International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2026
Enhancing data collection on socio-behavioral exposure pathways for emerging tickborne disease through engagement with surviving cases and their household members.
СтатьяНазвание и аннотация: Перевод в очереди
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Hattori Chinatsu, Kurihara Junko, Shimada Sho, Yamaguchi Nanami, Kobayashi Chinatsu, Aono Hironaga, Takamatsu Yuki, Tanaka Takeshi, Yamanashi Hirotomo, Edmunds W John, Ariyoshi Koya, Hidano Arata, Vessière Aurélia, Skrip Laura
Аннотация
BACKGROUND: Severe fever with thrombocytopenia syndrome (SFTS) is an epidemiologically complex tickborne zoonosis emerging across Asia. More comprehensive, contextually relevant data is needed for this low incidence, high-severity disease.
METHODS: A mixed-methods formative research study was undertaken in Nagasaki, Japan between August-October 2025, to pilot a newly developed questionnaire on SFTS exposure pathways with 22 surviving cases and their household members. Participants completed the questionnaire twice, one month apart, to evaluate questionnaire reliability in a study population advanced in age and affected by post-SFTS sequelae. Twenty semi-structured interviews were conducted.
RESULTS: Participants reliably answered closed-ended questions about potential SFTS virus exposure events, with a median 88.5% intra-participant consistency. Follow-up questions about timing or duration of exposures had lower completeness and consistency. During feedback interviews, participants reported lived experience with multi-step infection pathways that validated inclusion of questionnaire sections on vector-, animal-, environment-, and human- mediated pathways. Participants also revealed complex illness perceptions-shaped by self-reflection, cultural norms, and expert influences-that affected response behavior.
CONCLUSIONS: The questionnaire was updated based on participant insights and is available for future adaptation and use by SFTS researchers. Ongoing research engagement with SFTS-affected communities will enhance relevance and usefulness of larger-scale data collection efforts.
METHODS: A mixed-methods formative research study was undertaken in Nagasaki, Japan between August-October 2025, to pilot a newly developed questionnaire on SFTS exposure pathways with 22 surviving cases and their household members. Participants completed the questionnaire twice, one month apart, to evaluate questionnaire reliability in a study population advanced in age and affected by post-SFTS sequelae. Twenty semi-structured interviews were conducted.
RESULTS: Participants reliably answered closed-ended questions about potential SFTS virus exposure events, with a median 88.5% intra-participant consistency. Follow-up questions about timing or duration of exposures had lower completeness and consistency. During feedback interviews, participants reported lived experience with multi-step infection pathways that validated inclusion of questionnaire sections on vector-, animal-, environment-, and human- mediated pathways. Participants also revealed complex illness perceptions-shaped by self-reflection, cultural norms, and expert influences-that affected response behavior.
CONCLUSIONS: The questionnaire was updated based on participant insights and is available for future adaptation and use by SFTS researchers. Ongoing research engagement with SFTS-affected communities will enhance relevance and usefulness of larger-scale data collection efforts.