| Literature DB >> 35095184 |
Fidan Kurtaliqi1, Mustafeed Zaman2, Romain Sohier2.
Abstract
As part of their public health policies, most countries have launched mobile tracing applications (apps) to reduce the spread of the COVID-19 virus and reassure their citizens. To the best of our knowledge, no study has explored the importance of 'well-being' and 'trust in the future' in the context of digital contact-tracing apps. This is an important gap, especially given the importance of citizens' acceptance of a mobile tracing app and its role in reassuring citizens. Therefore, we study the French government's tracing app-StopCovid-as experienced by a sample of 832 participants from France. The results establish strong links between perceived value and trust in government, well-being, and trust in the future, which are considered the key features of the reassurance effect in a pandemic context. In addition, a multigroup analysis (MGA) allows us to compare the effect of several moderators on the overall model, such as the users versus nonusers of tracking apps or infected versus noninfected with COVID-19. The study provides practical implications by highlighting how governments should deploy mobile tracing apps to contribute to public health and reassure their citizens during the pandemic.Entities:
Keywords: Anxiety; COVID-19; Government trust; Mobile tracing apps; Public health policy; Trust in the future; Well-being
Year: 2022 PMID: 35095184 PMCID: PMC8787674 DOI: 10.1016/j.chb.2022.107210
Source DB: PubMed Journal: Comput Human Behav ISSN: 0747-5632
Fig. 1Theoretical model.
Literature review on tracing apps.
| Variables | Key Findings | Study (Alphabetic order) |
|---|---|---|
| Xs: Age, gender, country, presence of comorbidities, usage of mobile phone outside the house, frequency of social interactions, ability to work from home during the lockdown, ability to obtain sick pay while working from home, trust in national government, incidence of COVID-19 deaths in a respondent's region of residence | Combination privacy issues, cybersecurity and trust in government are determinants to have the app installed. The opt-out regime (when Google or Apple automatically install the app on the phone) influences higher effective installation rates. | |
| Experiment 1: Xs: Autonomy-supportive (vs. controlling) message framing, presence (vs. absence) of information safety | Data safety may be key in affecting people's intentions to use contact-tracing technology. | |
| Experiment 1: X: Disease concern; Y: Intention to download Stop Covid App | The study finds that greater disease concerns increase support of socially conservative viewpoints that, then, explained people's lower willingness to download, use and adopt the CovidSafe app. | |
| Xs: Social influence, facilitating condition, effort expectancy, performance expectancy, perceived privacy risk | The study shows that effort expectancy, perceived value of information disclosure and social influence are critical for adopting contact-tracing apps. | |
| Time 1: Xs: Social influence, reciprocal benefits, perceived health benefits, Privacy concerns | Reciprocal benefits positively influence technology acceptance. | |
| N/A | The societal acceptability is conceptualised by four key elements: transparency, sociocultural determinants, security and reversibility. | |
| X: Internet user's information privacy concerns | The results show that relative advantage, compatibility and trusting beliefs increase adoption intentions. | ( |
| X: Profiles (age, education, political ideology, income, dispositional privacy, trust in government, download behaviour) | High income and highly educated people have the best chance to download the app. Trust in government is a mediator. | ( |
| X: Pervasive messages (social benefit vs privacy assurance) | The results show that the persuasive messages that focus on privacy assurance, which are more individualistic, will lead individuals to think about their own potential gains and loss. | ( |
| N/A | Collective responsibility, personal benefit, coproduction and perception of the system as efficient foster the adoption, while privacy concern, mistrust, unmet need for more information and support; fear of stigmatisation; logistical challenge; and technical difficulties discourage the adoption. | |
| N/A | There are no globally ideal approaches but only locally contextualised ones that depend on immediate health risk, prior experience with pandemics, societal values and national culture, role of government, trust in government and trust in technology in each society. | |
| N/A | The lack of transparency of the French government and lack of effectiveness of the communication were responsible for low adoption. | ( |
| Xs: Demographic data, pandemic severity (the total number of cases in Singapore to date, whether the nation was in a lockdown at the time of participation, self-reported measure of confidence the government could control COVID-19 spread), behavioural change. | The results find that people who were using hand sanitisers, avoiding public transport and preferring outdoor over indoor venues during the pandemic are the early adopters of Tracing app. | ( |
| Xs: Perceived effectiveness of privacy policy, perceived effectiveness of industry self-regulation, perceived severity, perceived vulnerability, subjective norm | Results provide several variables that should be taken into consideration by policymakers when they design (and will implement) a tracing app. | |
| Xs: sociodemographic characteristics, health literacy data, information on participants' communication with caregivers, trust in institutions, COVID-19 knowledge, preventive behaviours | Most precarious people are the more reluctant to use the app. Attitudes towards institutions and trust in politicians and doctors influence the adoption of contact-tracing mobile apps. | |
| Xs: 3 benefit appeal: self vs. societal vs. self and societal; 2 privacy design: low vs. high; 2 convenience design: low vs. high | The results suggest that the combination of prosocial behaviour, privacy and usability positively influence adoption. | |
| Income variable: | The results suggest that consumers' privacy concerns and conspiracy theories belong to different domains and exert different effects on the virality of tweets. Furthermore, the characteristics of the text (namely, complexity, certainty and emotions) cue different Twitter users' behaviours. | |
| Xs: Prosociality, national identification, endorsement of liberty | Prosocial attitude will positively impact the acceptance of contact-tracing app. The endorsement of liberty negatively predicts attitude on contact-tracing apps |
Characteristics of the sample.
| Gender | Female: 47.58% |
|---|---|
| 18 to 34: 30.75% | |
| Other: 1% | |
| Yes: 13.19% |
Measurement model.
| Items | Loadings | α | rhoA | CR | AVE | Source of item (Adapted from) |
|---|---|---|---|---|---|---|
| Utility | .92 | .93 | .92 | .73 | ||
| Using the StopCovid application would allow me to easily report if I have been in contact with the virus. | .70 | |||||
| The use of the StopCovid application would be convenient. | .88 | |||||
| Using the StopCovid application would help me to communicate important information. | .83 | |||||
| I think the StopCovid application would be helpful. | .99 | |||||
| Using the StopCovid application would make a good impression on those around me. | .90 | |||||
| Using the StopCovid application would reassure my family and friends. | .91 | |||||
| Not using the StopCovid application would question the people around me. | .71 | |||||
| Using the StopCovid application would improve the way I am perceived by those around me (personal and professional). | .85 | |||||
| Use of the StopCovid application would weaken the respect for privacy. | .88 | |||||
| Registering and using the StopCovid application would compromise my privacy as my personal information could be used without my consent. | .97 | |||||
| I think the notifications from the StopCovid application will be: | ||||||
| Low Disturbing - High Disturbing. | .75 | |||||
| Least invasive -Very invasive. | .88 | |||||
| Not very indiscreet - Very indiscreet. | .78 | |||||
| Little intrusive - Very intrusive. | .90 | |||||
| I believe that the information I would communicate via the StopCovid application will not be manipulated for any other purpose than that of Covid 19. | .86 | |||||
| I believe that the information that I would communicate via the StopCovid application will not be exposed/disclosed. | .96 | |||||
| (B. | ||||||
| Despite its drawbacks (e.g., disclosure of personal data), the use of this StopCovid application is worthwhile. | .91 | |||||
| Overall, I consider the costs of using the StopCovid application to be worth the effort. | .90 | |||||
| Compared to the risks I have to take, I think that using the StopCovid application helps to stop the epidemic. | .91 | |||||
| This application shows that the government is honest with its citizens. | .90 | |||||
| By proposing an application, the government is responding to my concerns about Covid-19. | .93 | |||||
| By proposing this application, it increases my confidence in the government. | .89 | |||||
| I think this StopCovid application will help me feel good again. | .96 | |||||
| I think this StopCovid app will help me get my joy back. | .94 | |||||
| Thanks to this application, I think we'll be able to return to a normal life. | .94 | |||||
| This application will help us get out of this epidemic crisis. | .94 | |||||
| I'd be proud to tell my friends and family that I use the StopCovid application … | .93 | |||||
| I would say mostly positive things about the StopCovid application to those around me. | .90 |
Notes: α = Cronbach's Alpha; CR = Composite Reliability; AVE = Average Variance Extracted.
Fig. 2Model with path results. ∗p < .05. ∗∗p < .01. ∗∗∗p < .00.
Bootstrapping path coefficients.
| M | SD | |||||
|---|---|---|---|---|---|---|
| Utility - > Perceived Value | .360 | .048 | 7.475 | .000 | H1a | ∗∗∗ |
| Status - > Perceived Value | .227 | .044 | 5.142 | .000 | H1b | ∗∗∗ |
| Privacy - > Perceived Value | -.096 | .037 | 2.590 | .005 | H2a | ∗ |
| Intrusiveness - > Perceived Value | -.107 | .040 | 2.689 | .004 | H2b | ∗ |
| Risk - > Perceived Value | -.276 | .056 | 4.958 | .000 | H2c | ∗∗∗ |
| Perceived Value - > Trust in Government | .868 | .015 | 59.399 | .000 | ∗∗∗ | |
| Perceived Value - > Well-being | .787 | .018 | 43.481 | .000 | ∗∗∗ | |
| Perceived Value - > Trust in the Future | .865 | .014 | 59.919 | .000 | ∗∗∗ | |
| Perceived Value - > Word of Mouth | .400 | .072 | 5.541 | .000 | H6a | ∗∗∗ |
| Trust in Government - > Word of Mouth | .089 | .073 | 1.231 | .109 | H6b | ns |
| Well-being - > Word of Mouth | .355 | .059 | 6.059 | .000 | H6c | ∗∗∗ |
| Trust in the Future - > Word of Mouth | .149 | .078 | 1.904 | .028 | H6d | ∗ |
Notes: M = mean; H = hypothesis; SD = standard deviation.
∗p < .05. ∗∗p < .01. ∗∗∗p < .001.
Multi-group comparison test results.
| Various Moderators | Trust in Media | Trust in Government | Health | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gender | Age | Gov. | Mass Media | Alternative | Social Media | YouTube | Gov. Efficiency | Gov. Council | Heterodox scientists | Personal Covid-19 Symptoms | Friend/Family Covid-19 Symptoms | Feelings during Covid | ||
| Intrusiveness - > Perceived Value | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ||
| Perceived Value - > Trust in Government | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | |
| Perceived Value - > Trust in the Future | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | |||
| Perceived Value - > Well-being | ns. | ns. | ns. | ns. | ns. | |||||||||
| Perceived Value - > Word of Mouth | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ||||
| Privacy - > Perceived Value | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | |||
| Risk - > Perceived Value | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | |||
| Status - > Perceived Value | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ||
| Trust in Government - > Word of Mouth | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ||||
| Trust in the Future - > Word of Mouth | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ||||
| Utility - > Perceived Value | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | |
| Well-being - > Word of Mouth | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ns. | ||
| General Factors | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Gender (Female vs. Male) | Age (18/54 vs. 55+) | Installation of StopCovid Mobile App | |||||||||||||
| β Female | β Male | β diff | β 18/54 | β 55+ | Β diff | β Yes | β No | β diff | |||||||
| Intrusiveness - > Perceived Value | -.162 | -.079 | -.083 | .156 | -.106 | -.098 | -.007 | .461 | -.011 | -.115 | .103 | .196 | |||
| Perceived Value - > Trust in Government | .866 | .872 | -.006 | .415 | .869 | .864 | .005 | .437 | .816 | .853 | -.037 | .240 | |||
| Perceived Value - > Trust in the Future | .848 | .880 | -.032 | .134 | .840 | .903 | -.063 | .007 | .740 | .855 | -.115 | .091 | |||
| Perceived Value - > Well-being | .759 | .815 | -.056 | .057 | .759 | .831 | -.072 | .020 | .494 | .786 | -.292 | .000 | |||
| Perceived Value - > Word of Mouth | .518 | .275 | .243 | .049 | .485 | .276 | .209 | .076 | .714 | .344 | .370 | .038 | |||
| Privacy - > Perceived Value | -.007 | -.158 | .151 | .031 | -.123 | -.032 | -.091 | .128 | -.277 | -.069 | -.208 | .082 | |||
| Risk - > Perceived Value | -.273 | -.281 | .008 | .463 | -.222 | -.409 | .187 | .061 | -.183 | -.290 | .107 | .283 | |||
| Status - > Perceived Value | .219 | .235 | -.017 | .411 | .268 | .122 | .146 | .049 | .313 | .211 | .102 | .300 | |||
| Trust in Government - > Word of Mouth | .046 | .123 | -.077 | .305 | -.062 | .301 | -.363 | .005 | .177 | .078 | .099 | .433 | |||
| Trust in the Future - > Word of Mouth | .151 | .128 | .023 | .453 | .183 | .098 | .086 | .310 | -.540 | .239 | -.779 | .007 | |||
| Utility - > Perceived Value | .396 | .314 | .082 | .197 | .360 | .383 | -.023 | .407 | .434 | .367 | .067 | .439 | |||
| Well-being - > Word of Mouth | .281 | .467 | -.186 | .063 | .378 | .343 | .034 | .380 | .632 | .335 | .297 | .028 | |||
| Trust in Media | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Government Media | Mass Media | Alternative Media | |||||||||||||
| β High | β Low | β diff | β High | β Low | β diff | β High | β Low | β diff | |||||||
| Intrusiveness - > Perceived Value | -.125 | -.101 | -.025 | .384 | -.086 | -.115 | .029 | .351 | -.272 | -.031 | -.241 | .008 | |||
| Perceived Value - > Trust in Government | .844 | .832 | .013 | .353 | .834 | .854 | -.020 | .324 | .893 | .855 | .039 | .094 | |||
| Perceived Value - > Trust in the Future | .822 | .842 | -.019 | .294 | .813 | .864 | -.051 | .078 | .874 | .859 | .015 | .310 | |||
| Perceived Value - > Well-being | .658 | .809 | -.150 | .001 | .674 | .809 | -.135 | .002 | .836 | .764 | .072 | .022 | |||
| Perceived Value - > Word of Mouth | .473 | .374 | .099 | .256 | .306 | .439 | -.133 | .176 | .382 | .399 | -.016 | .441 | |||
| Privacy - > Perceived Value | -.153 | -.073 | -.080 | .162 | -.109 | -.087 | -.022 | .404 | -.013 | -.138 | .126 | .032 | |||
| Risk - > Perceived Value | -.190 | -.292 | .102 | .210 | -.368 | -.236 | -.131 | .137 | -.252 | -.274 | .022 | .448 | |||
| Status - > Perceived Value | .256 | .209 | .047 | .325 | .216 | .233 | -.017 | .431 | .264 | .213 | .050 | .301 | |||
| Trust in Government - > Word of Mouth | .040 | .030 | .011 | .473 | .247 | -.017 | .264 | .035 | .254 | .036 | .218 | .089 | |||
| Trust in the Future - > Word of Mouth | .074 | .191 | -.117 | .237 | .169 | .112 | .056 | .348 | .058 | .197 | -.139 | .183 | |||
| Utility - > Perceived Value | .363 | .385 | -.022 | .409 | .275 | .398 | -.124 | .115 | .249 | .412 | -.163 | .084 | |||
| Well-being - > Word of Mouth | .432 | .371 | .061 | .323 | .297 | .439 | -.142 | .109 | .310 | .354 | -.043 | .372 |
| Social Media Behaviors | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Social Media Usage | YouTube Usage | |||||||||
| β High | β Low | β diff | β High | β Low | β diff | |||||
| Intrusiveness - > Perceived Value | -.118 | .008 | -.126 | .136 | -.128 | -.040 | -.088 | .173 | ||
| Perceived Value - > Trust in Government | .861 | .899 | -.038 | .134 | .887 | .869 | .018 | .274 | ||
| Perceived Value - > Trust in the Future | .853 | .930 | -.077 | .017 | .860 | .860 | .001 | .494 | ||
| Perceived Value - > Well-being | .784 | .794 | -.010 | .386 | .812 | .766 | .047 | .139 | ||
| Perceived Value - > Word of Mouth | .442 | .074 | .368 | .003 | .430 | .359 | .071 | .343 | ||
| Privacy - > Perceived Value | -.091 | -.207 | .116 | .107 | -.109 | -.044 | -.065 | .238 | ||
| Risk - > Perceived Value | -.250 | -.384 | .134 | .154 | -.190 | -.480 | .290 | .012 | ||
| Status - > Perceived Value | .244 | .271 | -.027 | .408 | .260 | .151 | .109 | .125 | ||
| Trust in Government - > Word of Mouth | .052 | .233 | -.181 | .003 | .050 | .072 | -.022 | .450 | ||
| Trust in the Future - > Word of Mouth | .117 | .488 | -.371 | .003 | .082 | .210 | -.128 | .255 | ||
| Utility - > Perceived Value | .361 | .244 | .116 | .181 | .386 | .320 | .066 | .251 | ||
| Well-being - > Word of Mouth | .384 | .196 | .189 | .003 | .423 | .359 | .064 | .307 |
| Trust in Government | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Efficiency of Government Action Against COVID-19 | Government Council | Heterodox Scientists | |||||||||||||
| β Low | β High | β diff | β High | β Low | β diff | β High | β Low | β diff | |||||||
| Intrusiveness - > Perceived Value | -.135 | -.066 | -.069 | .193 | -.108 | -.089 | -.018 | .416 | -.199 | -.032 | -.167 | .018 | |||
| Perceived Value - > Trust in Government | .808 | .894 | -.085 | .004 | .858 | .824 | .034 | .177 | .869 | .868 | .000 | .495 | |||
| Perceived Value - > Trust in the Future | .845 | .832 | .012 | .369 | .859 | .820 | .039 | .133 | .904 | .835 | .069 | .008 | |||
| Perceived Value - > Well-being | .801 | .698 | .102 | .008 | .727 | .797 | -.069 | .049 | .817 | .773 | .043 | .113 | |||
| Perceived Value - > Word of Mouth | .365 | .421 | -.057 | .366 | .461 | .376 | .084 | .284 | .416 | .383 | .033 | .426 | |||
| Privacy - > Perceived Value | -.098 | -.134 | .036 | .320 | -.142 | -.078 | -.064 | .215 | -.030 | -.138 | .108 | .071 | |||
| Risk - > Perceived Value | -.272 | -.242 | -.031 | .404 | -.222 | -.304 | .082 | .231 | -.256 | -.285 | .029 | .402 | |||
| Status - > Perceived Value | .133 | .329 | -.196 | .017 | .262 | .187 | .075 | .221 | .288 | .182 | .106 | .121 | |||
| Trust in Government - > Word of Mouth | -.039 | .194 | -.233 | .100 | .109 | -.077 | .185 | .111 | .064 | .123 | -.059 | .353 | |||
| Trust in the Future - > Word of Mouth | .288 | -.017 | .304 | .026 | .054 | .212 | -.158 | .170 | .184 | .114 | .070 | .335 | |||
| Utility - > Perceived Value | .423 | .322 | .101 | .154 | .364 | .380 | -.016 | .434 | .284 | .421 | -.138 | .085 | |||
| Well-being - > Word of Mouth | .344 | .426 | -.082 | .284 | .381 | .454 | -.072 | .293 | .324 | .373 | -.048 | .350 | |||
| Health | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Personal Experience of Covid-19 Symptoms | Friends/Family Experience of Covid-19 Symptoms | Feelings during Pandemic | |||||||||||||
| β Yes | β No | β diff | β Yes | β No | β diff | β Good | β Bad | β diff | |||||||
| Intrusiveness - > Perceived Value | -.234 | -.105 | -.129 | .209 | .019 | -.136 | .155 | .065 | -.083 | -.132 | .048 | .269 | |||
| Perceived Value - > Trust in Government | .897 | .865 | .032 | .271 | .832 | .879 | -.048 | .115 | .863 | .878 | -.015 | .296 | |||
| Perceived Value - > Trust in the Future | .823 | .871 | -.048 | .263 | .823 | .876 | -.053 | .091 | .873 | .857 | .015 | .303 | |||
| Perceived Value - > Well-being | .781 | .788 | -.007 | .468 | .695 | .816 | -.121 | .006 | .766 | .817 | -.051 | .064 | |||
| Perceived Value - > Word of Mouth | .259 | .412 | -.153 | .269 | .129 | .531 | -.402 | .004 | .413 | .381 | .033 | .414 | |||
| Privacy - > Perceived Value | -.225 | -.080 | -.146 | .165 | -.165 | -.078 | -.087 | .199 | -.197 | -.008 | -.190 | .007 | |||
| Risk - > Perceived Value | -.129 | -.287 | .159 | .203 | -.126 | -.339 | .214 | .049 | -.180 | -.365 | .186 | .049 | |||
| Status - > Perceived Value | .146 | .234 | -.088 | .289 | .200 | .239 | -.039 | .340 | .276 | .184 | .091 | .151 | |||
| Trust in Government - > Word of Mouth | .206 | .080 | .126 | .399 | .423 | -.046 | .469 | .007 | .069 | .110 | -.041 | .379 | |||
| Trust in the Future - > Word of Mouth | .159 | .150 | .009 | .476 | .118 | .135 | -.017 | .433 | .189 | .059 | .130 | .211 | |||
| Utility - > Perceived Value | .308 | .360 | -.052 | .368 | .577 | .279 | .298 | .001 | .352 | .355 | -.002 | .498 | |||
| Well-being - > Word of Mouth | .367 | .350 | .017 | .416 | .331 | .369 | -.038 | .409 | .335 | .428 | -.093 | .249 |