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Underlying Principles of a Covid-19 Behavioral Vaccine for a Sustainable Cultural Change
International Journal of Environmental Research and Public Health ( IF 4.614 ) Pub Date : 2020-12-04 , DOI: 10.3390/ijerph17239066
Kalliu Carvalho Couto , Flora Moura Lorenzo , Marco Tagliabue , Marcelo Borges Henriques , Roberta Freitas Lemos

Until pharmacological measures are effective at containing the COVID-19 outbreak, adopting protective behaviors is paramount. In this work, we aim at informing interventions to limit the spread of the contagion and prepare against any future outbreaks by developing a behavioral framework to interpret and prescribe both the individual and large-scale uptake of non-pharmaceutical measures. First, we analyze the barriers and facilitators to adherence to protective behaviors according to a three-term contingency by exploring potential gaps in terms of setting stimuli, motivating operations, delayed consequences, and positive or negative consequences. We explore their roles in the likelihood of individual compliance to protective behaviors, taking physical distancing as an example of functional analysis. Second, we interpret contagion control as the cumulative effect of large-scale adherence to protective behaviors. We explore the interrelations between societal problems caused or amplified by similar behaviors presented by many individuals and the coordination of agents or agencies aiming at promoting large-scale behavioral change. Then, we highlight the potential of developing a behavioral vaccine, and practical steps for applying it to promote sustainable cultural change that may protect against health, social, and economic losses in future outbreaks.

中文翻译:

Covid-19行为疫苗可持续文化变革的基本原理

直到药理学方法有效抑制COVID-19暴发之前,采取保护性行为才是最重要的。在这项工作中,我们旨在提供干预措施,以限制传染病的蔓延,并通过制定行为框架来解释和规定个体和大规模采用非药物措施,从而为今后的疫情爆发做好准备。首先,我们通过研究在设置刺激,激励行动,延迟后果以及积极或消极后果方面的潜在差距,根据三项条件分析了遵守保护行为的障碍和促进者。我们以物理距离作为功能分析的示例,探讨了它们在个体遵守保护行为的可能性中的作用。第二,我们将传染控制解释为大规模遵守保护行为的累积效应。我们探讨了由许多人提出的类似行为引起或加剧的社会问题与旨在促进大规模行为改变的主体或机构的协调之间的相互关系。然后,我们重点介绍了开发行为疫苗的潜力,以及应用该疫苗以促进可持续的文化变革的实践步骤,这种变革可能会在未来爆发时防止健康,社会和经济损失。
更新日期:2020-12-04
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