Jackie

Tianshi Li, Camille Cobb, Jackie et al.

Smartphone-based contact-tracing apps are a promising solution to help scale up the conventional contact-tracing process. However, low adoption rates have become a major issue that prevents these apps from achieving their full potential. In this paper, we present a national-scale survey experiment ($N = 1963$) in the U.S. to investigate the effects of app design choices and individual differences on COVID-19 contact-tracing app adoption intentions. We found that individual differences such as prosocialness, COVID-19 risk perceptions, general privacy concerns, technology readiness, and demographic factors played a more important role than app design choices such as decentralized design vs. centralized design, location use, app providers, and the presentation of security risks. Certain app designs could exacerbate the different preferences in different sub-populations which may lead to an inequality of acceptance to certain app design choices (e.g., developed by state health authorities vs. a large tech company) among different groups of people (e.g., people living in rural areas vs. people living in urban areas). Our mediation analysis showed that one's perception of the public health benefits offered by the app and the adoption willingness of other people had a larger effect in explaining the observed effects of app design choices and individual differences than one's perception of the app's security and privacy risks. With these findings, we discuss practical implications on the design, marketing, and deployment of COVID-19 contact-tracing apps in the U.S.

Tianshi Li, Jackie, Yang et al.

Contact-tracing apps have potential benefits in helping health authorities to act swiftly to halt the spread of COVID-19. However, their effectiveness is heavily dependent on their installation rate, which may be influenced by people's perceptions of the utility of these apps and any potential privacy risks due to the collection and releasing of sensitive user data (e.g., user identity and location). In this paper, we present a survey study that examined people's willingness to install six different contact-tracing apps after informing them of the risks and benefits of each design option (with a U.S.-only sample on Amazon Mechanical Turk, $N=208$). The six app designs covered two major design dimensions (centralized vs decentralized, basic contact tracing vs. also providing hotspot information), grounded in our analysis of existing contact-tracing app proposals. Contrary to assumptions of some prior work, we found that the majority of people in our sample preferred to install apps that use a centralized server for contact tracing, as they are more willing to allow a centralized authority to access the identity of app users rather than allowing tech-savvy users to infer the identity of diagnosed users. We also found that the majority of our sample preferred to install apps that share diagnosed users' recent locations in public places to show hotspots of infection. Our results suggest that apps using a centralized architecture with strong security protection to do basic contact tracing and providing users with other useful information such as hotspots of infection in public places may achieve a high adoption rate in the U.S.