{"id":402,"date":"2020-12-27T16:01:09","date_gmt":"2020-12-27T16:01:09","guid":{"rendered":"http:\/\/blogs.sussex.ac.uk\/crowdsidentities\/?p=402"},"modified":"2020-12-27T16:01:11","modified_gmt":"2020-12-27T16:01:11","slug":"mitigating-the-new-variant-sars-cov-2-virus-how-to-support-public-adherence-to-physical-distancing","status":"publish","type":"post","link":"https:\/\/blogs.sussex.ac.uk\/crowdsidentities\/2020\/12\/27\/mitigating-the-new-variant-sars-cov-2-virus-how-to-support-public-adherence-to-physical-distancing\/","title":{"rendered":"Mitigating the new variant SARS-CoV-2 virus: How to support public adherence to physical distancing"},"content":{"rendered":"\n<p><em>By John Drury<\/em> <\/p>\n\n\n\n<p>Journalists often ask me how the public will behave when the next set of Covid-19 restrictions begins. Will they accept the rules or ignore them? This matters crucially right now. With rising infections in many areas of the country, and with the new variant of the virus rampant, physical distancing and other behavioural interventions are more important than ever. <\/p>\n\n\n\n<p>The first thing I point out in response is that&nbsp;adherence to most of the behavioural regulations has been very&nbsp;high (<a href=\"https:\/\/www.kcl.ac.uk\/policy-institute\/assets\/Coronavirus-in-the-UK-cluster-analysis.pdf\">often over 90%<\/a>) throughout the pandemic.&nbsp;<\/p>\n\n\n\n<p>The second thing I say is that adherence to physical distancing and avoiding contacts with others&nbsp;<a href=\"https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/healthandsocialcare\/healthandwellbeing\/bulletins\/coronavirusandthesocialimpactsongreatbritain\/20november2020#physical-contact\">goes up in lockdown periods<\/a>&nbsp;This probably reflects the recognition in the public that the greater restrictions signal greater need to adopt the mitigating measures.<\/p>\n\n\n\n<p>Yet both anecdotes and the survey data suggest that adherence to 2m physical distancing declined in early December following the end of the second \u2018lockdown\u2019. It\u2019s worth looking more closely at these dynamics of physical distancing, because this behaviour is perhaps the most visible form of adherence, and it is the one where breaches are often the subject of critical comments.<\/p>\n\n\n\n<p>The&nbsp;<a href=\"https:\/\/b6bdcb03-332c-4ff9-8b9d-28f9c957493a.filesusr.com\/ugd\/3d9db5_56829e7218df4524b304636d226a6198.pdf\">UCL Covid-19 Social Study<\/a>&nbsp;(data collected up to 13<sup>th<\/sup>&nbsp;December) shows that \u2018complete\u2019 and \u2018majority\u2019 compliance went up during the November \u2018lockdown\u2019, but that \u2018as these [restrictions] have been eased in the past month, compliance has started to decrease again\u2019.&nbsp;<\/p>\n\n\n\n<p>The\u00a0<a href=\"https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/healthandsocialcare\/healthandwellbeing\/bulletins\/coronavirusandthesocialimpactsongreatbritain\/11december2020\">Office for National Statistics weekly survey<\/a>\u00a0for data collected\u00a0period 2 to 6 December noted a drop (albeit small) in distancing behaviour (whereas for other protective behaviours the compliance rate remained high).<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" width=\"941\" height=\"354\" src=\"https:\/\/blogs.sussex.ac.uk\/crowdsidentities\/files\/2020\/12\/ONS-data.png\" alt=\"\" class=\"wp-image-403\" srcset=\"https:\/\/blogs.sussex.ac.uk\/crowdsidentities\/files\/2020\/12\/ONS-data.png 941w, https:\/\/blogs.sussex.ac.uk\/crowdsidentities\/files\/2020\/12\/ONS-data-300x113.png 300w, https:\/\/blogs.sussex.ac.uk\/crowdsidentities\/files\/2020\/12\/ONS-data-768x289.png 768w, https:\/\/blogs.sussex.ac.uk\/crowdsidentities\/files\/2020\/12\/ONS-data-100x38.png 100w, https:\/\/blogs.sussex.ac.uk\/crowdsidentities\/files\/2020\/12\/ONS-data-150x56.png 150w, https:\/\/blogs.sussex.ac.uk\/crowdsidentities\/files\/2020\/12\/ONS-data-200x75.png 200w, https:\/\/blogs.sussex.ac.uk\/crowdsidentities\/files\/2020\/12\/ONS-data-450x169.png 450w, https:\/\/blogs.sussex.ac.uk\/crowdsidentities\/files\/2020\/12\/ONS-data-600x226.png 600w, https:\/\/blogs.sussex.ac.uk\/crowdsidentities\/files\/2020\/12\/ONS-data-900x339.png 900w\" sizes=\"(max-width: 941px) 100vw, 941px\" \/><figcaption>Data from Office for National Statistics, 2-6 December 2020, showing distancing behaviours<\/figcaption><\/figure>\n\n\n\n<p>Journalists and others are ready to frame any such decline in adherence to physical distancing as<a href=\"https:\/\/www.theguardian.com\/world\/2020\/dec\/21\/new-covid-variant-in-uk-spreading-christmas-fear\">&nbsp;public \u2018fatigue\u2019<\/a>&nbsp;&#8211; an \u2018explanation\u2019 we have heard from&nbsp;<a href=\"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/full\/10.1111\/bjso.12393\">the beginning of the pandemic<\/a>.<\/p>\n\n\n\n<p>It is true, of course, that the behavioural interventions are hard to endure \u2013 and some (such as self-isolation) are a lot harder than others (such as handwashing). But&nbsp;<a href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/10\/26\/the-concept-of-fatigue-in-tackling-covid-19\/\">recent analysis of public responses<\/a>&nbsp;over the course of the pandemic is not consistent with the notion of \u2018fatigue\u2019. The review showed that (1) Overall adherence has been high, as already mentioned (2) There is not a linear decline (3) Intention has also remained high.<\/p>\n\n\n\n<p>What is the real psychology that determines levels of adherence to physical distancing? There is now plenty of evidence on the psychological predictors. First,&nbsp;<a href=\"https:\/\/www.medrxiv.org\/content\/10.1101\/2020.06.02.20120808v2\">knowledge<\/a>&nbsp;and&nbsp;<a href=\"https:\/\/psyarxiv.com\/vx3mn\/\">perception of risk<\/a>&nbsp;matter. Second, there is the belief that physical distancing is&nbsp;<a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S2589791820300098\">effective&nbsp;<\/a>in providing protection. Third,&nbsp;<a href=\"https:\/\/psyarxiv.com\/ek69g\">a number of studies<\/a>&nbsp;show that&nbsp;<a href=\"https:\/\/www.scielo.br\/scielo.php?pid=S0034-76122020000400714&amp;script=sci_arttext&amp;tlng=en\">social norms<\/a>, and in particular whether&nbsp;<a href=\"https:\/\/psyarxiv.com\/u74wc\/\">relevant others<\/a>&nbsp;are doing the same, predicts own adherence. Fourth, group identification has been found to be a predictor, including&nbsp;<a href=\"https:\/\/psyarxiv.com\/ydt95\/\">national&nbsp;<\/a>identification and identification with the&nbsp;<a href=\"https:\/\/psyarxiv.com\/g9q5u\/\">family.&nbsp;<\/a>Fifth, linked to this, we physically distance as a way of caring for others, and so&nbsp;<a href=\"https:\/\/psyarxiv.com\/y2cg5\/\">empathy for those most vulnerable<\/a>&nbsp;to the virus is also a predictor. Finally, a negatively predictor is&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7493799\/\">low trust in government<\/a>.&nbsp;This last point ties in with what we know about predictors of other behavioural mitigations,&nbsp;<a href=\"https:\/\/www.medrxiv.org\/content\/10.1101\/2020.10.19.20215376v1\">confidence in government action<\/a>&nbsp;against the virus, being one of the most important.<\/p>\n\n\n\n<p>Levels of public adherence to physical distancing have varied over time. There is evidence that key public events have affected the psychological predictors and hence adherence to distancing.<\/p>\n\n\n\n<p>In May, there was a clear reduction in reported distancing (identified in both the ONS survey and the UCL Covid-19 Social Study) which appeared to be linked to two developments. First there was a change in the messaging (from&nbsp;<a href=\"https:\/\/www.independentsage.org\/wp-content\/uploads\/2020\/11\/Messaging-paper-FINAL-1-1.pdf\">\u2018stay home\u2019 to \u2018stay alert\u2019<\/a>); this impacted upon people\u2019s understanding of what they should actually do, as it was an injunction about how to feel rather than a specific behaviour.<\/p>\n\n\n\n<p>Also in May, there was for some people an alienation from the government in response to the\u00a0<a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(20)31690-1\/fulltext\">Cummings incident<\/a>, which starkly revealed that while most people would be fined for breaking the rules, some would not.\u00a0<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" width=\"941\" height=\"562\" src=\"https:\/\/blogs.sussex.ac.uk\/crowdsidentities\/files\/2020\/12\/timeline.png\" alt=\"\" class=\"wp-image-404\" srcset=\"https:\/\/blogs.sussex.ac.uk\/crowdsidentities\/files\/2020\/12\/timeline.png 941w, https:\/\/blogs.sussex.ac.uk\/crowdsidentities\/files\/2020\/12\/timeline-300x179.png 300w, https:\/\/blogs.sussex.ac.uk\/crowdsidentities\/files\/2020\/12\/timeline-768x459.png 768w, https:\/\/blogs.sussex.ac.uk\/crowdsidentities\/files\/2020\/12\/timeline-100x60.png 100w, https:\/\/blogs.sussex.ac.uk\/crowdsidentities\/files\/2020\/12\/timeline-150x90.png 150w, https:\/\/blogs.sussex.ac.uk\/crowdsidentities\/files\/2020\/12\/timeline-200x119.png 200w, https:\/\/blogs.sussex.ac.uk\/crowdsidentities\/files\/2020\/12\/timeline-450x269.png 450w, https:\/\/blogs.sussex.ac.uk\/crowdsidentities\/files\/2020\/12\/timeline-600x358.png 600w, https:\/\/blogs.sussex.ac.uk\/crowdsidentities\/files\/2020\/12\/timeline-900x538.png 900w\" sizes=\"(max-width: 941px) 100vw, 941px\" \/><figcaption>Timeline of COVID-related messages and key COVID events<\/figcaption><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p>There was a further decline in adherence levels in July. This appeared to be a result of a&nbsp;<a href=\"https:\/\/www.cambridge.org\/core\/journals\/bjpsych-open\/article\/public-behaviour-in-response-to-the-covid19-pandemic-understanding-the-role-of-group-processes\/C64F5D829F100ED0D052923F8CD7A7B8\">signalling effect&nbsp;<\/a>whereby there was a media fanfare around \u2018freedom\u2019 and \u2018end of lockdown\u2019 leading up to the relaxation of restrictions on July 4th.&nbsp;<\/p>\n\n\n\n<p>The decline in public adherence to physical distancing observed in early December may be due to a signalling effect similar to that in July. The positive publicity around the vaccine (approved December 2nd), the announcement of the relaxation for 5 days at Christmas (made on 24th November), and the ending of the second \u2018lockdown\u2019 (December 2nd) all came at the same time. Together they may well have communicated that risk is now lower and therefore less stringent adherence to physical distancing is required.&nbsp;<\/p>\n\n\n\n<p>But with rising Covid infections in many areas of the country, and with the new variant of the virus at large, physical distancing and other behavioural interventions are more important than ever. For the public, it\u2019s worth reminding ourselves that:<\/p>\n\n\n\n<ul><li><a href=\"https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/892043\/S0484_Transmission_of_SARS-CoV-2_and_Mitigating_Measures.pdf\">Physical distancing works<\/a>\u00a0(efficacy)<\/li><li>Most of your neighbours and wider circle are observing physical distancing most of the time (norms)<\/li><li>Think of those most vulnerable to the virus (empathy)<\/li><li>Do it for \u2018us\u2019 as a way of showing you care (group identification) <\/li><\/ul>\n\n\n\n<p>For the UK government, it\u2019s important to avoid those actions that undermine these public beliefs and perceptions, and to increase those actions that support public understanding of and engagement with physical distancing and the other mitigating behaviours. This would mean: <\/p>\n\n\n\n<ul><li>Respond early to the threat instead of\u00a0<a href=\"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/full\/10.1111\/bjso.12393\">leaving it too late<\/a><\/li><li><a href=\"https:\/\/www.independentsage.org\/wp-content\/uploads\/2020\/11\/Messaging-paper-FINAL-1-1.pdf\">Avoiding hyperbolic messaging<\/a>\u00a0on future \u2018successes\u2019<\/li><li>Provide\u00a0<a href=\"https:\/\/www.gov.uk\/government\/publications\/emgspi-b-mitigating-risks-of-sars-cov-2-transmission-associated-with-household-social-interactions-26-november-2020\">practical advice<\/a>\u00a0on areas of risk and precise behavioural mitigations, in particular around close contact <\/li><\/ul>\n\n\n\n<p><\/p>\n<a class=\"synved-social-button synved-social-button-share synved-social-size-32 synved-social-resolution-normal synved-social-provider-facebook nolightbox\" data-provider=\"facebook\" target=\"_blank\" rel=\"nofollow\" title=\"Share on Facebook\" href=\"http:\/\/www.facebook.com\/sharer.php?u=https%3A%2F%2Fblogs.sussex.ac.uk%2Fcrowdsidentities%2Fwp-json%2Fwp%2Fv2%2Fposts%2F402&#038;t=Mitigating%20the%20new%20variant%20SARS-CoV-2%20virus%3A%20How%20to%20support%20public%20adherence%20to%20physical%20distancing&#038;s=100&#038;p&#091;url&#093;=https%3A%2F%2Fblogs.sussex.ac.uk%2Fcrowdsidentities%2Fwp-json%2Fwp%2Fv2%2Fposts%2F402&#038;p&#091;images&#093;&#091;0&#093;=https%3A%2F%2Fblogs.sussex.ac.uk%2Fcrowdsidentities%2Ffiles%2F2020%2F12%2FONS-data.png&#038;p&#091;title&#093;=Mitigating%20the%20new%20variant%20SARS-CoV-2%20virus%3A%20How%20to%20support%20public%20adherence%20to%20physical%20distancing\" style=\"font-size: 0px; 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