Behavioural fatigue: a flawed idea central to a flawed pandemic response

@article{Abbasi2020BehaviouralFA,
  title={Behavioural fatigue: a flawed idea central to a flawed pandemic response},
  author={Kamran Abbasi},
  journal={BMJ},
  year={2020},
  volume={370}
}
What is behavioural fatigue? Nobody really knows, but it is something we should be acutely aware of because it is a major reason why the UK delayed implementing lockdown, even though the best research indicates that swift and strict social distancing measures will limit the incidence of covid-19 infections.12 That delay in lockdown helped contribute to England achieving the highest excess deaths in Europe, as calculated by the Office of National Statistics.3 The full burden of long term… 
View on BMJ
bmj.com
13 Citations
Background Citations
6

13 Citations

Citation Type

Citation Type

Trajectories of compliance with COVID-19 related guidelines: longitudinal analyses of 50,000 UK adults
TLDR
The results suggest that targeting of behaviour change messages later in the pandemic may be needed to increase compliance, with a pattern compatible with behavioural fatigue.
Evidence of pandemic fatigue associated with stricter tiered COVID-19 restrictions
TLDR
Whether there was a reduction in adherence to tiered restrictions that were imposed in Italy from November 2020 through May 2021 is examined, and whether temporal trends in adherence depended on the intensity of the restrictions adopted is assessed.
Exploring the level of lockdown fatigue and effect of personal resilience and coping behaviours on university students during the covid-19 pandemic: a cross-sectional analysis from Iraq
Governments worldwide have imposed lockdowns in their countries to restrict unnecessary movement and curb the spread and transmission of the Covid-19 as a mitigation measure. The education sector has…
Lockdown Fatigue and University Students: Exploring the Factors That Play Significant Roles in the Level of Lockdown Fatigue Among University Students in the Era of COVID-19
Background Due to the COVID-19 global pandemic, the educational sector has undergone a series of changes which have affected both learners and students alike. As a result, the distortion of the…
Far from Well: The UK since COVID‐19, and Learning to Follow the Science(s)*
Abstract This paper offers a five-part framework for assessing why the United Kingdom has coped poorly compared with peer countries with the medical, social and economic challenges brought by the…
Vaccination and SARS-CoV-2 variants: how much containment is still needed? A quantitative assessment
TLDR
It is shown that, if intermittent open-close strategies are adopted, deaths and healthcare system costs can be drastically reduced, without any aggravation of socioeconomic losses, as long as one has the foresight to start with a closing phase rather than an opening one.
Community Outbreak Moderates the Association Between COVID-19-Related Behaviors and COVID-19 Fear Among Older People: A One-Year Longitudinal Study in Taiwan
TLDR
The association between fear of COVID-19 and preventive behaviors was not significant at baseline but became significant at the follow-up assessment, indicating that the severity of a CO VID-19 outbreak may alter older people's psychological status and related behaviors.
Knowledge-intensive business services in time of crisis: the coronavirus pandemic
Purpose: Knowledge-intensive business services (KIBS) firms focus on applying their expert knowledge to help solve the business problems of their clients: these clients confronted major new problems…
Modeling vaccination rollouts, SARS-CoV-2 variants and the requirement for non-pharmaceutical interventions in Italy
TLDR
It is demonstrated that non-pharmaceutical interventions (NPIs) have a higher effect on the epidemic evolution than vaccination alone, advocating for the need to keep NPIs in place during the first phase of the vaccination campaign.
Minimizing the Epidemic Final Size while Containing the Infected Peak Prevalence in SIR Systems
TLDR
This work studied how to minimize the EFS while keeping - at any time - the IPP controlled, and a procedure is proposed to tailor non-pharmaceutical interventions by separating transient from stationary control objectives.
...
...

References

SHOWING 1-10 OF 12 REFERENCES
Partha Kar: Our approach to tackling obesity needs rethinking
Obesity is a focus of political and media discussion, since multiple datasets have shown that being overweight puts people at greater risk of serious illness from covid-19. But, if we want to improve…
Covid-19: Sandwell Council in West Midlands sets up contract tracing, citing failures of national scheme
A council in England has set up its own covid-19 contact tracing system because of a surge of local coronavirus cases and frustration with the government’s NHS Test and Trace scheme. Lisa McNally,…
Physical distancing interventions and incidence of coronavirus disease 2019: natural experiment in 149 countries
TLDR
Physical distancing interventions were associated with reductions in the incidence of covid-19 globally and might support policy decisions as countries prepare to impose or lift physical distancing measures in current or future epidemic waves.
Is risk compensation threatening public health in the covid-19 pandemic?
Unfounded concerns about risk compensation threaten public health when they delay the introduction of protective measures such as wearing of face coverings, argue Theresa Marteau and colleagues
Covid-19: England had worst excess mortality in Europe in April
TLDR
England had the longest period of excess mortality of any European country during the covid-19 pandemic and an excess mortality peak second only to Spain, new data show, as the first analysis of its kind compared excess mortality rates throughout Europe from all causes.
Behavioural, environmental, social, and systems interventions against covid-19
TLDR
These critical interventions should be top not bottom of the covid-19 research agenda and not the lowest on the research agenda.
Covid-19: Should the UK be aiming for elimination?
Scotland’s leader has proposed that the four UK nations align around a covid-19 elimination strategy similar to New Zealand’s, but is it feasible? Ingrid Torjesen investigates
Lessons from the covid-19 pandemic provide a blueprint for the climate emergency
TLDR
Synchronised global action is more effective than uncoordinated subnational responses in responding to global threats.
Diagnostic accuracy of serological tests for covid-19: systematic review and meta-analysis
TLDR
Higher quality clinical studies assessing the diagnostic accuracy of serological tests for covid-19 are urgently needed, as available evidence does not support the continued use of existing point-of-care serological Tests for coronavirus disease-2019.
Lockdown-type measures look effective against covid-19
  • T. May
  • Psychology, Medicine
    BMJ
  • 2020
TLDR
The use of nanofiltration membranes for the recovery of phosphorous with a second type of technology, called a “spatially aggregating process”, has been shown to be a viable process and to have shown promise in relation to diarrhoea and vomiting.
...
...