scholarly journals COVID-19-related health behaviour changes among Ghanaians: applying the health belief model

Author(s):  
Margaret Amankwah-Poku

Although the Coronavirus disease2019 (COVID-19)is a physical illness, it very much requires behavioural practices to prevent its infection and transmission. Coronavirus protective measures may sound simple to adhere to compared to chronic disease-related behavioural practices, but this is not the case. Understanding adherence to COVID-19-related health behaviours using the health belief model as an explanatory model, can help to design interventions for change and maintenance of this change. The health belief model posits that, practicing a health behaviour depends on the individual’s perceived susceptibility to a disease, his/her perceived severity of the disease, and the perceived benefits/cost of engaging in the health behaviour, all of which are prompted by internal and external cues to action. Some Ghanaians may believe they are not susceptible to the disease or may downplay the severity of the disease, and thus will be less likely to engage in the health behaviours to avoid COVID-19 infection. Again, if Ghanaians believe the cost of engaging in these behaviours outweigh the health benefits of adhering to the behaviours, then they are less likely to follow these health behaviours. Finally, internal (e.g. experiencing COVID-19 symptoms) and external (e.g. daily COVID-19 updates) cues may act as triggers to engaging in health behaviours. Ghanaians should be well educated about the coronavirus and well informed, to be equipped to adhere to the COVID-19 protective measures. Clinical and health psychologists should be engaged to champion behaviour change practices.

2020 ◽  
Vol 27 (1) ◽  
Author(s):  
Ayah M. Barakat ◽  
Zeinab A. Kasemy

Abstract Background Coronavirus disease 2019 (COVID-19) is spreading rapidly in the world, and on 11 March 2020, WHO announced the outbreak a global pandemic. Given the severity of this major outbreak and the importance of prevention and protection against the spread of SARS-CoV-2, the predictors of engaging in the preventive behaviours could potentially be of great practical importance as it could help us identify high-risk groups and take the necessary steps towards improving their health behaviour. As the health behavioural response of the Egyptian population during COVID-19 is unknown and the health belief model constructs can be used to explain health behaviour, this study was conducted to assess the preventive behaviours to COVID-19 and the associated role of health belief model constructs over three periods of time; at the beginning of COVID-19 pandemic then 4 weeks and10 weeks later. Results Perceived severity and benefits of health belief model constructs showed significant decrease in the 2nd interview, followed by an increase in the 3rd interview (P < 0.001). Perceived barriers showed a significant increase in the 2nd interview followed by a significant decrease in the 3rd interview (P < 0.001). Knowledge score was significantly lower at the start, then a surge happened in the next interview followed by a slight drop in the 3rd interview (P < 0.001). Preventive behaviours were significantly lower in the 2nd interview then significantly higher in the 3rd interview (P < 0.001). On the analysis of the factors associated with preventive behaviours using multivariate regression, the results determined age, high education, being a health care worker, perceived susceptibility, benefits, barriers and self-efficacy. Conclusions Perceptions of benefits could be increased by tailoring communication strategies to various groups, emphasizing how different people can engage in effective preventive behaviours. Policy makers should pay attention to lower-educated persons living in rural areas being a group with the least engagement in health-protective actions.


2016 ◽  
Vol 23 (4) ◽  
pp. 221-225 ◽  
Author(s):  
Krzysztof Sas-Nowosielski ◽  
Andrzej Hadzik ◽  
Joanna Górna ◽  
Małgorzata Grabara

Abstract Introduction. The benefits of physical activity (PA) have been so well documented that there is no doubt about the significance of PA for personal and social health. Several theoretical models have been proposed with a view to understanding the phenomenon of PA and other health behaviours. The purpose of this study was to evaluate if and how the variables suggested in the Health Belief Model (HBM) determine physical activity stages of change in older adults. Material and methods. A total of 172 students of Universities of the Third Age aged 54 to 75 (mean = 62.89 ± 4.83) years agreed to participate in the study, filling out an anonymous survey measuring their stage of exercise change and determinants of health behaviours proposed by the HBM, including: perceived benefits of physical activity, perceived barriers to physical activity, perceived severity of diseases associated with sedentary lifestyle, perceived susceptibility to these diseases, and self-efficacy. Results. The results only partially support the hypothesis that the HBM predicts intentions and behaviours related to the physical activity of older adults. Only two variables were moderately-to-strongly related to stages of exercise change, namely perceived barriers and self-efficacy. Conclusion. Interventions aimed at informing older adults about the benefits of physical activity and the threats associated with sedentary lifestyle can be expected to have rather a weak influence on their readiness for physical activity.


2019 ◽  
Vol 6 (2) ◽  
pp. 398
Author(s):  
Nategh Abbasgholizadeh ◽  
Eslam Moradi-asl ◽  
Malek Abazari ◽  
Davoud Adham

Background: Oral and dental diseases are one of the most common diseases and oral hygiene is one of the important branches of public health which is more important during pregnancy. This study aimed to determine the effect of the educational intervention on oral health behaviours in pregnant mothers.Methods: In this intervention study, 170 pregnant women in the city of Ardabil were randomly selected and divided into two case and control groups (each of 85 people). The data were collected through a researcher-made questionnaire based on the Health Belief Model of oral health care and then they were analysed using the SPSS version 19.Results: Demographic data in both case and control groups were approximately the same. The mean of health belief model variables increased significantly after intervention (P 0.05). Mothers also obtained the most information on the prevention of dental caries before intervention through television programs but after the intervention, they obtained the most information through the curriculum. In this study, before the intervention, 23.7% of mothers used dental floss once a day. After training, this amount reached 40.8% of mothers.Conclusions: Findings showed that educational intervention based on the health belief model can promote oral health behaviours. Therefore, it is recommended to conduct health education courses at the community level.


BJPsych Open ◽  
2021 ◽  
Vol 7 (4) ◽  
Author(s):  
Aziz Kamran ◽  
Khatereh Isazadehfar ◽  
Heshmatolah Heydari ◽  
Ramin Nasimi Doost Azgomi ◽  
Mahdi Naeim

Background Coronavirus disease 2019 (COVID-19), now a global pandemic, is a new, highly contagious, and preventable disease that has caused many deaths across the world. Correct understanding of the risks and following health instructions are among the most important self-care parameters. Aims To assess people's perception of the risks and their adherence to recommended preventive behaviours regarding COVID-19 infection. Method This descriptive–analytical study was conducted with 1861 people residing in Ardabil province in 2020. The data were collected electronically and included four elements: demographic details; health belief model (HBM) constructs (perceived sensitivity, perceived severity and perceived benefits); beliefs about the effectiveness of disease prevention strategies; and complying with health behaviours. The data was analysed using SPSS-21 software. Results Significant differences were found in the mean scores for beliefs about the effectiveness of preventative measures, the constructs of the health belief model, and compliance with preventive behaviours relating to the participants’ gender, age, marital status and level of education. Beliefs and intention to stay at home, collectively predicted 54.7% of the variance in preventive behaviours. Conclusions Although a majority of participants had positive attitudes towards the effectiveness of preventive measures and adhered to them, some people who were not adherent with these healthy behaviours could be key participants in the next wave of the disease.


2021 ◽  
Vol 12 ◽  
Author(s):  
Christiane Eichenberg ◽  
Martin Grossfurthner ◽  
Jeannine Andrich ◽  
Lisa Hübner ◽  
Sybille Kietaibl ◽  
...  

Background: Particularly during the early and middle stages of the COVID-19 pandemic, a population's compliance with precautionary measures (e.g., hygiene rules, smart working, travel restrictions, and quarantine) is paramount in preventing the virus from spreading.Objective: The investigation and documentation of different socio-demographic and personality-specific factors in regards to preventative measures and consequent specific health behaviors during the COVID-19 pandemic, based on the Health Belief Model.Method: An online survey was conducted on N = 3,006 individuals living in Germany and Austria during the early stages of lockdown. The questionnaire consisted of a self-administered section, exploring the dimensions posited in the Health Belief Model: perceived severity, perceived susceptibility, perceived barriers, perceived benefits of health-promoting measures, and engagement in health-promoting behaviors. Additionally, the following standardized scales were used to record personality determinants: the Stress Coping Style Questionnaire SVF 78 to evaluate coping and processing strategies in stressful circumstances, the Positive and Negative Affect Schedule (PANAS) to assess the emotional state induced by the coronavirus crisis, the UI-18 scale to diagnose the intolerance of uncertainty, and the State-Trait Anxiety Inventory (STAI) to assess anxiety.Results: In line with the Health Belief model, four groups were created based on perceived susceptibility and engagement in health-promoting behaviors, and consequently studied in relation to personality determinants. Those four groups differed significantly in regards to almost all personality dimensions (p ≤ 0.005). Group 1 (n = 450) shows a reduced engagement with protective measures and displays underestimation of the COVID-19-pandemic. Group 2 (n = 984) displays many positive personality variables and high compliance with protective measures. Group 3 (n = 468) perceives the subjective risk of disease as high, but high emotional discomfort and stress caused by the protective measures leads to the activation of a complex fear defense. Group 4 (n = 1,004) is highly anxious and therefore compliant.Conclusion: This typification has implications for establishing the appropriate support systems. This is particularly important to encourage compliance with preventive regulations within the groups, which showed poor abidance for several reasons. For Group 1, further education on the realistic threat and efficient protective measures is as central as the fostering of empathy for others; with its resource-conscious exemplary behavior Group 2 could be used as a positive social role model. Group 3 would benefit from promoting self-care, while Group 4 requires information on psychosocial assistance availability in order to mitigate the high stress to which the group members are subjected.


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