Preventive Intention Research Articles

The role of social marketing theory in assessing insecticide-treated net usage intentions among pregnant women in Ghana

PurposeDespite the efforts to improve the usage of insecticide-treated nets (ITNs) among pregnant women in endemic malaria countries like Ghana, its usage still remains low. Therefore, this study aims to assess the intention to use ITNs and actual usage behaviour among pregnant women in Ghana using the integrated model of behaviour prediction (IMBP) and explore factors preventing its usage.Design/methodology/approachA structured questionnaire was administered to 310 respondents using a convenience sampling technique, and the data were analysed using multiple regression. Exploratory data collected through an interview guide was analysed using Kvale and Brinkman’s (2015) five-step approach.FindingsThe findings indicate a significantly positive association between intention to use ITN and actual usage of ITN among pregnant women in Ghana. Attitude and normative beliefs were the most significant predictors of intention to use ITNs among pregnant women. The result further shows that despite the generally positive perception of the effectiveness of the ITN in malaria prevention and positive intention to use it, its actual usage remains low because of discomfort (primarily associated with heat, irritation, heat rashes, suffocation and vomiting, size and design, reactions to ITN’s chemicals and misconceptions about ITNs causing cancer. In this study, the implications are discussed.Originality/valueThis study applied the IMBP to ITNs usage intention among pregnant women in a developing market context and found the model to predict ITN usage intention effectively.

Explaining Resistance to the COVID-19 Preventive Measures: A Psychological Reactance Perspective

This paper examines the impact that psychological reactance has on the COVID-19 adherence-related behavior and vaccine motivations of the residents of Saudi Arabia. A cross-sectional, online survey was administered, and 604 usable responses were analyzed to discover the level of psychological reactance, and its impact on adherence to COVID-19 preventive measures and vaccine intentions. Results of the Kruskal–Wallis H test demonstrated statistically significant evidence (p < 0.05) of differences between the mean ranks for four out of seven key COVID-19 preventive measures studied, and four out of five items related to vaccine motivations, as a result of psychological reactance. These results suggest that while the majority of the population is adhering to COVID-19 preventive measures, for the subset of the population that are not fully compliant, psychological reactance is a significant factor in influencing behavior. Governments are, therefore, recommended to ensure that their public health messages are autonomy supporting, and take into consideration psychological and personality-based differences in individuals.

COVID-19 prevention behaviors, trust, and intent to vaccinate among youth at risk for HIV.

The current study examines COVID-19 prevention behaviors and vaccine intentions among 83 youth at high risk for HIV. Most youth self-identified as Latinx (52%), cisgender men (84%), and homosexual (66%). Youth self-reported COVID-19 prevention behaviors and intentions to vaccinate. Participants reported wearing face masks, washing hands, and staying six feet apart, but fewer reported leaving home only for essential needs. About one-third reported that they would not get a vaccine, and lack of trust in their doctors and the government were significantly associated with non-intention. To improve efforts towards herd immunity, interventions to improve health messaging from trusted sources for at-risk youth may be necessary to achieve higher vaccine uptake.

Factors of the COVID-19 Prevention Intention of Nursing Students －Application of the Expanded Health Belief Model

Purpose : This study was carried out to provide basic data for the enhancement of COVID-19 prevention intention by determining the effects of the health belief variables(perceived seriousness, perceived susceptibility, perceived benefits, and perceived barriers), shame, and fear of nursing students on the COVID-19 prevention intention. Methods : Data collection was conducted from November 1 to 30 using an online survey of nursing students at one college institute, and the final 274 survey responses were statistically analyzed using the SPSS program. Results : The research results of the regression analysis that controlled the variables that exhibited statistically significant differences in the general characteristics of the nursing students revealed that perceived benefits, perceived susceptibility, and fear were variables that have statistically significant impact on the COVID-19 prevention intention, and the explanatory power was 41.9%. Conclusion : Therefore, the timely provision of accurate knowledge regarding COVID-19 and information on the social infection situation as well as emphasis of the benefits gained from the preventive behavior of nursing students will necessary when establishing a COVID-19 education program for nursing students.

Exploring the influence of cultural and health beliefs on intentions to adopt COVID-19 prevention measures

ABSTRACT This study explores how individuals react to COVID-19 prevention measures in relation to their national cultural values and health belief factors. Specifically, guided by the most relevant Hofstede’s cultural dimensions and the health belief model (HBM), this study tested a conceptual framework through conducting a survey of the U.S. adult population. The study results did not support Hofstede’s classification of the U.S. to be among the most individualistic culture with the lowest level of uncertainty avoidance in the world. Demographic factors such as ethnicity, gender, age, and education were found to be significantly related to collectivistic tendency and/or uncertainty avoidance. Findings also demonstrated that the tendency for collectivism and uncertainty avoidance were both relevant to people’s intention to adopt COVID-19 prevention measures. Results of testing the HBM variables revealed that perceived barriers, perceived self-efficacy, and cues to action were significantly related to preventive behavioral intentions. This study highlights the importance of considering subculture factors when promoting COVID-19 preventive measures in a multicultural society.

Preventive Behavior Intentions for Polycystic Ovary Syndrome in Young Students.

Objective: Polycystic ovary syndrome (PCOS) is among the most common, yet treatable causes of infertility. This study explored how South Korean female college students' health beliefs and knowledge of PCOS are associated with their preventive behavior intentions. Methods: Data for this cross-sectional study were collected using an online survey of 328 female university students from July 25 to August 30, 2020. Data were analyzed using the chi-squared test and t-test, Pearson's r, and hierarchical multiple regression analysis. Results: The average age of participants was 21.67 years, 7.3% of whom had been diagnosed with PCOS. Perceived disability (β = 0.30, P < 0.001) and perceived benefit (β = 0.26, P < 0.001) of health behavior were associated with preventive behavior intentions. However, knowledge was not a significant factor. Conclusions: Health beliefs are related to the preventive behavior intentions of women with PCOS. Education to strengthen health beliefs should be provided to female university students.

A Peer Group Education Intervention to Improve Awareness, Knowledge and Preventive Behavioral Intentions for Pelvic Inflammatory Disease (PID)Among Rural Communities in South-Eastern Nigeria

A Peer Group Education Intervention to Improve Awareness, Knowledge and Preventive Behavioral Intentions for Pelvic Inflammatory Disease (PID)Among Rural Communities in South-Eastern Nigeria

Cancer Information Overload Across Time: Evidence from Two Longitudinal Studies

ABSTRACT A majority of U.S. adults report feeling overwhelmed by the amount of available cancer information, termed cancer information overload (CIO). Research has demonstrated CIO is prevalent and negatively related to health behaviors, but no study to date has examined this disposition across time. Two longitudinal studies – a colonoscopy intervention among older U.S. adults (N = 237) and an HPV vaccination intervention among young U.S. women (N = 411) – were utilized to examine CIO stability across time and its relationship to prevention intentions and indifference. CIO increased indifference for non-adherent individuals but had no effect on intentions. CIO was stable in study 1 but not study 2, suggesting CIO stabilizes across the life course. Results also support a five-item measure of CIO.

Applying the theory of planned behaviour to littering prevention behaviour in a developing country (Nigeria)

Guided by the Theory of Planned Behaviour, this study investigates littering attitudes, social norms, and perceived behavioural control as predictors of the intention to prevent littering and actual littering prevention behaviour among residents of a developing country (Nigeria). The study employed a survey questionnaire to collect cross-sectional data. By applying structural equation modelling it was found that people who intend to prevent littering are also more likely to engage in actual littering prevention behaviour. At the same time, the perceived behavioural control had a significant influence on littering prevention intention. The study's findings can assist waste managers in formulating policies and interventions targeting behavioural intention and perceived behavioural control to foster littering prevention. Further, environmental managers should engage applied social and environmental psychologists or social scientists to design such behaviour change programmes.

COVID-19 Message Fatigue: How Does It Predict Preventive Behavioral Intentions and What Types of Information are People Tired of Hearing About?

ABSTRACT This study examines the impact of message fatigue and what makes people fatigued in the context of the COVID-19 pandemic. Data collected with a Qualtrics panel (N = 744) showed that both active (i.e., reactance) and passive (i.e., inattention) resistance in message processing mediated the relationships between message fatigue and intentions to follow three types of preventive behaviors against COVID-19 (i.e., wearing masks, social distancing, and washing hands). The indirect effect of message fatigue on intention to seek COVID-19 information was explained by inattention but not reactance. Analyses of open-ended responses identified 18 types of COVID-related information that individuals were tired of hearing about. About 73.38% of participants (n = 546) reported that they were tired of hearing about at least one type of information about COVID-19, with mask-wearing being the most frequently mentioned (21.91%). The results extend existing research on message fatigue-evoked resistance to persuasion and provide practical implications for public health message design.

Thinking about Social Consequences of COVID-19 Influenced Preventive Intention: The Case of South Korea

ABSTRACT Although South Korea has been relatively successful in addressing the COVID-19 pandemic, there were controversies surrounding the negative social consequences (SC) associated with the infection, such as breach of privacy in contact tracing and stigmatization of patients. We examined how individuals’ thinking about the SC of COVID-19 infection influenced preventive intention through this specific case, the early phase of the pandemic in South Korea (March, 2020) when concerns regarding SC were very high but vaccines were not available. We theoretically investigated the path from information exposure about COVID-19, worry and risk perception about SC of COVID-19, attitudes/norms/self-efficacy, and preventive intention. An online survey of 805 South Koreans revealed that information exposure about COVID-19 was positively associated with worry and risk perception about the SC, which indirectly predicted preventive intention through attitudes/norms/self-efficacy. As COVID-19 is a new disease, people learned about it from various sources, and contemplated (worry and risk perception) its negative social outcomes. To avoid such negative SC, they might have changed their beliefs toward preventive behavior, which influenced preventive intention. Given that both worry (affective–cognitive state) and risk perception (cognitive evaluation) are related to thinking activities, the findings suggest that individuals’ thinking about negative SC of COVID-19 infection might have partly contributed to the success of the early South Korean quarantine model. However, the results also raise critical questions as to how we can protect individuals’ lives during a public health crisis.

Sexual and procreation preferences of adolescents and young adults infected perinatally with HIV in Southeast Nigeria: a hospital-based cross-sectional study.

children with perinatal human immunodeficiency virus (HIV) infection now survive to adolescence and adulthood and so are confronted with issues related to sexuality and sexual reproductive health. This study is aimed at determining the sexual knowledge and behaviours of these adolescents, determining their procreation intention and the impact of their age, gender and understanding of the mother to child transmission risk on their procreation intention. a hospital-based cross-sectional study of adolescents and young adults aged 15-24 years infected with HIV in the perinatal period, accessing tertiary care in Enugu. A pretested questionnaire was used to obtain information about socio-demographic variables, sexual knowledge and behaviour, procreation intention and knowledge of prevention of mother-to-child transmission of HIV. Data analysis was descriptive and a test association using fisher´s chi square was done on the variables. seventy-one adolescents were studied. The majority (95.8%) were less than 20 years of age. Mean age was 17.01 ± 1.80 years with M: F ratio of 1:1.7. Nineteen (26.8%) were sexually active with 15 (78.9%) having single partners. About 80% had their first sexual activities before the age of 18 years. Fifty-six (78.9%) received some form of sex education. Only gender and socio-economic status was significantly related to marriage and procreation intentions of respondents. there´s need for sustained/intensive education programs and policy on sexual practices with focus on perinatally infected adolescents who may not be well informed on risk and consequences of their sexual preferences.

Primary care physicians' opioid-related prevention behaviors and intentions: A descriptive analysis.

Primary care physicians (PCPs) are positioned to mitigate opioid morbidity and mortality, but their engagement in primary, secondary, and tertiary opioid-related prevention behaviors is unclear. The objective of this study was to evaluate Tennessee PCPs' engagement in and intention to engage in multiple opioid-related prevention behaviors. A survey instrument was developed, pretested, and pilot tested with practicing PCPs. Thereafter, a census of eligible Tennessee PCPs was conducted using a modified, four-wave tailored design method approach. Three patient scenarios were employed to assess physician intention to engage in 10 primary, secondary, and tertiary prevention behaviors. Respondents were asked to report, given 10 similar scenarios, the number of times (0-10) they would engage in prevention behaviors. Descriptive statistics were calculated using SPSS version 25. A total of 296 usable responses were received. Physician intention to engage in prevention behaviors varied across the 10 behaviors studied. Physicians reported frequently communicating risks associated with prescription opioids to patients (8.9 ± 2.8 out of 10 patients), infrequently utilizing brief questionnaires to assess for risk of opioid misuse (1.7 ± 3.3 out of 10 patients), and screening for current opioid misuse (3.1 ± 4.3 out of 10 patients). Physicians reported seldomly co-prescribing naloxone for overdose reversal and frequently discharging from practice patients presenting with an opioid use disorder. This study noted strengths and opportunities to increase engagement in prevention behaviors. Understanding PCPs' engagement in opioid-related prevention behaviors is important to effectively target and implement morbidity and mortality reducing interventions.

An Integrated Approach to COVID-19 Preventive Behaviour Intentions: Protection Motivation Theory, Information Acquisition, and Trust

ABSTRACT COVID-19 has been a global threat since November 2019 due to its high transmission rates and the issue of unwillingness to vaccinate. Effective risk management requires accurate health communication and public compliance with reccomended preventive behaviors. Therefore, we investigated predictors of COVID-19 preventive behavior intention based on Protection Motivation Theory (PMT) in addition to frequency of public’s use of and trust in a group of COVID-19 related information sources. This cross-sectional study was conducted on 458 adults in Turkey with online survey. Results showed that all PMT components (except perceived susceptibility) accounted for 49% of the variance in protection motivation and there was relationship between information sources and protection motivation. Overall, our study findings suggested that being more informed and having confidence in the feasibility (self-efficacy) and effectiveness (response efficacy) of preventive behaviors may particularly help slow the disease spread.

Looking Back and Looking Forward: (Re)Interpreting Consumer Insights in a Time of Transition

Looking Back and Looking Forward: (Re)Interpreting Consumer Insights in a Time of Transition

미디어 이용, 사회적 상황, 낙관적 편견이 코로나19 예방행동의도에 미치는 영향에 관한 연구

This paper studied the influence of media use, social circumstances and optimistic bias on COVID-19 preventive behavior intention. The hypotheses of the paper consist of three parts. First, the paper investigated the effects of media use on COVID-19 preventive behavior intention. Second, the effects of social circumstances on COVID-19 preventive behavior intention were analyzed. Finally, the effect of optimistic bias on COVID-19 preventive behavior intention was analyzed. Those hypotheses were verified using a survey of 1000 adults in Korea conducted by the Korea Press Foundation. The results showed that women and older people were more likely to show preventive behavior intention. The uses of internet portal services and the government home page were positively related to but face-to-face communication was negatively related to COVID-19 preventive behavior intention. The evaluations of medical center response, and others response were positively related to COVID-19 preventive behavior intention. Finally, optimistic bias was negatively related to COVID-19 preventive behavior intention.&#x0D;

The Paradox of Conspiracy Theory: The Positive Impact of Beliefs in Conspiracy Theories on Preventive Actions and Vaccination Intentions during the COVID-19 Pandemic.

This study aims to analyze the direct and indirect impact of beliefs in conspiracy theories on COVID-19-related preventive actions and vaccination intentions. The dominant theory in the literature is that beliefs in conspiracy theories have negative consequences. In particular, strong beliefs in conspiracy theories lower people’s intentions to engage in preventive actions and get vaccinated. Previous studies indicated that this dominant theory applies in Korea as well. However, we find that this dominant theory does not apply in Korea. Based on an analysis of survey data, we find that beliefs in conspiracy theories have positive impact on preventive actions and vaccination intentions. In addition, beliefs in conspiracy theories play indirect roles in these two responses to COVID-19. Specifically, when perceived benefits and trust in the government or science enhance preventive actions or increase vaccination intentions, strong beliefs in conspiracy theories promote this effect. This positive role of conspiracy theories is paradoxical because they are generally viewed as negative.

Do it for others! The role of family and national group social belongingness in engaging with COVID-19 preventive health behaviors

COVID-19 is an unprecedented threat and an effective response requires a collective effort: engagement in preventive health behaviors, even from people at low risk. Previous research demonstrates that belongingness to social groups can promote prosocial, preventive health behaviors. The current research tests the effects of belongingness to two types of groups, intimate (family) and social category (nation), on intentions to comply with preventive health behaviors and reasons for these behaviors. We conducted three studies using French participants at low risk of grave effects from COVID-19 (total N = 875). In Study 1, across three time periods, belongingness was correlated with greater intentions to comply with preventive behaviors when these behaviors were not enforced by law. In Study 2, we experimentally manipulated threat to belongingness (vs. no threat). When belongingness was threatened, participants were less concerned with protecting vulnerable people. Closeness to family predicted preventive behavior intentions and both self-centered and prosocial reasons for these behaviors, regardless of condition. National identification buffered the negative effects of the threat to belongingness condition on preventive behavior intentions. In Study 3, we experimentally primed thoughts of belongingness to family vs. nation vs. control condition. We found greater intentions to engage in preventive behaviors and greater concern with protecting oneself and close relatives in the family condition. In summary, belongingness to one's family promotes preventive behavior intentions and the reasons given are to protect both oneself and others. Self-reported (but not primed) national identification can be related to prevention behavior intentions under certain conditions.

Investigating the Determinants of Greek Households Food Waste Prevention Behaviour

Food waste prevention is globally an urgent policy priority. Multiple studies have demonstrated that in the developed world, households are the main producers of food waste along the food supply chain, being responsible for about half of the edible food wasted. This study aims to analyse consumers’ food waste behaviour and identify the factors that influence food waste generation in Greek households. A survey of 921 Greek households was conducted using a structured questionnaire based on the explanatory framework of the Theory of Planned Behaviour, which is currently the most widely used cognitive model in environmental psychology. The study investigated the validity of relations between the main model parameters (attitude towards food waste, subjective norms, perceived behavioural control, intention, and self-reported behaviour), in addition to knowledge regarding food waste prevention, general environmental knowledge, planning and shopping habits and demographic characteristics. Results demonstrated that food waste prevention Intention and food provisioning habits are direct determinants of food waste generation Behaviour. Intention was predominantly determined by General Environmental Attitude, followed by Perceived Behavioural Control, Attitude towards Food Waste, and Consequences/Outcomes of waste prevention, while Subjective Norms did not exert a statistically significant influence, indicating that formal and informal environmental education can positively influence food waste prevention behaviour through a combination of experiential actions and instruction. The findings of the study can inform policymaking and support the development of effective campaigns for food waste prevention at the consumption stage.

Intervening on Trust in Science to Reduce Belief in COVID-19 Misinformation and Increase COVID-19 Preventive Behavioral Intentions: Randomized Controlled Trial.

BackgroundTrust in science meaningfully contributes to our understanding of people’s belief in misinformation and their intentions to take actions to prevent COVID-19. However, no experimental research has sought to intervene on this variable to develop a scalable response to the COVID-19 infodemic.ObjectiveOur study examined whether brief exposure to an infographic about the scientific process might increase trust in science and thereby affect belief in misinformation and intention to take preventive actions for COVID-19.MethodsThis two-arm, parallel-group, randomized controlled trial aimed to recruit a US representative sample of 1000 adults by age, race/ethnicity, and gender using the Prolific platform. Participants were randomly assigned to view either an intervention infographic about the scientific process or a control infographic. The intervention infographic was designed through a separate pilot study. Primary outcomes were trust in science, COVID-19 narrative belief profile, and COVID-19 preventive behavioral intentions. We also collected 12 covariates and incorporated them into all analyses. All outcomes were collected using web-based assessment.ResultsFrom January 22, 2021 to January 24, 2021, 1017 participants completed the study. The intervention slightly improved trust in science (difference-in-difference 0.03, SE 0.01, t1000=2.16, P=.031). No direct intervention effect was observed on belief profile membership, but there was some evidence of an indirect intervention effect mediated by trust in science (adjusted odds ratio 1.06, SE 0.03, 95% CI 1.00-1.12, z=2.01, P=.045) on membership in the “scientific” profile compared with the others. No direct nor indirect effects on preventive behaviors were observed.ConclusionsBriefly viewing an infographic about science appeared to cause a small aggregate increase in trust in science, which may have, in turn, reduced the believability of COVID-19 misinformation. The effect sizes were small but commensurate with our 60-second, highly scalable intervention approach. Researchers should study the potential for truthful messaging about how science works to serve as misinformation inoculation and test how best to do so.Trial RegistrationNCT04557241; https://clinicaltrials.gov/ct2/show/NCT04557241International Registered Report Identifier (IRRID)RR2-10.2196/24383