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Using behavioural theory to understand adherence to behaviours that reduce transmission of COVID‐19; evidence from the CHARIS representative national study
OBJECTIVES: To examine the ability of four models of behaviour, namely, Protection Motivation Theory (PMT), the Common Sense Self‐Regulation Model (CS‐SRM), and Social Cognitive Theory and the Reasoned Action Approach (SCT and RAA) to understand adherence to transmission‐reducing behaviours (TRBs) a...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8236965/ https://www.ncbi.nlm.nih.gov/pubmed/34000098 http://dx.doi.org/10.1111/bjhp.12533 |
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author | Dixon, Diane Den Daas, Chantal Hubbard, Gill Johnston, Marie |
author_facet | Dixon, Diane Den Daas, Chantal Hubbard, Gill Johnston, Marie |
author_sort | Dixon, Diane |
collection | PubMed |
description | OBJECTIVES: To examine the ability of four models of behaviour, namely, Protection Motivation Theory (PMT), the Common Sense Self‐Regulation Model (CS‐SRM), and Social Cognitive Theory and the Reasoned Action Approach (SCT and RAA) to understand adherence to transmission‐reducing behaviours (TRBs) advised by national governments for suppression of SARS‐CoV2. DESIGN: A series of six cross‐sectional telephone surveys of a random representative sample of adults living in Scotland. METHODS: Self‐reported adherence to three TRBs (physical distancing, wearing a face covering and handwashing), PMT, CS‐SRM, and SCT/RAA constructs, and sociodemographic variables were measured each week for 6 weeks (n = ~500 p/w; third June–15th July) via a 15 min telephone survey. RESULTS: Adherence was high (‘Always’ or ‘Most times’) throughout for physical distancing and handwashing, and, when mandated, for wearing a face covering. Older people were more adherent to all TRBs. Constructs from all three models predicted all three TRBs. Intention and self‐efficacy (SCT/RAA) were the only beliefs to predict to all three TRBs each week and for all groups equally; intention was the strongest predictor. The predictive utility of PMT and CS‐SRM varied by TRB and by group. Of note was the observation that several illness beliefs were associated with adherence only for those who believed they had not had COVID‐19. CONCLUSIONS: The CHARIS project has identified beliefs about specific behaviours, the illness and the risks associated with lower adherence rates that might be addressed in national interventions. It confirms previous findings that some groups show lower levels of adherence and might be specially targeted. |
format | Online Article Text |
id | pubmed-8236965 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-82369652021-06-28 Using behavioural theory to understand adherence to behaviours that reduce transmission of COVID‐19; evidence from the CHARIS representative national study Dixon, Diane Den Daas, Chantal Hubbard, Gill Johnston, Marie Br J Health Psychol Original Articles OBJECTIVES: To examine the ability of four models of behaviour, namely, Protection Motivation Theory (PMT), the Common Sense Self‐Regulation Model (CS‐SRM), and Social Cognitive Theory and the Reasoned Action Approach (SCT and RAA) to understand adherence to transmission‐reducing behaviours (TRBs) advised by national governments for suppression of SARS‐CoV2. DESIGN: A series of six cross‐sectional telephone surveys of a random representative sample of adults living in Scotland. METHODS: Self‐reported adherence to three TRBs (physical distancing, wearing a face covering and handwashing), PMT, CS‐SRM, and SCT/RAA constructs, and sociodemographic variables were measured each week for 6 weeks (n = ~500 p/w; third June–15th July) via a 15 min telephone survey. RESULTS: Adherence was high (‘Always’ or ‘Most times’) throughout for physical distancing and handwashing, and, when mandated, for wearing a face covering. Older people were more adherent to all TRBs. Constructs from all three models predicted all three TRBs. Intention and self‐efficacy (SCT/RAA) were the only beliefs to predict to all three TRBs each week and for all groups equally; intention was the strongest predictor. The predictive utility of PMT and CS‐SRM varied by TRB and by group. Of note was the observation that several illness beliefs were associated with adherence only for those who believed they had not had COVID‐19. CONCLUSIONS: The CHARIS project has identified beliefs about specific behaviours, the illness and the risks associated with lower adherence rates that might be addressed in national interventions. It confirms previous findings that some groups show lower levels of adherence and might be specially targeted. John Wiley and Sons Inc. 2021-05-17 2022-02 /pmc/articles/PMC8236965/ /pubmed/34000098 http://dx.doi.org/10.1111/bjhp.12533 Text en © 2021 The Authors. British Journal of Health Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Original Articles Dixon, Diane Den Daas, Chantal Hubbard, Gill Johnston, Marie Using behavioural theory to understand adherence to behaviours that reduce transmission of COVID‐19; evidence from the CHARIS representative national study |
title | Using behavioural theory to understand adherence to behaviours that reduce transmission of COVID‐19; evidence from the CHARIS representative national study |
title_full | Using behavioural theory to understand adherence to behaviours that reduce transmission of COVID‐19; evidence from the CHARIS representative national study |
title_fullStr | Using behavioural theory to understand adherence to behaviours that reduce transmission of COVID‐19; evidence from the CHARIS representative national study |
title_full_unstemmed | Using behavioural theory to understand adherence to behaviours that reduce transmission of COVID‐19; evidence from the CHARIS representative national study |
title_short | Using behavioural theory to understand adherence to behaviours that reduce transmission of COVID‐19; evidence from the CHARIS representative national study |
title_sort | using behavioural theory to understand adherence to behaviours that reduce transmission of covid‐19; evidence from the charis representative national study |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8236965/ https://www.ncbi.nlm.nih.gov/pubmed/34000098 http://dx.doi.org/10.1111/bjhp.12533 |
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