolation.
One hundred and twenty-one passengers participated in the survey and 15 in follow-up interviews. Eighty three percentage of surveyed passengers correctly identified all three COVID-19 associated symptoms listed in PHE information at that time. Most could identify the recommended actions and found the advice understandable and trustworthy. Interviews revealed that passengers shared concerns about the lack of wider official action, and that passengers' knowledge had been acquired elsewhere as much from PHE. Respondents also noted their own agency in choosing to self-isolate, partially as a self-protective measure.
PHE COVID-19 public health information was perceived as clear and acceptable, but we found that passengers acquired knowledge from various sources and they saw the provision of information alone on arrival as an insufficient official response. Our study provides fresh insights into the importance of taking greater account of diverse information sources and of the need for public assurance in creating public health information materials to address global health threats.
在应对 COVID-19 疫情的遏制阶段，英国公共卫生署（PHE）向抵达英国主要港口的旅行者提供了建议。我们旨在快速评估这些在大流行早期为乘客提供的沟通材料的影响和有效性。
使用的研究设计是混合方法评估。
对从中国和新加坡按计划抵达伦敦希思罗机场的航班抵达的乘客进行问卷调查和后续访谈。该调查评估了乘客对症状、应采取的措施和对 PHE COVID-19 公共卫生信息的态度的了解；访谈探讨了他们对官方公共卫生信息和自我隔离的看法。
121 名乘客参加了调查，15 名参加了后续访谈。83%的接受调查的乘客正确识别了当时 PHE 信息中列出的所有三种与 COVID-19 相关的症状。大多数人可以识别建议的措施，并认为该建议易于理解且值得信赖。访谈显示，乘客对缺乏更广泛的官方行动表示担忧，并且乘客的知识在其他地方也与 PHE 一样多。受访者还指出他们自己有选择自我隔离的意愿，部分原因是出于自我保护。
PHE COVID-19 公共卫生信息被认为清晰且可接受，但我们发现乘客从各种来源获取知识，并且他们认为抵达时仅提供信息是官方的应对措施不足。我们的研究提供了新的见解，即需要更加考虑各种信息来源，并在制作应对全球健康威胁的公共卫生信息材料时提供公众保证。
