scholarly journals Determinants of adherence to COVID-19 measures among the Belgian population: an application of the protection motivation theory

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Joris Adriaan Frank van Loenhout ◽  
Kirsten Vanderplanken ◽  
Bénédicte Scheen ◽  
Stephan Van den Broucke ◽  
Isabelle Aujoulat

Abstract Background Since the start of the COVID-19 outbreak, the Belgian government has implemented various infection prevention and control measures. This study assessed the extent to which the general population in Belgium adhered to these measures, and which determinants were associated with adherence. Methods We undertook an internet survey among a sample of the Belgian population, representative for sex, age, socio-economic status and province. The questionnaire included various demographic, socio-economic and health-related questions, and also drew upon the Protection Motivation Theory as a theoretical framework to measure levels of perceived severity, vulnerability, perceived usefulness of the measures (response efficacy), perceived personal capacity to adhere (self-efficacy), and past and future adherence. Data were collected in Dutch and French, the main languages of Belgium. Results Our study was carried out in September 2020, and the number of respondents was 2008. On average, respondents provided high scores for each of the measures in place in September in terms of response efficacy (range of 3.54–4.32 on 1 to 5 Likert-scale), self-efficacy (range of 3.00–4.00), past adherence (4.00–4.68) and future adherence (3.99–4.61). The measure that overall received the highest scores was wearing a face mask in public spaces, while ‘the social bubble of 5’ generally received the lowest scores. There was a statistically significant relationship between response efficacy and self-efficacy on the one hand and (past and future) adherence on the other hand, in a multivariate model corrected for confounders. Vulnerability and severity did not show statistical significance. Conclusion Risk communication regarding COVID-19 should place a stronger emphasis on helping people understand why implemented measures are useful and how they can be put into practice, more than on increasing fear appeals.

2020 ◽  
Author(s):  
Roghayeh Ezati Rad ◽  
Hesamaddin Kamalzadeh Takhti ◽  
Mehdi Hassani Azad ◽  
Shokrollah Mohseni ◽  
Teamur Aghamolaei ◽  
...  

Abstract Background: The present research aimed to predict the preventive behaviors of COVID-19 in the light of the Protection Motivation Theory (PMT).Methods: The present cross-sectional research was conducted in 2 months (March 2020-April 2020) in Hormozgan Province of Iran. The research population comprised all residents above 15 years of age. They received an online questionnaire survey in two parts, demographic information along with PMT constructs. To analyze the data, independent t-test and one-way anova test, Multiple linear regression and the statistical technique of path analysis and structural equation modeling was used. All statistical calculations and hypothesis testing were performed using spss21 and Amos21 software and a significant level of hypothesis testing was considered to be 0.05Results: A total number of 2,032 subjects participated in this research, the mean age of whom was 34.84±9.8 (R=15-98). The majority of participants were between 31 - 40 years old, female (60.4%), married (72%), urban residents (87.3%), holding a Bachelor’s degree or higher (58.8%) and employed (58.8%). Statistically significant positive correlation coefficients were estimated between preventive behaviors of COVID-19 and perceived vulnerability (r=0.192, p<0.001), perceived severity (r=0.092, p<0.001), response efficacy (r=0.398, p<0.001) ,self efficacy (r=0.497, p<0.001) and protection motivation (r=0.595, p<0.001). Statistically significant negative correlations were found between behavior and maladaptive behavior rewards (r=-0.243, p<0.001) and perceived costs (r=-0.121, p<0.001).Conclusions: The present findings showed that maladaptive behavior reward and fear predicted protective behaviors negatively; response efficacy and self-efficacy predicted protective behaviors positively. The effect of self-efficacy was the strongest among all. The information provided in this research can contribute to policy-making in the country.


2021 ◽  
Vol 8 (1) ◽  
pp. 1-8
Author(s):  
Nematollah Jaafarzadeh Haghighifard ◽  
Mehdi Mojadam ◽  
Mohammad Hassan Ehrampoush ◽  
Mohammad Ali Morowatisharifabad ◽  
Morteza Abdullatif Khafaie ◽  
...  

Background: Dust particles are one of the most important environmental problems that are threatening many countries, and patients with cardiovascular diseases (CVDs) are a vulnerable group in this respect. The present study was conducted to examine the protective strategies among patients with CVDs against exposure to dust phenomenon based on the protection motivation theory (PMT). Methods: This cross-sectional study was performed on 183 patients with CVDs who referred to health care centers in Ahvaz city, Khuzestan province, southwest of Iran. Participants were selected from patients with CVDs recruited for routine national Package of Essential Non-communicable Disease (IRA-PEN) through random cluster sampling. Data were collected using a researcher-made questionnaire based on the PMT. Data were analyzed using descriptive and analytical tests such as Pearson correlation coefficient and multiple linear regressions by SPSS version 22. Results: The mean scores of the constructs of perceived response efficacy (4.06 ± 20.06) and sensitivity (19.89 ± 4.30) were higher than those of other constructs. Correlation coefficient test showed a significant positive correlation between risk behaviors of exposure to dust phenomenon and self-efficacy, response efficacy and protection motivation, but negatively correlated with cost response. Also, self-efficacy variable, type of health insurance, and protection motivation were the predictive indicators of behavior. Conclusion: The constructs of the PMT explained the risk reduction behaviors of exposure to dust phenomenon in patients with CVDs. Therefore, this theory can be used as a framework for designing educational programs to increase the motivation of patients with CVDs to adopt risk reduction behaviors for exposure to dust.


2020 ◽  
Author(s):  
Roghayeh Ezati Rad ◽  
Shokrollah Mohseni ◽  
Hesamaddin Kamalzadeh Takhti ◽  
Mehdi Hassani Azad ◽  
Nahid Shahabi ◽  
...  

Abstract Background: The present research aimed to predict the preventive behaviors of COVID-19 in the light of the Protection Motivation Theory (PMT).Methods: The present cross-sectional research was conducted in 2 months (March 2020-April 2020) in Hormozgan Province of Iran. The research population comprised all residents above 15 years of age. They received an online questionnaire survey in two parts, demographic information along with PMT constructs. To analyze the data, independent t-test and one-way anova test, Multiple linear regression and the statistical technique of path analysis and structural equation modeling was used. All statistical calculations and hypothesis testing were performed using spss21 and Amos21 software and a significant level of hypothesis testing was considered to be 0.05Results: A total number of 2,032 subjects participated in this research, the mean age of whom was 34.84±9.8 (R=15-98). The majority of participants were between 31 - 40 years old, female (60.4%), married (72%), urban residents (87.3%), holding a Bachelor’s degree or higher (58.8%) and employed (58.8%). Statistically significant positive correlation coefficients were estimated between preventive behaviors of COVID-19 and perceived vulnerability (r=0.192, p<0.001), perceived severity (r=0.092, p<0.001), response efficacy (r=0.398, p<0.001) ,self efficacy (r=0.497, p<0.001) and protection motivation (r=0.595, p<0.001). Statistically significant negative correlations were found between behavior and maladaptive behavior rewards (r=-0.243, p<0.001) and perceived costs (r=-0.121, p<0.001). Conclusions: The present findings showed that maladaptive behavior reward and fear predicted protective behaviors negatively; response efficacy and self-efficacy predicted protective behaviors positively. The effect of self-efficacy was the strongest among all. The information provided in this research can contribute to policy-making in the country.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alireza Ansari-Moghaddam ◽  
Maryam Seraji ◽  
Zahra Sharafi ◽  
Mahdi Mohammadi ◽  
Hassan Okati-Aliabad

Abstract Background Many efforts are being made around the world to discover the vaccine against COVID-19. After discovering the vaccine, its acceptance by individuals is a fundamental issue for disease control. This study aimed to examine COVID-19 vaccination intention determinants based on the protection motivation theory (PMT). Methods We conducted a cross-sectional study in the Iranian adult population and surveyed 256 study participants from the first to the 30th of June 2020 with a web-based self-administered questionnaire. We used Structural Equation Modeling (SEM) to investigate the interrelationship between COVID-19 vaccination intention and perceived susceptibility, perceived severity, perceived self-efficacy, and perceived response efficacy. Results SEM showed that perceived severity to COVID-19 (β = .17, p < .001), perceived self-efficacy about receiving the COVID-19 vaccine (β = .26, p < .001), and the perceived response efficacy of the COVID-19 vaccine (β = .70, p < .001) were significant predictors of vaccination intention. PMT accounted for 61.5% of the variance in intention to COVID-19 vaccination, and perceived response efficacy was the strongest predictor of COVID-19 vaccination intention. Conclusions This study found the PMT constructs are useful in predicting COVID-19 vaccination intention. Programs designed to increase the vaccination rate after discovering the COVID-19 vaccine can include interventions on the severity of the COVID-19, the self-efficacy of individuals receiving the vaccine, and the effectiveness of the vaccine in preventing infection.


2021 ◽  
Author(s):  
Alireza Ansari-Moghaddam ◽  
Maryam Seraji ◽  
Zahra Sharafi ◽  
Mahdi Mohammadi ◽  
Hassan Okati-Aliabad

Abstract BackgroundMany efforts are being made around the world to discover the vaccine against COVID-19. After discovering the vaccine, its acceptance by individuals is a fundamental issue for disease control. This study aimed to examine COVID-19 vaccination intention determinants based on the protection motivation theory (PMT). Methods We conducted a cross-sectional study in the Iranian adult population and surveyed study participants from the first to the 30th of June 2020 with a web-based self-administered questionnaire. We used Structural Equation Modeling (SEM) to investigate the interrelationship between COVID-19 vaccination intention and perceived susceptibility, perceived severity, perceived self-efficacy, and perceived response efficacy. Results SEM showed that perceived severity to COVID-19 (β=.17, p < .001), perceived self-efficacy about receiving the COVID-19 vaccine (β=.26, p < .001), and the perceived response efficacy of the COVID-19 vaccine (β=.70, p < .001) were significant predictors of vaccination intention. PMT accounted for 61.5% of the variance in intention to COVID-19 vaccination, and response efficacy was the strongest predictor of COVID-19 vaccination intention. ConclusionsThis study found the PMT constructs are useful in predicting COVID-19 vaccination intention. Programs designed to increase the vaccination rate after discovering the COVID-19 vaccine can include interventions on the severity of the COVID-19, the self-efficacy of individuals receiving the vaccine, and the effectiveness of the vaccine in preventing infection.


Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 475
Author(s):  
Tsuyoshi Okuhara ◽  
Hiroko Okada ◽  
Takahiro Kiuchi

During the COVID-19 pandemic, a social lockdown should be put in place and individuals should stay at home. Behavioral change is the only way to prevent the pandemic and overwhelmed healthcare systems until vaccines are available. We aimed to examine the psychological factors that predict staying at home during the COVID-19 pandemic and social lockdown. A total of 1980 participants in Japan completed a survey for this study from May 9 to 11, 2020, when the state of emergency covered all prefectures in the country. Self-reported behavior in terms of staying at home, the perceived severity of the pandemic, vulnerability to the pandemic, response efficacy, and self-efficacy based on protection motivation theory were assessed. Multiple regression analysis showed that perceived severity (standardized β = 0.11, p < 0.001) and self-efficacy (standardized β = 0.32, p < 0.001) significantly predicted greater levels of staying at home, after controlling for socio-demographics. However, perceived vulnerability and response efficacy did not. To encourage people to stay at home during the pandemic and social lockdown, increasing the perceived severity of infection by COVID-19 and self-efficacy in terms of exercising restraint with respect to going out may consequently encourage people to stay at home.


Vaccines ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 528
Author(s):  
Yen-Ju Lin ◽  
Cheng-Fang Yen ◽  
Yu-Ping Chang ◽  
Peng-Wei Wang

This study aimed to compare the differences in motivation to receive a COVID-19 vaccination between frontline physicians and nurses and the Taiwanese public. The associations of threat and coping appraisals, as described in Protection Motivation Theory (PMT), with motivation to receive COVID-19 vaccination were compared between these groups, too. We recruited 279 frontline physicians and nurses and 768 members of the public by a Facebook advertisement. Participants’ motivation to receive COVID-19 vaccination, perceived severity of and vulnerability to COVID-19, self-efficacy and response efficacy of COVID-19 vaccination, response cost of COVID-19 vaccination, and knowledge about the mechanism of COVID-19 vaccination in light of PMT were determined. The results demonstrated that frontline health workers had higher motivation to receive COVID-19 vaccination than the public. Response efficacy and knowledge of COVID-19 vaccination were positively associated with motivation to receive COVID-19 vaccination in both frontline health workers and the public, whereas perceived vulnerability, perceived severity, and response cost of COVID-19 vaccination were positively associated with motivation in the public but not in frontline physicians and nurses. The factors related to motivation to receive COVID-19 vaccination should be considered when designing programs to increase motivation to receive COVID-19 vaccination among frontline health workers and the public.


2019 ◽  
Author(s):  
Emily Jane Kothe ◽  
Mathew Ling ◽  
Barbara Mullan ◽  
Anna Klas

Reducing individual fossil fuel use is an important component of climate change mitigation, but motivating behaviour change to achieve this is difficult. This experimental study tests the impact of Protection Motivation Theory based messages on intention to reduce fossil fuel use in 3803 US adults recruited via Amazon MTurk (mean age = 36.11 years; 51.4% female). Only messages targeting self-efficacy and response efficacy increased intention to reduce fossil fuel use relative to the control group. However, only the self-efficacy message had an impact on its corresponding construct, highlighting the importance of manipulation checks in model testing. Given the urgency of responding to climate change, the potential for additive benefits of effective messages should be considered irrespective of their underlying psychological mechanism. Study preregistration: https://doi.org/10.17605/OSF.IO/2G6BQ. Data related to this manuscript: https://doi.org/10.17605/OSF.IO/2TRBK.


2018 ◽  
Vol 6 (4) ◽  
pp. 709-714 ◽  
Author(s):  
Mohammad Ali Morowatisharifabad ◽  
Mahdi Abdolkarimi ◽  
Mohammad Asadpour ◽  
Mahmood Sheikh Fathollahi ◽  
Parisa Balaee

INTRODUCTION: Theory-based education tailored to target behaviour and group can be effective in promoting physical activity.AIM: The purpose of this study was to examine the predictive power of Protection Motivation Theory on intent and behaviour of Physical Activity in Patients with Type 2 Diabetes.METHODS: This descriptive study was conducted on 250 patients in Rafsanjan, Iran. To examine the scores of protection motivation theory structures, a researcher-made questionnaire was used. Its validity and reliability were confirmed. The level of physical activity was also measured by the International Short - form Physical Activity Inventory. Its validity and reliability were also approved. Data were analysed by statistical tests including correlation coefficient, chi-square, logistic regression and linear regression.RESULTS: The results revealed that there was a significant correlation between all the protection motivation theory constructs and the intention to do physical activity. The results showed that the Theory structures were able to predict 60% of the variance of physical activity intention. The results of logistic regression demonstrated that increase in the score of physical activity intent and self - efficacy increased the chance of higher level of physical activity by 3.4 and 1.5 times, respectively OR = (3.39, 1.54).CONCLUSION: Considering the ability of protection motivation theory structures to explain the physical activity behaviour, interventional designs are suggested based on the structures of this theory, especially to improve self -efficacy as the most powerful factor in predicting physical activity intention and behaviour.


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