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dc.contributor.authorHorvath, Laszlo
dc.contributor.authorBanducci, Susan
dc.contributor.authorBlamire, Joshua
dc.contributor.authorDegnen, Cathrine
dc.contributor.authorJames, Oliver
dc.contributor.authorJones, Andrew
dc.contributor.authorStevens, Daniel
dc.contributor.authorTyler, Katharine
dc.date.accessioned2022-01-24T12:26:16Z
dc.date.available2022-01-24T12:26:16Z
dc.date.issued2022-01-17
dc.identifier.citationHorvath, L., Banducci, S., Blamire, J. et al. (2022) Adoption and continued use of mobile contact tracing technology: multilevel explanations from a three-wave panel survey and linked data. BMJ Open 2022; 12:e053327. doi: 10.1136/bmjopen-2021-053327en
dc.identifier.issn2044-6055en
dc.identifier.doi10.1136/bmjopen-2021-053327en
dc.identifier.urihttp://hdl.handle.net/2436/624559
dc.description© 2022 The Authors. Published by BMJ Publishing Group. This is an open access article available under a Creative Commons licence. The published version can be accessed at the following link on the publisher’s website: http://dx.doi.org/10.1136/bmjopen-2021-053327en
dc.description.abstractObjective To identify the key individual-level (demographics, attitudes, mobility) and contextual (COVID-19 case numbers, tiers of mobility restrictions, urban districts) determinants of adopting the NHS COVID-19 contact tracing app and continued use overtime. Design and setting A three-wave panel survey conducted in England in July 2020 (background survey), November 2020 (first measure of app adoption) and March 2021 (continued use of app and new adopters) linked with official data. Participants N=2500 adults living in England, representative of England’s population in terms of regional distribution, age and gender (2011 census). Primary outcome Repeated measures of self-reported app usage. Analytical approach Multilevel logistic regression linking a range of individual level (from survey) and contextual (from linked data) determinants to app usage. Results We observe initial app uptake at 41%, 95% CI (0.39% to 0.43%), and a 12% drop-out rate by March 2021, 95% CI (0.10% to 0.14%). We also found that 7% of nonusers as of wave 2 became new adopters by wave 3, 95% CI (0.05% to 0.08%). Initial uptake (or failure to use) of the app associated with social norms, privacy concerns and misinformation about third-party data access, with those living in postal districts with restrictions on mobility less likely to use the app. Perceived lack of transparent evidence of effectiveness was associated with drop-out of use. In addition, those who trusted the government were more likely to adopt in wave 3 as new adopters. Conclusions Successful uptake of the contact tracing app should be evaluated within the wider context of the UK Government’s response to the crisis. Trust in government is key to adoption of the app in wave 3 while continued use is linked to perceptions of transparent evidence. Providing clear information to address privacy concerns could increase uptake, however, the disparities in continued use among ethnic minority participants needs further investigation.en
dc.description.sponsorshipThis research is funded by the Economic and Social Research Council as part of UK Research and Innovation’s rapid response initiative to COVID-19. The project is entitled: ‘Identity, Inequality and the Media in Brexit-Covid-19-Britain’ (Grant Ref: ES/V006320/1).en
dc.formatapplication/pdfen
dc.languageen
dc.language.isoenen
dc.publisherBMJ Publishing Groupen
dc.relation.urlhttps://bmjopen.bmj.com/content/12/1/e053327en
dc.subjectCOVID-19en
dc.subjectcontact tracing technologyen
dc.titleAdoption and continued use of mobile contact tracing technology: multilevel explanations from a three-wave panel survey and linked dataen
dc.typeJournal articleen
dc.identifier.eissn2044-6055
dc.identifier.journalBMJ Openen
dc.date.updated2022-01-20T14:06:42Z
dc.date.accepted2021-12-23
rioxxterms.funderEconomic and Social Research Councilen
rioxxterms.identifier.projectES/V006320/1en
rioxxterms.versionVoRen
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by/4.0/en
rioxxterms.licenseref.startdate2022-01-24en
dc.source.volume12
dc.source.issue1
dc.source.beginpagee053327
dc.source.endpagee053327
dc.description.versionPublished version
refterms.dateFCD2022-01-24T12:26:07Z
refterms.versionFCDVoR
refterms.dateFOA2022-01-24T12:26:16Z


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