Graduate Course in Pharmaceutical Sciences, University of Sorocaba, Sorocaba, Brazil.
Fiocruz School of Government, Oswaldo Cruz Foundation, Brasília, Brazil.
Front Public Health. 2022 Aug 1;10:894958. doi: 10.3389/fpubh.2022.894958. eCollection 2022.
To identify evidence-based strategies to improve adherence to the preventive measures against the coronavirus disease (COVID-19) at the community level.
This is an evidence brief for policy, combining research evidence specific to contextual knowledge from stakeholders. A systematic search was performed in 18 electronic databases, gray literature, and a handle search, including only secondary and tertiary studies that focused on the adherence of the general population to COVID-19 preventive measures in the community. Two reviewers, independently, performed the study selection, data extraction, and assessment of the quality of the studies. Relevant evidence has been synthesized to draft evidence-based strategies to improve adherence. These strategies were circulated for external endorsement by stakeholders and final refinement. Endorsement rates >80%, 60-80% and <60% were considered high, moderate, and low respectively.
Eleven studies, with varying methodological qualities were included: high ( = 3), moderate ( = 3), low ( = 1), and critically low ( = 4). Three evidence based strategies were identified: i. Risk communication; ii. Health education to the general public, and iii. Financial support and access to essential supplies and services. The rates of endorsement were: 83% for risk communication, 83% for health education, and 92% for financial support and access to essential supplies and services. The evidence showed that an increase in knowledge, transparent communication, and public awareness about the risks of COVID-19 and the benefits of adopting preventive measures results in changes in people's attitudes and behavior, which can increase adherence. In addition, the guarantee of support and assistance provides conditions for people to adopt and sustain such measures.
These strategies can guide future actions and the formulation of public policies to improve adherence to preventive measures in the community during the current COVID-19 pandemic and other epidemics.
确定在社区层面提高预防冠状病毒病（COVID-19）措施依从性的循证策略。
这是一份针对政策的证据摘要，结合了针对利益相关者的背景知识的研究证据。在 18 个电子数据库、灰色文献和处理搜索中进行了系统搜索，仅纳入了关注社区中普通人群对 COVID-19 预防措施的依从性的二级和三级研究。两名审查员独立进行了研究选择、数据提取和研究质量评估。综合了相关证据，以起草提高依从性的循证策略。这些策略已分发给利益相关者进行外部认可和最终完善。认可率>80%、60-80%和<60%分别被认为是高、中、低。
纳入了 11 项研究，其方法学质量各不相同：高（=3）、中（=3）、低（=1）和极低（=4）。确定了三项循证策略：i.风险沟通；ii.向公众进行健康教育；iii.财政支持和获得基本用品和服务。认可率分别为：风险沟通 83%、健康教育 83%、财政支持和获得基本用品和服务 92%。证据表明，增加对 COVID-19 风险和采取预防措施的益处的了解、透明沟通和公众意识会导致人们的态度和行为发生变化，从而提高依从性。此外，保障支持和援助为人们采取和维持这些措施提供了条件。
这些策略可以指导未来的行动和公共政策的制定，以提高当前 COVID-19 大流行和其他流行病期间社区预防措施的依从性。
