背景:COVID-19的大规模无症状检测于2020年11月在英国利物浦首次试点。质量测试的证据有限,以前已经部署了浪涌测试,摄取一直很低。
目的:迫切需要快速评估无症状检测的接受度,具体确定参与的障碍和促进者。
方法:作为更广泛评估的一部分,我们对社交媒体上的当地社区叙述进行了快速主题分析,以提供不太可能参与测试或其他标准评估技术的人们的见解,例如调查或访谈。我们确定了3个公开的数据源:当地在线报纸的评论部分,市议会的Facebook页面,和Twitter。数据是在2020年11月2日至2020年11月8日之间收集的,涵盖了从利物浦宣布大规模测试到第一周测试之间的时间。总的来说,抽取了1096条评论:219条报纸评论,472条Facebook评论,405条推文。使用归纳专题方法分析数据。
结果:主要障碍是可访问性,包括站点访问和对排队的关注。由于传播风险,排队也被强调为一个问题。测试的后果,包括导致自我隔离要求进一步限制和财务影响的案件增加,也被认定为障碍。此外,对当局和测试(包括测试准确性和测试目的)缺乏信任。在某些情况下,被编码为表示缺乏信任的评论被编码为表示对利物浦市的强烈集体认同和由于感觉像测试对象而被边缘化。然而,其他被编码为利物浦身份的评论被编码为表示参与测试并鼓励其他人这样做的动机;对于这个群体,成为飞行员的一部分被视为一种积极的经历,也是一个证明该市可以成功控制病毒的机会。
结论:我们的分析强调了促进诚实和开放的沟通以鼓励和利用现有的社区身份来增强无症状检测作为一项政策的合法性的重要性。此外,在实施社区无症状检测之前,需要有足够和可获得的财政支持,以减轻围绕财政困难的任何担忧。社交媒体的快速主题分析是一种务实的方法,可以从社区中收集有关公共卫生干预措施可接受性的见解。如大规模测试或接种疫苗。
BACKGROUND: Mass asymptomatic testing for COVID-19 was piloted for the first time in the United Kingdom in Liverpool in November 2020. There is limited evidence on uptake of mass testing, and previously where surge testing has been deployed, uptake has been low.
OBJECTIVE: There was an urgent need to rapidly evaluate acceptance of asymptomatic testing, specifically identifying barriers and facilitators to taking part.
METHODS: As part of the wider evaluation, we conducted a rapid thematic analysis of local community narratives on social media to provide insights from people unlikely to engage in testing or other standard evaluation techniques, such as surveys or interviews. We identified 3 publicly available data sources: the comments section of a local online newspaper, the city council Facebook page, and Twitter. Data were collected between November 2, 2020, and November 8, 2020, to cover the period between announcement of mass testing in Liverpool and the first week of testing. Overall, 1096 comments were sampled: 219 newspaper comments, 472 Facebook comments, and 405 tweets. Data were analyzed using an inductive thematic approach.
RESULTS: Key barriers were accessibility, including site access and concerns over queuing. Queues were also highlighted as a concern due to risk of transmission. Consequences of testing, including an increase in cases leading to further restrictions and financial impact of the requirement for self-isolation, were also identified as barriers. In addition, a lack of trust in authorities and the test (including test accuracy and purpose of testing) was identified. Comments coded as indicative of lack of trust were coded in some cases as indicative of strong collective identity with the city of Liverpool and marginalization due to feeling like test subjects. However, other comments coded as identification with Liverpool were coded as indicative of motivation to engage in testing and encourage others to do so; for this group, being part of a pilot was seen as a positive experience and an opportunity to demonstrate the city could successfully manage the virus.
CONCLUSIONS: Our analysis highlights the importance of promoting honest and open communication to encourage and harness existing community identities to enhance the legitimacy of asymptomatic testing as a policy. In addition, adequate and accessible financial support needs to be in place prior to the implementation of community asymptomatic testing to mitigate any concerns surrounding financial hardship. Rapid thematic analysis of social media is a pragmatic method to gather insights from communities around acceptability of public health interventions, such as mass testing or vaccination uptake.