PT - JOURNAL ARTICLE AU - Mesfin G Genie AU - Luis Enrique Loría-Rebolledo AU - Shantini Paranjothy AU - Daniel Powell AU - Mandy Ryan AU - Ruben Andreas Sakowsky AU - Verity Watson TI - Understanding public preferences and trade-offs for government responses during a pandemic: a protocol for a discrete choice experiment in the UK AID - 10.1136/bmjopen-2020-043477 DP - 2020 Nov 01 TA - BMJ Open PG - e043477 VI - 10 IP - 11 4099 - http://bmjopen.bmj.com/content/10/11/e043477.short 4100 - http://bmjopen.bmj.com/content/10/11/e043477.full SO - BMJ Open2020 Nov 01; 10 AB - Introduction Social distancing and lockdown measures are among the main government responses to the COVID-19 pandemic. These measures aim to limit the COVID-19 infection rate and reduce the mortality rate of COVID-19. Given we are likely to see local lockdowns until a treatment or vaccine for COVID-19 is available, and their effectiveness depends on public acceptability, it is important to understand public preference for government responses.Methods and analysis Using a discrete choice experiment (DCE), this study will investigate the public’s preferences for pandemic responses in the UK. Attributes (and levels) are based on: (1) lockdown measures described in policy documents; (2) literature on preferences for lockdown measures and (3) a social media analysis. Attributes include: lockdown type; lockdown length; postponement of usual non-urgent medical care; number of excess deaths; number of infections; impact on household spending and job losses. We will prepilot the DCE using virtual think aloud interviews with respondents recruited via Facebook. We will collect preference data using an online survey of 4000 individuals from across the four UK countries (1000 per country). We will estimate the relative importance of the attributes, and the trade-offs individuals are willing to make between attributes. We will test if respondents’ preferences differ based on moral attitudes (using the Moral Foundation Questionnaire), socioeconomic circumstances (age, education, economic insecurity, health status), country of residence and experience of COVID-19.Ethics and dissemination The University of Aberdeen’s College Ethics Research Board (CERB) has approved the study (reference: CERB/2020/6/1974). We will seek CERB approval for major changes from the developmental and pilot work. Peer-reviewed papers will be submitted, and results will be presented at public health and health economic conferences nationally and internationally. A lay summary will be published on the Health Economics Research Unit blog.