Preferences and patterns of response to public health advice during the COVID-19 pandemic

Abstract With recurring waves of the Covid-19 pandemic, a dilemma facing public health leadership is whether to provide public advice that is medically optimal (e.g., most protective against infection if followed), but unlikely to be adhered to, or advice that is less protective but is more likely t...

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Main Authors: Oded Nov, Graham Dove, Martina Balestra, Katharine Lawrence, Devin Mann, Batia Wiesenfeld
Format: Article
Language:English
Published: Nature Portfolio 2021-11-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-01186-6
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author Oded Nov
Graham Dove
Martina Balestra
Katharine Lawrence
Devin Mann
Batia Wiesenfeld
author_facet Oded Nov
Graham Dove
Martina Balestra
Katharine Lawrence
Devin Mann
Batia Wiesenfeld
author_sort Oded Nov
collection DOAJ
description Abstract With recurring waves of the Covid-19 pandemic, a dilemma facing public health leadership is whether to provide public advice that is medically optimal (e.g., most protective against infection if followed), but unlikely to be adhered to, or advice that is less protective but is more likely to be followed. To provide insight about this dilemma, we examined and quantified public perceptions about the tradeoff between (a) the stand-alone value of health behavior advice, and (b) the advice’s adherence likelihood. In a series of studies about preference for public health leadership advice, we asked 1061 participants to choose between (5) strict advice that is medically optimal if adhered to but which is less likely to be broadly followed, and (2) relaxed advice, which is less medically effective but more likely to gain adherence—given varying infection expectancies. Participants’ preference was consistent with risk aversion. Offering an informed choice alternative that shifts volition to advice recipients only strengthened risk aversion, but also demonstrated that informed choice was preferred as much or more than the risk-averse strict advice.
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spelling doaj.art-8beb4befa7c149fe818769588f746ccf2022-12-21T23:08:06ZengNature PortfolioScientific Reports2045-23222021-11-011111710.1038/s41598-021-01186-6Preferences and patterns of response to public health advice during the COVID-19 pandemicOded Nov0Graham Dove1Martina Balestra2Katharine Lawrence3Devin Mann4Batia Wiesenfeld5Tandon School of Engineering, New York UniversityTandon School of Engineering, New York UniversityTandon School of Engineering, New York UniversityGrossman School of Medicine, New York UniversityGrossman School of Medicine, New York UniversityStern School of Business, New York UniversityAbstract With recurring waves of the Covid-19 pandemic, a dilemma facing public health leadership is whether to provide public advice that is medically optimal (e.g., most protective against infection if followed), but unlikely to be adhered to, or advice that is less protective but is more likely to be followed. To provide insight about this dilemma, we examined and quantified public perceptions about the tradeoff between (a) the stand-alone value of health behavior advice, and (b) the advice’s adherence likelihood. In a series of studies about preference for public health leadership advice, we asked 1061 participants to choose between (5) strict advice that is medically optimal if adhered to but which is less likely to be broadly followed, and (2) relaxed advice, which is less medically effective but more likely to gain adherence—given varying infection expectancies. Participants’ preference was consistent with risk aversion. Offering an informed choice alternative that shifts volition to advice recipients only strengthened risk aversion, but also demonstrated that informed choice was preferred as much or more than the risk-averse strict advice.https://doi.org/10.1038/s41598-021-01186-6
spellingShingle Oded Nov
Graham Dove
Martina Balestra
Katharine Lawrence
Devin Mann
Batia Wiesenfeld
Preferences and patterns of response to public health advice during the COVID-19 pandemic
Scientific Reports
title Preferences and patterns of response to public health advice during the COVID-19 pandemic
title_full Preferences and patterns of response to public health advice during the COVID-19 pandemic
title_fullStr Preferences and patterns of response to public health advice during the COVID-19 pandemic
title_full_unstemmed Preferences and patterns of response to public health advice during the COVID-19 pandemic
title_short Preferences and patterns of response to public health advice during the COVID-19 pandemic
title_sort preferences and patterns of response to public health advice during the covid 19 pandemic
url https://doi.org/10.1038/s41598-021-01186-6
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