Experiences with COVID-19 case investigation and contact tracing: A qualitative analysis

Case investigation and contact tracing (CI/CT) is a critical part of the public health response to COVID-19. Individuals’ experiences with CI/CT for COVID-19 varied based on geographic location, changes in knowledge and guidelines, access to testing and vaccination, as well as demographic characteri...

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Main Authors: Nickolas DeLuca, Elise Caruso, Reena Gupta, Charlene Kemmerer, Rebecca Coughlin, Olivia Chan, Divya Vohra, John E. Oeltmann, Melanie M. Taylor, Patrick K. Moonan, Phoebe G. Thorpe, Penny S. Loosier, Geraldine Haile, Barrington Harvey, Melissa Boyette, Alicia Edwards, Dolores J. Katz, Phillip Talboy, Odessa Dubose, Paul Regan, Anna Curtis
Format: Article
Language:English
Published: Elsevier 2023-06-01
Series:SSM: Qualitative Research in Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667321523000288
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author Nickolas DeLuca
Elise Caruso
Reena Gupta
Charlene Kemmerer
Rebecca Coughlin
Olivia Chan
Divya Vohra
John E. Oeltmann
Melanie M. Taylor
Patrick K. Moonan
Phoebe G. Thorpe
Penny S. Loosier
Geraldine Haile
Barrington Harvey
Melissa Boyette
Alicia Edwards
Dolores J. Katz
Phillip Talboy
Odessa Dubose
Paul Regan
Anna Curtis
author_facet Nickolas DeLuca
Elise Caruso
Reena Gupta
Charlene Kemmerer
Rebecca Coughlin
Olivia Chan
Divya Vohra
John E. Oeltmann
Melanie M. Taylor
Patrick K. Moonan
Phoebe G. Thorpe
Penny S. Loosier
Geraldine Haile
Barrington Harvey
Melissa Boyette
Alicia Edwards
Dolores J. Katz
Phillip Talboy
Odessa Dubose
Paul Regan
Anna Curtis
author_sort Nickolas DeLuca
collection DOAJ
description Case investigation and contact tracing (CI/CT) is a critical part of the public health response to COVID-19. Individuals’ experiences with CI/CT for COVID-19 varied based on geographic location, changes in knowledge and guidelines, access to testing and vaccination, as well as demographic characteristics including age, race, ethnicity, income, and political ideology. In this paper, we explore the experiences and behaviors of adults with positive SARS-CoV-2 test results, or who were exposed to a person with COVID-19, to understand their knowledge, motivations, and facilitators and barriers to their actions. We conducted focus groups and one-on-one interviews with 94 cases and 90 contacts from across the United States. We found that participants were concerned about infecting or exposing others, which motivated them to isolate or quarantine, notify contacts, and get tested. Although most cases and contacts were not contacted by CI/CT professionals, those who were reported a positive experience and received helpful information. Many cases and contacts reported seeking information from family, friends, health care providers, as well as television news and Internet sources. Although participants reported similar perspectives and experiences across demographic characteristics, some highlighted inequities in receiving COVID-19 information and resources.
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spelling doaj.art-1ebd18ef216f4fc4ab3d67b47415bfee2023-07-01T04:36:03ZengElsevierSSM: Qualitative Research in Health2667-32152023-06-013100244Experiences with COVID-19 case investigation and contact tracing: A qualitative analysisNickolas DeLuca0Elise Caruso1Reena Gupta2Charlene Kemmerer3Rebecca Coughlin4Olivia Chan5Divya Vohra6John E. Oeltmann7Melanie M. Taylor8Patrick K. Moonan9Phoebe G. Thorpe10Penny S. Loosier11Geraldine Haile12Barrington HarveyMelissa BoyetteAlicia EdwardsDolores J. KatzPhillip TalboyOdessa DubosePaul ReganAnna CurtisU.S. Centers for Disease Control and Prevention, COVID-19 Response Team, Atlanta, GA, USA; Corresponding author. US Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA, 30333, USA.U.S. Centers for Disease Control and Prevention, COVID-19 Response Team, Atlanta, GA, USAMathematica, Cambridge, MA, USAMathematica, Cambridge, MA, USAMathematica, Cambridge, MA, USAMathematica, Cambridge, MA, USAMathematica, Cambridge, MA, USAU.S. Centers for Disease Control and Prevention, COVID-19 Response Team, Atlanta, GA, USAU.S. Centers for Disease Control and Prevention, COVID-19 Response Team, Atlanta, GA, USAU.S. Centers for Disease Control and Prevention, COVID-19 Response Team, Atlanta, GA, USAU.S. Centers for Disease Control and Prevention, COVID-19 Response Team, Atlanta, GA, USAU.S. Centers for Disease Control and Prevention, COVID-19 Response Team, Atlanta, GA, USAMathematica, Cambridge, MA, USACase investigation and contact tracing (CI/CT) is a critical part of the public health response to COVID-19. Individuals’ experiences with CI/CT for COVID-19 varied based on geographic location, changes in knowledge and guidelines, access to testing and vaccination, as well as demographic characteristics including age, race, ethnicity, income, and political ideology. In this paper, we explore the experiences and behaviors of adults with positive SARS-CoV-2 test results, or who were exposed to a person with COVID-19, to understand their knowledge, motivations, and facilitators and barriers to their actions. We conducted focus groups and one-on-one interviews with 94 cases and 90 contacts from across the United States. We found that participants were concerned about infecting or exposing others, which motivated them to isolate or quarantine, notify contacts, and get tested. Although most cases and contacts were not contacted by CI/CT professionals, those who were reported a positive experience and received helpful information. Many cases and contacts reported seeking information from family, friends, health care providers, as well as television news and Internet sources. Although participants reported similar perspectives and experiences across demographic characteristics, some highlighted inequities in receiving COVID-19 information and resources.http://www.sciencedirect.com/science/article/pii/S2667321523000288COVID-19Case investigationContact tracingIsolationQuarantineHealth equity
spellingShingle Nickolas DeLuca
Elise Caruso
Reena Gupta
Charlene Kemmerer
Rebecca Coughlin
Olivia Chan
Divya Vohra
John E. Oeltmann
Melanie M. Taylor
Patrick K. Moonan
Phoebe G. Thorpe
Penny S. Loosier
Geraldine Haile
Barrington Harvey
Melissa Boyette
Alicia Edwards
Dolores J. Katz
Phillip Talboy
Odessa Dubose
Paul Regan
Anna Curtis
Experiences with COVID-19 case investigation and contact tracing: A qualitative analysis
SSM: Qualitative Research in Health
COVID-19
Case investigation
Contact tracing
Isolation
Quarantine
Health equity
title Experiences with COVID-19 case investigation and contact tracing: A qualitative analysis
title_full Experiences with COVID-19 case investigation and contact tracing: A qualitative analysis
title_fullStr Experiences with COVID-19 case investigation and contact tracing: A qualitative analysis
title_full_unstemmed Experiences with COVID-19 case investigation and contact tracing: A qualitative analysis
title_short Experiences with COVID-19 case investigation and contact tracing: A qualitative analysis
title_sort experiences with covid 19 case investigation and contact tracing a qualitative analysis
topic COVID-19
Case investigation
Contact tracing
Isolation
Quarantine
Health equity
url http://www.sciencedirect.com/science/article/pii/S2667321523000288
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