Adherence to COVID‐19 Precautionary Measures: Applying the Health Belief Model and Generalised Social Beliefs to a Probability Community Sample

Tong, Kwok Kit; Chen, Juliet Honglei; Yu, Eilo Wing-yat; Wu, Anise M. S.

doi:10.1111/aphw.12230

Cited by 154 publications

(191 citation statements)

References 53 publications

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“…In general, the findings have suggested that the TPB can be applied to explain social distancing behavior. TPB involves factors of individual levels (attitude and perceived behavioral control) and interpersonal levels (subjective norms), which has been commonly used in explaining protective behaviors related to emerging infectious diseases including COVID-19 [ 10 , 27 , 28 ]. It is, however, important to consider factors of community level.…”

Section: Discussionmentioning

confidence: 99%

Levels and factors of social and physical distancing based on the Theory of Planned Behavior during the COVID-19 pandemic among Chinese adults

Lau

2021

Translational Behavioral Medicine

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Social and physical distancing is important in controlling the COVID-19 pandemic and it impacts people’s financial/social well-being tremendously. This study tested the application of the Theory of Planned Behaviors (TPB) to three types of social/physical distancing indicators (i.e., the number of close physical contacts on a single day in public venues, the frequencies of avoiding social gathering, and the levels of physical distancing in public venues). A population-based random telephone survey interviewed 300 Hong Kong Chinese adults in April 2020 when gatherings involving >4 people were banned. The participants on average made 15.3 close physical contacts (<1.5 m and for >3 min) in a day (5.0 in public transportation). About 80% practiced social distancing (avoided/reduced social gatherings) and physical distancing in public spaces (e.g., avoidance of going out, visiting crowded places, and gatherings of >4 people) but only 35.4% avoided using public transportations. Positive but not negative attitudes (inconvenience and lack of necessity), perceived behavioral control, and subjective norm were significantly associated with the three social/physical distancing outcomes. The data suggest that the levels of social/physical distancing were relatively high in the Hong Kong general population, and it, in general, supports the application of TPB to understand factors of social distancing for preventing COVID-19. Health promotion should take the findings into account. Furthermore, cross-cultural and time-series studies are warranted to compare the levels of social/physical distancing across countries and further explore their effectiveness in controlling the COVID-19 pandemic.

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Section: Discussionmentioning

confidence: 99%

Levels and factors of social and physical distancing based on the Theory of Planned Behavior during the COVID-19 pandemic among Chinese adults

Lau

2021

Translational Behavioral Medicine

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“…As shown in Figure 1 , the theoretical model presents the interrelationships of the constructs and panic buying behavior. The health belief model has been applied in the numerous community-based health interventions contexts [ 42 , 43 , 44 ] and its elements (i.e., perceived susceptibility, perceived severity, outcome expectancy, cues to action, and self-efficacy) explain the determinants of the perceived scarcity of products in the pandemic. This perceived scarcity subsequently leads to anticipated regret and panic buying behavior [ 52 ].…”

Section: Literature Reviewmentioning

confidence: 99%

The Determinants of Panic Buying during COVID-19

Chua

Yuen

Wang

et al. 2021

IJERPH

124

106

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The COVID-19 pandemic has seen an unmatched level of panic buying globally, a type of herd behavior whereby consumers buy an uncommonly huge amount of products because of a perception of scarcity. Drawing on the health belief model, perceived scarcity, and anticipated regret theories, this paper formulated a theoretical model that linked the determinants of panic buying and analyzed their interrelationships. Subsequently, data were collated from 508 consumers through an online survey questionnaire in Singapore that was conducted during the early stage of the pandemic, before the onset of the circuit breaker in April 2020. Next, an analysis of the results was done through structural equation modeling. It showed that the effect of the health belief model dimensions (i.e., perceived susceptibility, perceived severity, outcome expectation, cues to action, and self-efficacy) on panic buying is partially mediated by the consumers’ perceived scarcity of products. Furthermore, the effect of perceived scarcity on panic buying is partially mediated by consumers’ anticipation of regret. This paper expands on the current theoretical understanding of panic buying behavior, giving insights into the possible measures and solutions that policymakers and relevant stakeholders can uptake to manage panic buying in future a pandemic or health crisis.

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“…Recent studies reported that female students and those with the positive attitudes and knowledge towards handwashing for COVID-19 prevention were more likely to adopt handwashing behavior [ 18 , 19 ]. Further, studies utilized the theory of planned behavior, health action process approach, and health belief model to explain handwashing behavior in college students and adults during the COVID-19 pandemic [ 20 ]. Positive attitudes, positive subjective norms about handwashing behavior, higher perceived benefits of handwashing, and lower barriers to handwashing were associated with adherence to proper handwashing [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

“…Further, studies utilized the theory of planned behavior, health action process approach, and health belief model to explain handwashing behavior in college students and adults during the COVID-19 pandemic [ 20 ]. Positive attitudes, positive subjective norms about handwashing behavior, higher perceived benefits of handwashing, and lower barriers to handwashing were associated with adherence to proper handwashing [ 20 ]. Additional information on factors related to initiation and continuation of the handwashing behavior to prevent COVID-19 spread is needed to ensure greater behavior adoption rates among college students.…”

Section: Introductionmentioning

confidence: 99%

Explaining Handwashing Behavior in a Sample of College Students during COVID-19 Pandemic Using the Multi-Theory Model (MTM) of Health Behavior Change: A Single Institutional Cross-Sectional Survey

et al. 2021

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Amidst the COVID-19 pandemic, handwashing offers a simple and effective hygienic measure for disease prevention. Reportedly, a significant proportion of college students did not follow handwashing recommendations provided by the Centers for Disease Control and Prevention (CDC) in the pre-COVID era. The purpose of this cross-sectional study was to explore and explain the handwashing behavior among college students during the COVID-19 pandemic using a contemporary fourth-generation multi-theory model (MTM) of health behavior change. Data were collected from 713 college students at a large public university in the Southern U.S. in October 2020 using a validated 36-item survey. Statistical analyses included independent samples t-tests, Pearson correlation, and hierarchical regression modeling. Among students not following handwashing recommendations, the constructs of participatory dialogue (β = 0.152; p < 0.05) and behavioral confidence (β = 0.474; p < 0.0001) were statistically significant and accounted for 27.2% of the variance in the likelihood of initiation of the behavior. Additionally, the constructs of emotional transformation (β = 0.330; p < 0.0001), practice for change (β = 0.296; p < 0.0001), and changes in the social environment (β = 0.180; p < 0.05) were statistically significant and accounted for 45.1% of the variance in the likelihood of sustaining handwashing behavior. This study highlights the applicability and usability of the MTM in designing and testing behavior change interventions and media messaging in campaigns targeting college students.

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Adherence to COVID‐19 Precautionary Measures: Applying the Health Belief Model and Generalised Social Beliefs to a Probability Community Sample

Cited by 154 publications

References 53 publications

Levels and factors of social and physical distancing based on the Theory of Planned Behavior during the COVID-19 pandemic among Chinese adults

Levels and factors of social and physical distancing based on the Theory of Planned Behavior during the COVID-19 pandemic among Chinese adults

The Determinants of Panic Buying during COVID-19

Explaining Handwashing Behavior in a Sample of College Students during COVID-19 Pandemic Using the Multi-Theory Model (MTM) of Health Behavior Change: A Single Institutional Cross-Sectional Survey

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