Understanding Barriers and Facilitators to Compliance with UK Social Distancing Guidelines During the COVID-19 Pandemic: A Qualitative Interview Study

Abstract When followed, there is evidence that social distancing measures play a major role in reducing the transmission of viruses such as COVID-19. However, not all individuals follow guidance. We explored barriers and facilitators to compliance with UK guidelines during COVID-19 pandemic through semi-structured interviews 116 adults. Data were analysed using reflexive thematic analysis themes mapped Capability, Opportunity Motivation Model Behaviour (COM-B). Barriers included inconsistent rules, caring responsibilities, fatigue, unintended consequences control measures, need for emotional support. Facilitators informational support responsibility. Six both barrier facilitator: lived environment, beliefs about non-compliance, influence others, practical support, trust government. Reflective motivation, psychological capability, opportunity important drivers compliance. Measures enable alongside strategies maintain motivation comply, provide clear guidance optimise cohesion should be promoted.