COVID-19 test-to-stay program for K-12 schools: Opt-in versus opt-out consent model.

Autor:	Ivanov A; Department of Business Administration, University of Illinois at Urbana-Champaign, Champaign, IL 61821, USA., Mukherjee UK; Department of Business Administration, University of Illinois at Urbana-Champaign, Champaign, IL 61821, USA.; Health Innovation Professor Carle Illinois College of Medicine, University of Illinois at Urbana-Champaign, USA., Bose S; Electrical and Computer Engineering, University of Illinois at Urbana-Champaign, Champaign, IL 61821, USA., Seshadri S; Department of Business Administration, University of Illinois at Urbana-Champaign, Champaign, IL 61821, USA.; Health Innovation Professor Carle Illinois College of Medicine, University of Illinois at Urbana-Champaign, USA., Watkins R; Shield Illinois, University of Illinois System, Champaign, IL 61821, USA., England AC; OSF HealthCare Heart of Mary Medical Center, Urbana, IL 61801, USA., Suriano J; Shield Illinois, University of Illinois System, Champaign, IL 61821, USA., Ahsen ME; Department of Business Administration, University of Illinois at Urbana-Champaign, Champaign, IL 61821, USA.; Health Innovation Professor Carle Illinois College of Medicine, University of Illinois at Urbana-Champaign, USA., Souyris S; Lally School of Management, Rensselaer Polytechnic Institute, Troy, NY 12180, USA.
Jazyk:	angličtina
Zdroj:	IScience [iScience] 2023 Dec 20; Vol. 27 (1), pp. 108770. Date of Electronic Publication: 2023 Dec 20 (Print Publication: 2024).
DOI:	10.1016/j.isci.2023.108770
Abstrakt:	The Centers for Disease Control and Prevention promoted the Test-to-Stay (TTS) program to facilitate in-person instruction in K-12 schools during COVID-19. This program delineates guidelines for schools to regularly test students and staff to minimize risks of infection transmission. TTS enrollment can be implemented via two different consent models: opt-in, in which students do not test regularly by default, and the opposite, opt-out model. We study the impacts of the two enrollment approaches on testing and positivity rates with data from 259 schools in Illinois. Our results indicate that after controlling for other covariates, schools following the opt-out model are associated with 84% higher testing rate and 30% lower positivity rate. If all schools adopted the opt-out model, 20% of the total lost school days could have been saved. The lower positivity rate among the opt-out group is largely explained by the higher testing rate in these schools, a manifestation of status quo bias. Competing Interests: The authors declare no competing interests. (© 2024 The Authors.)
Databáze:	MEDLINE
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