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A Qualitative Study Evaluating the Factors Affecting Families’ Adherence to the First COVID-19 Lockdown in England Using the COM-B Model and TDF

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  • Lisa Woodland

    (Department of Psychological Medicine, King’s College London, NIHR Health Protection Unit in Emergency Preparedness and Response, London SE5 9RJ, UK)

  • Ava Hodson

    (Department of War Studies, King’s College London, NIHR Health Protection Unit in Emergency Preparedness and Response, London WC2R 2LS, UK)

  • Rebecca K. Webster

    (Department of Psychology, University of Sheffield, Sheffield S10 2LT, UK)

  • Richard Amlôt

    (Behavioural Science and Insights Unit, UK Health Security Agency, Porton Down, NIHR Health Protection Unit in Emergency Preparedness and Response, Salisbury SP4 0JG, UK)

  • Louise E. Smith

    (Department of Psychological Medicine, King’s College London, NIHR Health Protection Unit in Emergency Preparedness and Response, London SE5 9RJ, UK)

  • James Rubin

    (Department of Psychological Medicine, King’s College London, NIHR Health Protection Unit in Emergency Preparedness and Response, London SE5 9RJ, UK)

Abstract

The ability of families to adhere to public health guidance is critical to controlling a pandemic. We conducted qualitative interviews with 30 parents of children aged 18 and under, between 16 and 21 April 2020 when schools in England were closed due to the COVID-19 pandemic. Using the Theoretical Domains Framework, we classified the factors that influenced adherence to seven non-pharmaceutical interventions. We found 40 factors that influenced a family’s ability to adhere. Parents generally indicated they could adhere and reported how their family had changed their behaviour to comply with the guidance. Parents primarily reported they were motivated to adhere out of concern for the health consequences of COVID-19, and because the guidance was delivered by the government. However, we found that reduced access to resources (e.g., technology, transport, and outside space) and social influences that encouraged non-adherent behaviour, decreased adherence. Furthermore, we suggest that families with low psychological and physical ability may face additional challenges to adherence and need to be supported. During future school closures, public health agencies should account for these factors when developing guidance.

Suggested Citation

  • Lisa Woodland & Ava Hodson & Rebecca K. Webster & Richard Amlôt & Louise E. Smith & James Rubin, 2022. "A Qualitative Study Evaluating the Factors Affecting Families’ Adherence to the First COVID-19 Lockdown in England Using the COM-B Model and TDF," IJERPH, MDPI, vol. 19(12), pages 1-21, June.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:12:p:7305-:d:838629
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    References listed on IDEAS

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    1. Sarra Jribi & Hanen Ben Ismail & Darine Doggui & Hajer Debbabi, 2020. "COVID-19 virus outbreak lockdown: What impacts on household food wastage?," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 22(5), pages 3939-3955, June.
    2. Yuen Yu Chong & Wai Tong Chien & Ho Yu Cheng & Ka Ming Chow & Angelos P. Kassianos & Maria Karekla & Andrew Gloster, 2020. "The Role of Illness Perceptions, Coping, and Self-Efficacy on Adherence to Precautionary Measures for COVID-19," IJERPH, MDPI, vol. 17(18), pages 1-11, September.
    3. Paolo Roma & Merylin Monaro & Laura Muzi & Marco Colasanti & Eleonora Ricci & Silvia Biondi & Christian Napoli & Stefano Ferracuti & Cristina Mazza, 2020. "How to Improve Compliance with Protective Health Measures during the COVID-19 Outbreak: Testing a Moderated Mediation Model and Machine Learning Algorithms," IJERPH, MDPI, vol. 17(19), pages 1-17, October.
    4. Samson O. Ojo & Daniel P. Bailey & David J. Hewson & Angel M. Chater, 2019. "Perceived Barriers and Facilitators to Breaking Up Sitting Time among Desk-Based Office Workers: A Qualitative Investigation Using the TDF and COM-B," IJERPH, MDPI, vol. 16(16), pages 1-19, August.
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