scholarly journals Adoption of a Contact Tracing App for Containing COVID-19: A Health Belief Model Approach (Preprint)

Author(s):  
Michel Walrave ◽  
Cato Waeterloos ◽  
Koen Ponnet

BACKGROUND To track and reduce the spread of COVID-19, apps have been developed to identify contact with individuals infected with SARS-CoV-2 and warn those who are at risk of having contracted the virus. However, the effectiveness of these apps depends highly on their uptake by the general population. OBJECTIVE The present study investigated factors influencing app use intention, based on the health belief model. In addition, associations with respondents’ level of news consumption and their health condition were investigated. METHODS A survey was administered in Flanders, Belgium, to 1500 respondents, aged 18 to 64 years. Structural equation modeling was used to investigate relationships across the model’s constructs. RESULTS In total, 48.70% (n=730) of respondents indicated that they intend to use a COVID-19 tracing app. The most important predictor was the perceived benefits of the app, followed by self-efficacy and perceived barriers. Perceived severity and perceived susceptibility were not related to app uptake intention. Moreover, cues to action (ie, individuals’ exposure to [digital] media content) were positively associated with app use intention. As the respondents’ age increased, their perceived benefits and self-efficacy for app usage decreased. CONCLUSIONS Initiatives to stimulate the uptake of contact tracing apps should enhance perceived benefits and self-efficacy. A perceived barrier for some potential users is privacy concerns. Therefore, when developing and launching an app, clarification on how individuals’ privacy will be protected is needed. To sustain perceived benefits in the long run, supplementary options could be integrated to inform and assist users.

10.2196/20572 ◽  
2020 ◽  
Vol 6 (3) ◽  
pp. e20572 ◽  
Author(s):  
Michel Walrave ◽  
Cato Waeterloos ◽  
Koen Ponnet

Background To track and reduce the spread of COVID-19, apps have been developed to identify contact with individuals infected with SARS-CoV-2 and warn those who are at risk of having contracted the virus. However, the effectiveness of these apps depends highly on their uptake by the general population. Objective The present study investigated factors influencing app use intention, based on the health belief model. In addition, associations with respondents’ level of news consumption and their health condition were investigated. Methods A survey was administered in Flanders, Belgium, to 1500 respondents, aged 18 to 64 years. Structural equation modeling was used to investigate relationships across the model’s constructs. Results In total, 48.70% (n=730) of respondents indicated that they intend to use a COVID-19 tracing app. The most important predictor was the perceived benefits of the app, followed by self-efficacy and perceived barriers. Perceived severity and perceived susceptibility were not related to app uptake intention. Moreover, cues to action (ie, individuals’ exposure to [digital] media content) were positively associated with app use intention. As the respondents’ age increased, their perceived benefits and self-efficacy for app usage decreased. Conclusions Initiatives to stimulate the uptake of contact tracing apps should enhance perceived benefits and self-efficacy. A perceived barrier for some potential users is privacy concerns. Therefore, when developing and launching an app, clarification on how individuals’ privacy will be protected is needed. To sustain perceived benefits in the long run, supplementary options could be integrated to inform and assist users.


2019 ◽  
Author(s):  
Triana Kesuma Dewi ◽  
Karlijn Massar ◽  
Robert A.C. Ruiter ◽  
Tino Leonardi

Background. Breast cancer has become one of the most prevalent causes of mortality among Indonesian women. Better prognosis of breast cancer will be achieved if it is diagnosed in an earlier stage, thus efforts to detect breast cancer earlier are important. Breast Self-Examination (BSE) is considered as an important first step to encourage women to actively be responsible for their own health, especially for women in developing countries with limited resources and access to other forms of preventive healthcare. The present study aimed to predict BSE behavior among women in Surabaya, Indonesia using the HBM. Methods. This investigation was a cross-sectional survey which was distributed among 1,967 women aged 20-60 years. The Indonesian version of Champion’s Health Belief Model Scale (I-CHBMS) was used to explain self-reported BSE practice. Logistic regression analysis was used to examine the association of HBM variables with BSE practice.Results Almost half of the sample (44.4%) had performed BSE. Further, the results indicated that the HBM variables were significantly associated with BSE practice. Specifically, higher perceived benefits and self-efficacy, lower perceived barriers and less cues to action were unique correlates of BSE behavior. The result also showed that perceived severity and susceptibility were not associated with BSE behavior. Conclusion. This study indicated that several HBM constructs significantly associated with BSE behavior among Indonesian women, suggesting that BSE health education programs should emphasize the perceived benefits of BSE, focus on increasing women’s self-efficacy to address and overcome perceived barriers in performing BSE, and help them in identifying personally relevant cues to action.


2020 ◽  
Author(s):  
Masoumeh Rostami-Moez ◽  
Mohammad Rabiee-Yeganeh ◽  
Mohammadreza Shokouhi ◽  
Amin Dosti-Irani ◽  
Forouzan Rezapur-Shahkolai

Abstract Background: Earthquakes are one of the most destructive natural disasters in which many people are injured, disabled, or died. Iran has only one percent of the world's population, but the percentage of its earthquake-related deaths is absolutely higher. Therefore, this study aimed to determine the level of earthquake preparedness of households and its predictors using the Health Belief Model (HBM).Methods: This observational descriptive and analytical study was conducted on 933 households in Hamadan province, located in the west of Iran, in 2019. Multi-stage cluster random sampling was used for selecting the participants. The inclusion criteria were being at least 18 years old and being able to answer the questions. A questionnaire was used for data collection including earthquake preparedness, awareness of earthquake response, predictors of earthquake preparedness based on the HBM, and demographic information. Analysis of variance, independent t-test, and a linear regression model was used.Results: The mean age of participants was 38.24 ±12.85 years. The average score of earthquake preparedness was low (approximately 30%). There was a significant relationship between earthquake preparedness and gender (P < 0.001), homeownership (P < 0.001), marriage status (P < 0.001), education (P < 0.001), and previous earthquake experience (P < 0.001). Regarding the HBM constructs, perceived benefits (P < 0.001), cues to action (P < 0.001), and self-efficacy (P < 0.001) were significant predictors of earthquake preparedness. Conclusions: Earthquake preparedness was insufficient. Besides, perceived benefits, cues to action, and self-efficacy were predictors of earthquake preparedness. These predictors can be taken into account, for designing and implementing related future interventions.


SAGE Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. 215824402110688
Author(s):  
Shian-Yang Tzeng ◽  
Tzu-Ya Ho

Although the health belief model (HBM) has been widely applied in health behavior research, it cannot fully account for dietary supplement (DS) consumption. This study proposed a second-stage moderation model to empirically examine the mediating role of product knowledge and the moderating effects of trust and distrust in the HBM. Surveys were conducted both online and offline in first-tier Chinese cities; 768 effective samples were collected. Structural equation modeling was employed to test the hypotheses. The findings indicated that perceived susceptibility was a better predictor of attitude toward DS products. Second, perceived susceptibility’s effect on product attitude occurred through product knowledge. Third, trust in manufacturers positively affected product knowledge’s effect on product attitude. Based on these findings, to promote DS consumption, marketers can leverage consumers’ perceived susceptibility to illness, associate the benefits and efficacy of DSs with consumers’ health knowledge, and emphasize their production of high-quality DSs.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Triana Kesuma Dewi ◽  
Karlijn Massar ◽  
Robert A. C. Ruiter ◽  
Tino Leonardi

Abstract Background Breast cancer has become one of the most common causes of mortality among Indonesian women. Many women in Indonesia present with late-stage breast cancer, negatively affecting prognosis and treatment outcomes. Better prognosis of breast cancer will be achieved if it is diagnosed in an earlier stage, thus efforts to detect breast cancer earlier are important. Breast Self-Examination (BSE) is considered as an important first step to encourage women to actively be responsible for their own health, especially for women in low-and middle-income countries with limited resources and access to other forms of preventive healthcare (e.g., screening programs). The present study aimed to predict BSE practice among women in Surabaya, Indonesia using the Health Belief Model (HBM). Methods This investigation was a cross-sectional survey which was distributed among 1967 women aged 20–60 years. The Indonesian version of Champion’s Health Belief Model Scale (I-CHBMS) was used to explain self-reported BSE practice. Logistic regression analysis was used to examine the association of HBM variables with BSE practice. Results 44.4% of the respondents indicated they had performed BSE. Further, the results indicated that the HBM variables were significantly associated with BSE practice. Specifically, higher perceived benefits and self-efficacy, lower perceived barriers and less cues to action were unique correlates of BSE practice. The result also showed that perceived severity and susceptibility were not associated with BSE practice. Conclusion This study indicated that several HBM constructs significantly associated with BSE practice among Indonesian women, suggesting that BSE health education programs should emphasize the perceived benefits of BSE, focus on increasing women’s self-efficacy to address and overcome perceived barriers in performing BSE, and help them in identifying personally relevant cues to action.


2021 ◽  
Author(s):  
Hao Chen ◽  
Xiaomei Li ◽  
Junling Gao ◽  
Xiaoxi Liu ◽  
Yimeng Mao ◽  
...  

BACKGROUND The control of vaccine hesitancy and the promotion of vaccination are key protective measures against COVID-19. OBJECTIVE This study assesses the prevalence of vaccine hesitancy and the vaccination rate and examines the association between factors of the health belief model (HBM) and vaccination. METHODS A convenience sample of 2531 valid participants from 31 provinces and autonomous regions of mainland China were enrolled in this online survey study from January 1 to 24, 2021. Multivariable logistic regression was used to identify the associations of the vaccination rate and HBM factors with the prevalence of vaccine hesitancy after other covariates were controlled. RESULTS The prevalence of vaccine hesitancy was 44.3% (95% CI 42.3%-46.2%), and the vaccination rate was 10.4% (9.2%-11.6%). The factors that directly promoted vaccination behavior were a lack of vaccine hesitancy (odds ratio [OR] 7.75, 95% CI 5.03-11.93), agreement with recommendations from friends or family for vaccination (OR 3.11, 95% CI 1.75-5.52), and absence of perceived barriers to COVID-19 vaccination (OR 0.51, 95% CI 0.35-0.75). The factors that were directly associated with a higher vaccine hesitancy rate were a high level of perceived barriers (OR 1.63, 95% CI 1.36-1.95) and perceived benefits (OR 0.51, 95% CI 0.32-0.79). A mediating effect of self-efficacy, influenced by perceived barriers (standardized structure coefficient [SSC]=−0.71, <i>P</i>&lt;.001), perceived benefits (SSC=0.58, <i>P</i>&lt;.001), agreement with recommendations from authorities (SSC=0.27, <i>P</i>&lt;.001), and agreement with recommendations from friends or family (SSC=0.31, <i>P</i>&lt;.001), was negatively associated with vaccination (SSC=−0.45, <i>P</i>&lt;.001) via vaccine hesitancy (SSC=−0.32, <i>P</i>&lt;.001). CONCLUSIONS It may be possible to increase the vaccination rate by reducing vaccine hesitancy and perceived barriers to vaccination and by encouraging volunteers to advocate for vaccination to their friends and family members. It is also important to reduce vaccine hesitancy by enhancing self-efficacy for vaccination, due to its crucial mediating function.


2020 ◽  
Author(s):  
Masoumeh Rostami-Moez ◽  
Mohammad Rabiee-Yeganeh ◽  
Mohammadreza Shokouhi ◽  
Amin Dosti-Irani ◽  
Forouzan Rezapur-Shahkolai

Abstract Background : Earthquakes are one of the most destructive natural disasters in which many people are injured, disabled, or died. Although Iran has only one percent of the world's population, its earthquake-related deaths are six percent. Therefore, this study aimed to determine the level of earthquake preparedness of households and its predictors using the Health Belief Model (HBM) . Methods : This observational descriptive and analytical study was conducted on 933 households in Hamadan province, located in the west of Iran, in 2019. Multistage random cluster sampling was used for selecting the participants. The inclusion criteria were being at least 18 years old and being able to answer the questions. A questionnaire was used for data collection including earthquake preparedness, awareness of earthquake response, predictors of earthquake preparedness based on the HBM, and demographic information. Analysis of variance, independent t-test, and a linear regression model was used . Results : The mean age of participants was approximately 38.29 ±12.80 years. Furthermore, 60.83% of the participants did not complete a post-secondary education. The earthquake preparedness was low (approximately 30%) among households. There was a significant relationship between earthquake preparedness and gender, homeownership, marriage status, and previous earthquake experience (P <0.001). Regarding the HBM constructs, perceived benefits, cues to action, and self-efficacy were significant predictors of earthquake preparedness (P <0.01). conclusions: Earthquake preparedness was insufficient. Besides, perceived benefits, cues to action, and self-efficacy were predictors of earthquake preparedness. It is suggested that health providers take into account these predictors for designing future interventions. Keywords : Crises, Hazards, Health promotion, Health education, Natural disasters, Safety


2021 ◽  
Vol 4 (1) ◽  
pp. 47-61
Author(s):  
Nurna Ningsih ◽  
Hartati Bahar ◽  
Fikki Prasetya

The initial entry of Covid-19 in Muna was 8 cases with the highest number of cases in Southeast Sulawesi. This study aims to determine the behavior of preventing Covid-19 by implementing health protocols at the Transportation Service Office based on the theory of the health belief model. This study uses a qualitative design with a phenomenological approach. Data collected through in-depth interviews, observation and documentation. The results based on the Perceived suspectibility factor informants know that people who are susceptible to Covid-19 are people who are old, people who work in community services. Based on Perceived saverity, the informant said that Covid-19 is a pandemic so it is dangerous because of its transmission, and if infected with Covid-19 it can worsen the condition of people who have congenital diseases. Based on Perceived benefits, informants feel the perceived benefits of implementing health protocols in addition to preventing Covid-19 are also useful for daily life. For Perceived barriers, informants feel obstacles in implementing health protocols such as the use of masks because of the small amount of air they breathe. Meanwhile, the Threat factor, informants feel that when they do not apply the health protocol, they feel afraid or anxious. Self-efficacy informants feel confident in carrying out health protocols because they feel safe. Conclusions based on the theory of health belief model, it is concluded that perceived vulnerability factors, perceived benefits, perceived barriers, threats and self-efficacy indicate the behavior of implementing health protocols at the Transportation Service Office in preventing Covid-19.


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