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Title: Determinants of the acceptance and adoption of a digital contact tracing tool during the COVID-19 pandemic in Singapore
Authors: Huang, Zhilian
Guo, Huiling
Lim, Hannah Yee-Fen
Chow, Angela
Keywords: Science::Medicine
Issue Date: 2022
Source: Huang, Z., Guo, H., Lim, H. Y. & Chow, A. (2022). Determinants of the acceptance and adoption of a digital contact tracing tool during the COVID-19 pandemic in Singapore. Epidemiology and Infection, 150, e54-.
Journal: Epidemiology and Infection 
Abstract: The motivations that govern the adoption of digital contact tracing (DCT) tools are complex and not well understood. Hence, we assessed the factors influencing the acceptance and adoption of Singapore's national DCT tool - TraceTogether - during the COVID-19 pandemic. We surveyed 3943 visitors of Tan Tock Seng Hospital from July 2020 to February 2021 and stratified the analyses into three cohorts. Each cohort was stratified based on the time when significant policy interventions were introduced to increase the adoption of TraceTogether. Binary logistic regression was preceded by principal components analysis to reduce the Likert items. Respondents who 'perceived TraceTogether as useful and necessary' had higher likelihood of accepting it but those with 'Concerns about personal data collected by TraceTogether' had lower likelihood of accepting and adopting the tool. The injunctive and descriptive social norms were also positively associated with both the acceptance and adoption of the tool. Liberal individualism was mixed in the population and negatively associated with the acceptance and adoption of TraceTogether. Policy measures to increase the uptake of a national DCT bridged the digital divide and accelerated its adoption. However, good public communications are crucial to address the barriers of acceptance to improve voluntary uptake widespread adoption.
ISSN: 0950-2688
DOI: 10.1017/S0950268822000401
Schools: Lee Kong Chian School of Medicine (LKCMedicine) 
Nanyang Business School 
Organisations: Tan Tock Seng Hospital
Rights: © The Author(s), 2022. Published by Cambridge University Press. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (, which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Fulltext Permission: open
Fulltext Availability: With Fulltext
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