Siame, Sheila, Bygvraa, Despoina Andrioti, Shakely, Delér, Hulse, Lynn ORCID: 0000-0001-5582-3520 , Mouchtouri, Varvara and Hadjichristodoulou, Christos (2023) Behavioural aspects among cruise ships passengers affecting the spread of infectious diseases including COVID-19: a systematic review. Oceanography and Fisheries, 17 (1):555953. ISSN 2476-0536 (doi:https://doi.org/10.19080/OFOAJ.2023.17.555953)

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Abstract

Outbreaks of infectious diseases have been reported among tourists on board cruise ships as well as on land-port based premises. Behavioural interventions have been implemented to prevent and mitigate the spread of infectious diseases. This study aimed to identify determinants of behavioural aspects as well as the facilitators and barriers to compliance with preventive measures. A systematic search of literature in Scopus, and Web of Science was conducted. The Joanna Briggs Institute (JBI) checklist, the National Institute of Health (NIH), and the Mixed Methods Appraisal Tool / Checklist (MMAT) were used to appraise the quality of the articles. Four studies with a total of 3103 cruise ship passengers were included. Respondents reported having low knowledge levels (76%) related to preventive measures before COVID-19, with considerable improvement (89.5%) shown in the articles published after the pandemic. Studies examining attitudes and practices reported satisfactory levels. Generally, limited research on cruise ship passengers regarding the three components of Knowledge, Attitudes, and Practices (KAP) exist. The review found that cruise passengers should understand the negative effects of a disease to undertake preventive actions. This should be accompanied with empowerment strategies to motivate individuals to change attitudes. In addition, there is a need to disseminate evidence-based information through responsible and trusted institutions. This survey could help in the designing of relevant prevention, mitigation and control policies for infectious diseases.

Item Type:	Article
Uncontrolled Keywords:	knowledge; attitude; practices; COVID-19; facilitators; barriers
Subjects:	B Philosophy. Psychology. Religion > BF Psychology Q Science > Q Science (General) Q Science > QA Mathematics
Faculty / School / Research Centre / Research Group:	Faculty of Engineering & Science Faculty of Engineering & Science > School of Computing & Mathematical Sciences (CMS)
Last Modified:	26 Feb 2024 09:23
URI:	http://gala.gre.ac.uk/id/eprint/45713

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