301 - Using psycho-social approaches to advance acceptability of effective tick control strategies

Abstract: With tickborne diseases (TBD) and tick-bite related conditions on the rise in the U.S., together amassing more than an estimated 476,000 reported cases annually, effective tick control is a critical public health priority. Tick control methods focus on two main aspects of the enzootic cycle of TBD: host-targeted interventions like deer culling, tick tubes, and bait boxes, and nymphal tick-targeted approaches like area-wide acaricide sprays. Each of these methods varies in cost, efficacy, and public acceptability. Focusing on hyperendemic areas for Lyme disease in the Northeastern United States, we conducted comprehensive knowledge, attitude, and prevention practice (KAP) surveys to quantify homeowners’ understanding of tick biology, transmission pathways, and available control methods. The surveys also explored perceptions of risk and barriers to implementing tick management practices. Subsequently, we implemented focus groups organized to delve deeper into the qualitative aspects of tick control acceptability. Participants in these studies shared insights into their experiences with ticks, the perceived effectiveness of different control measures, and the social and cultural factors influencing their decisions. Here we present results of several studies that collectively can support data-driven frameworks for integrated tick management scenarios. By enhancing understanding of homeowner attitudes and practices, this research aims to inform public health strategies that promote effective tick control and ultimately reduce the incidence of Lyme disease in hyperendemic regions. The findings advocate for a collaborative approach that empowers homeowners through education and support, fostering community engagement in tick management initiatives.