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IMPROVING THE ADHERENCE TO COVID-19 PREVENTIVE MEASURES IN THE COMMUNITY: EVIDENCE BRIEF FOR POLICY
Author
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University of Sorocaba. Graduate Course in Pharmaceutical Sciences. Sorocaba, SP, Brazil.
Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil.
University of Sorocaba. Graduate Course in Pharmaceutical Sciences. Sorocaba, SP, Brazil.
University of Sorocaba. Graduate Course in Pharmaceutical Sciences. Sorocaba, SP, Brazil.
University of Sorocaba. Graduate Course in Pharmaceutical Sciences. Sorocaba, SP, Brazil.
Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil.
University of Sorocaba. Graduate Course in Pharmaceutical Sciences. Sorocaba, SP, Brazil.
University of Sorocaba. Graduate Course in Pharmaceutical Sciences. Sorocaba, SP, Brazil.
University of Sorocaba. Graduate Course in Pharmaceutical Sciences. Sorocaba, SP, Brazil.
Abstract
Objectives: To identify evidence-based strategies to improve adherence to
the preventive measures against the coronavirus disease (COVID-19) at the
community level.
Method: 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.
Results: Eleven studies, with varying methodological qualities were included:
high (n = 3), moderate (n = 3), low (n = 1), and critically low (n = 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.
Conclusions: 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.
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