Protection Motivation Theory Components Research Articles

Explaining Changes in Threat Appraisal, Coping Appraisal, and Flood Risk-Reducing Behavior Using Panel Data From a Nation-Wide Survey in Germany

Protection Motivation Theory (PMT) has become a widely-used theoretical framework to explain the risk-reducing behavior of individuals toward flooding and other natural hazards. Despite a quickly growing body of literature applying PMT in the context of flooding, insights into changes in PMT components and risk-reducing behavior are largely lacking due to a predominant use of cross-sectional research designs. In this study, we examine how various intrapersonal sources of information relate to changes in PMT components and risk-reducing behavior, using unique panel data ( n = 2,680) from a survey in Germany and a fixed-effects regression modeling approach. In line with PMT, we find that various intrapersonal sources of information, like prior experience, relate to changes in PMT components. We also find that coping appraisals of PMT change in a direction negatively related to risk-reducing behavior over time, posing a challenge for risk communication and the envisaged shift to integrated flood risk management.

Protection Motivation Theory in Information Security Behavior Research: Reconsidering the Fundamentals

Scholars commonly use protection motivation theory (PMT) by Rogers to examine information systems (IS) security behaviors and behavioral intentions. A recent influential paper by Boss, Galletta, Lowry, Moody, and Polak (2015; hereafter BGLMP) in MIS Quarterly outlines correct and incorrect uses of PMT in Information Security behavior research. In this paper, we review some of BGLMP’s key recommendations, such as the claim that all IS behavior studies that apply PMT should always use the model of the full theory, contain and measure fear, and measure actual behaviors. We defend an interpretation of Rogers (1975, 1983) that differs from the interpretation that BGLMP propose. We present evidence that Rogers’ PMT and the empirical evidence do not adequately support many of BGLMP’s suggestions and that these suggestions contradict good scientific practices (e.g., restricting the use of the method of isolation) that the philosophy of science and the original literature on PMT uphold. As a result, if reviewers and editors continue to embrace these recommendations, they could hinder the progress of IS behavior research by not allowing isolation or the combination of different theoretical components. In contrast to BGLMP’s paper, we argue that further PMT research can focus on isolated PMT components and combine them with other theories. Some of our ideas (e.g., isolation) are not PMT-specific and could be useful for IS research in general. In summary, we contest BGLMP’s recommendations and offer revised recommendations in return.

Towards rural women's pro-environmental behaviors: Application of protection motivation theory

Strengthening pro-environmental behaviors is one of the approaches to protect the environment. Women make up half of the rural human society and their role in environmental activities is significant. The purpose of this study was to predict the rural women's pro-environmental behaviors (RWPEB) using protection motivation theory (PMT). The research method was descriptive-correlation which was done using structural equation modeling (SEM). Data gathering instrument was a standard questionnaire whose validity was assessed by convergent validity (CV) and its reliability was assessed by calculating Cronbach's alpha (α) and composite reliability (CR). The statistical population was rural women in Kermanshah township in Iran, 214 of whom were considered as a sample by stratified random sampling with proportional assignment. Data analysis was performed with SPSS and SmartPLS software. Based on the research findings, it was found that RWPEB is moderate. SEM results showed that perceived severity (PS) and self-efficacy (SE) variables had a direct, positive and significant effect on RWPEB. In addition, the variable of environmental awareness (EnAw) had a positive and significant effect on RWPEB indirectly through PMT components. Therefore, by improving the EnAw, SE and PS status of environmental issues among rural women, it is possible to develop their pro-environmentalist behaviors. For this purpose, paying attention to the balance in environmental policy-making and decision-making between rural women and men in the direction of environmental behaviors and focusing on the participation of rural women is a serious requirement. • The purpose was to predict the rural women's pro-environmental behaviors (RWPEB). • Theocratical background was protection motivation theory (PMT). • The research method was descriptive-correlational which was done using SEM. • Perceived severity (PS) and self-efficacy (SE) had positive and significant effect on RWPEB. • Balance in environmental policy-making between rural women and men is a serious requirement.

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.

Using Protection Motivation Theory to Predict Adherence to COVID-19 Behavioral Guidelines

COVID-19 has become a global pandemic. Throughout most of the pandemic, mitigating its spread has relied on human behavior, namely on adherence to protective behaviors (e.g., wearing a face mask). This research proposes that Protection Motivation Theory (PMT) can contribute to understanding differences in individual adherence to COVID-19 behavioral guidelines. PMT identifies four fundamental cognitive components that drive responses to fear appeals: perceptions of susceptibility (to the disease), severity (of the disease), self-efficacy (to protect oneself), and response efficacy (i.e., recommended behaviors’ effectiveness). Two online self-report studies assessed PMT components’ capacity to predict adherence to protective behaviors concurrently and across culturally different countries (Israel, Germany, India; Study 1), and again at six-week follow-up (Israeli participants; Study 2). Study 1’s findings indicate excellent fit of the PMT model, with about half of the variance in adherence explained. No significant differences were found between participants from Israel (n = 917), Germany (n = 222) and India (n = 160). Study 2 (n = 711) confirmed that PMT components continue to predict adherence after six weeks. In both studies, response efficacy was the PMT component most strongly associated with adherence levels. This study demonstrates that PMT can serve as a theoretical framework to better understand differences in adherence to COVID-19 protective behaviors. The findings may further inform the design of adherence-promoting communications, suggesting that it may be beneficial to highlight response efficacy in such messages.

Rank-ordering anti-speeding messages

PurposeFurther explore the utility of protection motivation theory (PMT) in developing effective roadside anti-speeding messages. MethodVia an electronic link, 81 participants holding a current Australian driver’s license rated all possible pairs of 18 PMT-derived anti-speeding messages in terms of their perceived effectiveness in reducing speed for themselves, and for drivers in general. ResultsWhile some messages revealed third-person effects (perceived as being more relevant to drivers-in-general than to self-as-driver), others showed reverse third-person effects (perceived as being more relevant to self-as-driver than to drivers-in-general). Compared with messages based on coping appraisal components, those derived from threat appraisal PMT components (perceived severity, counter-rewards, vulnerability) were rated as being more effective, both for participants themselves as driver, and for drivers-in-general. Compared with females, males reported threat appraisal messages as being more effective for reducing speed in themselves (reverse third-person effect). Aggregate scores for the 18 messages derived from this ipsative methodology correlated modestly with those from a normative study using similarly-worded items. DiscussionAs jurisdictions globally recognize speeding as a major road safety issue, effective anti-speeding campaigns are essential. Findings added to current knowledge of PMT’s efficacy as a basis for generating effective anti-speeding messages and indicated areas for future research and application.

Unpacking Protection Motivation Theory: evidence for a separate protective and non-protective route in private flood mitigation behavior

Flood preparedness of private households is regarded an essential building block of integrated flood risk management. In the past decade, numerous empirical studies have employed the protection motivation theory (PMT) to explain flood mitigation behavior at the household level. However, much of this research has produced mixed results and could not consistently confirm the strength and direction of the relationships between the PMT components. Based on a survey of 2,007 households in flood-prone areas, this study revisits the model structure of the PMT by means of structural equation modeling. Compared to the methods used in previous studies, this modeling technique allows us to capture the PMT components in greater detail and to comprehensively test their hypothesized interrelations. Our results point to two separate routes leading to two different response types: A protective route from coping appraisal to protective behavior, and a non-protective route from threat appraisal to non-protective responses. Risk perception is not found to be part of the protective route, neither are non-protective responses confirmed to undermine protection motivation. The two separate routes are observed consistently across all combinations of the six protective and four non-protective responses assessed in this study. In the light of encouraging private flood adaptation, risk communication measures should specifically target the protective route and avoid (accidentally) providing incentives that fall within the non-protective route. This cross-sectional study, however, cannot establish how the two routes interrelate over time. More experimental and longitudinal research is required to address potential feedback effects and the role of decision stages.

Selecting anti-speeding messages for roadside application

PurposeAnalyze qualitative and quantitative data to determine the relative effectiveness of theoretically-developed anti-speeding messages, as judged by relatively inexperienced and experienced drivers, both for themselves as a driver, and for drivers in general. MethodEight focus groups and three individual interviews were conducted. Participants initially completed a questionnaire, ranking sets of three anti-speeding messages representing each of the six components of protection motivation theory (PMT). Participants were encouraged to write down the reasons for their rankings. During group and individual facilitation sessions, the rankings and reasons for them were discussed to identify salient reasons for participants’ judgments. The ranking data were analyzed quantitatively, with individual and group-based comments being analyzed thematically. ResultsQuantitative analyses of message pairs revealed five third-person effects (TPEs). Three messages were perceived as more relevant to drivers in general than to the participant-as-driver while two were associated with reverse TPEs, which participants perceived as more relevant to themselves-as-driver than for drivers in general. For four PMT components (rewards, self-efficacy, response efficacy, response costs), one or more messages received significantly higher rankings than one or more other messages representing the same component. Substantial variation was found within the individual and group discussion comments in respect of nearly all the messages, reflecting different driver perspectives and demographics. DiscussionA general preference for shorter messages was evident, leading to a revision of most of the messages comprising the stimuli for this study. On the basis of the focus group and interview responses, consideration was given as to which messages would be recommended for a pilot field study.

Health Risk Perceptions and Exercise in Older Adulthood: An Application of Protection Motivation Theory.

Protection Motivation Theory (PMT) was applied to explore the relationship between perceived risk of acute health crises and intent to exercise. Interviews of 351 community-living older adults assessed prior physical activity (PPA), all PMT components, and exercise intent. A multi-group structural equation model revealed gender differences in PMT predictors of exercise intent. PPA, age, self-efficacy, and response efficacy directly predicted men's intent. Women's PPA and age predicted PMT components of self-efficacy and response costs, which predicted intent. Findings have implications for devising interventions to enhance physical activity in later life by targeting different PMT components for older men and women.

The Impact of Organizational Commitment on Insiders’ Motivation to Protect Organizational Information Assets

Insiders may act to sustain and improve organizational information security, yet our knowledge of what motivates them to do so remains limited. For example, most extant research relies on mere portions of protection motivation theory (PMT) and has focused on isolated behaviors, thus limiting the generalizability of findings to isolated issues, rather than addressing the global set of protective security behaviors. Here, we investigate the motivations surrounding this larger behavioral set by assessing maladaptive rewards, response costs, and fear alongside traditional PMT components. We extend PMT by showing that: (1) security education, training, and awareness (SETA) efforts help form appraisals; (2) PMT’s applicability to organizational rather than personal contexts depends on insiders’ organizational commitment levels; and (3) response costs provide the link between PMT’s appraisals. We show in detail how organizational commitment is the mechanism through which organizational security threats become personally relevant to insiders and how SETA efforts influence many PMT-based components.

Women's preferences for selective estrogen reuptake modulators: An investigation using protection motivation theory

ObjectiveSelective estrogen receptor modulators (SERMs) reduce breast cancer risk by 38%. However, uptake is low and the reasons are not well understood. This study applied protection motivation theory (PMT) to determine factors associated with intention to take SERMs. MethodsWomen at increased risk of breast cancer (N=107), recruited from two familial cancer clinics in Australia, completed a questionnaire containing measures of PMT constructs. Hierarchical multiple linear regression analysis was used to analyze the data. ResultsForty-five percent of women said they would be likely or very likely to take SERMs in the future. PMT components accounted for 40% of variance in intention to take SERMs. Perceived vulnerability, severity and response efficacy appeared the most influential in women's decisions to take or not take SERMs. ConclusionMany women are interested in SERMs as a risk management option. Accurate risk estimation and an understanding of the benefits of SERMs are critical to women's decision making. Practice implicationsHealth professionals need to explore women's perceptions of their risk and its consequences, as well as providing clear evidence-based information about the efficacy of SERMs. Exploring the source and strength of beliefs about SERMs may allow more effective, tailored counseling.

Can anti-speeding messages based on protection motivation theory influence reported speeding intentions?

The study investigated the effects of anti-speeding messages based on protection motivation theory (PMT) components: severity, vulnerability, rewards, self-efficacy, response efficacy, and response cost, on reported speeding intentions. Eighty-three participants aged 18–25 years holding a current Australian driver's license completed a questionnaire measuring their reported typical and recent speeding behaviors. Comparisons were made between 18 anti-speeding messages used on Australian roads and 18 new anti-speeding messages developed from the PMT model. Participants reported their reactions to the 36 messages on the perceived effectiveness of the message for themselves and for the general population of drivers, and also the likelihood of themselves and other drivers driving within the speed limit after viewing each message. Overall the PMT model-derived anti-speeding messages were better than jurisdiction-use anti-speeding messages in influencing participants’ reported intention to drive within the speed limit. Severity and vulnerability were the most effective PMT components for developing anti-speeding messages. Male participants reported significantly lower intention to drive within the speed limit than did female participants. However, males reported significantly higher intention to drive within the speed limit for PMT-derived messages compared with jurisdiction-based messages. Third-person effects were that males reported anti-speeding messages to be more effective for the general driving population than for themselves. Females reported the opposite effect – that all messages would be more effective for themselves than for the general driving population. Findings provided support for using a sound conceptual basis as an effective foundation for anti-speeding message development as well as for evaluating proposed anti-speeding messages on the target driver population.

Predicting sun protection behaviors using protection motivation variables

Protection motivation theory components were used to predict sun protection behaviors (SPBs) using four outcome measures: typical reported behaviors, previous reported behaviors, current sunscreen use as determined by interview, and current observed behaviors (clothing worn) to control for common method bias. Sampled from two SE Queensland public beaches during summer, 199 participants aged 18-29years completed a questionnaire measuring perceived severity, perceived vulnerability, response efficacy, response costs, and protection motivation (PM). Personal perceived risk (similar to threat appraisal) and response likelihood (similar to coping appraisal) were derived from their respective PM components. Protection motivation predicted all four SPB criterion variables. Personal perceived risk and response likelihood predicted protection motivation. Protection motivation completely mediated the effect of response likelihood on all four criterion variables. Alternative models are considered. Strengths and limitations of the study are outlined and suggestions made for future research.

Use of Protection Motivation Theory, Affect, and Barriers to Understand and Predict Adherence to Outpatient Rehabilitation

Protection motivation theory (PMT) has been used in more than 20 different health-related fields to study intentions and behavior, albeit primarily outside the area of injury rehabilitation. In order to examine and predict patient adherence behavior, this study was carried out to explore the use of PMT as a screening tool in a general sample of people with orthopedic conditions. New patients who were more than 18 years old and who were prescribed 4 to 8 weeks of physical therapy treatment (n=229) were administered a screening tool (Sports Injury Rehabilitation Beliefs Scale, Positive and Negative Affect Schedule, and a barriers checklist) prior to treatment. Participants' adherence was assessed with several attendance measures and an in-clinic assessment of behavior. Statistical analyses included correlation, chi-square, multiple regression, and discriminant function analyses. A variety of relationships among affect, barriers, and PMT components were evident. In-clinic behavior and attendance were influenced by affect, whereas dropout status was predicted by affect, severity, self-efficacy, and age. The screening tool used in this study may assist in identifying patients who are at risk for poor adherence and provide valuable information to enhance provider-patient relationships and foster patient adherence. However, it is recommended that more research be conducted to further understand the impact of variables on patient adherence and that the screening tool be enhanced to increase its predictive ability.

Protection Motivation Variables in HIV Testing: The Function of Motivational Factors

Most previous studies on HIV/AIDS using Rogers' protection motivation theory (PMT) have focused on primary prevention. This study examined the utility of PMT for predicting HIV testing, a form of secondary prevention. Cross-sectional survey data from 243 young adults was assessed. It was hypothesized that motivational factors, notably fear and maladaptive coping, reliably predict testing over and beyond variation attributable to cognitive appraisals. Hierarchical logistic regression analysis showed that testing was not influenced by cognitive appraisals. As expected maladaptive coping produced a significant improvement in model fit after accounting for threat- and coping appraisals. Interestingly, fear was not significant. Controlling for past risk behavior and demographic variables at an earlier step failed to negate the salience of maladaptive coping, which again significantly improved model fit. Use of rationalizations (to discount personal risk) was the key maladaptive response that reliably distinguished between testers and nontesters. Testing was associated with less use of rationalizations and higher levels of prior risk behavior. However, overall less than 20% of testers were correctly classified, suggesting that PMT components overall have limited explanatory value in this context. Implications for promoting HIV testing are considered.

An application of protection motivation theory to riskier single-occasion drinking

Cognitions in relation to drinking alcohol on a single occasion were explored within the framework of Protection Motivation Theory (PMT). One hundred and twenty three students provided information about their current weekend drinking, beliefs about drinking, and intentions to drink at safer limits. Data on self reported weekend drinking were gathered two weeks later from the same respondents. Analyses showed PMT components to be predictive of intentions but not of later behaviour. Perceived severity and self-efficacy related significantly to intentions for drinking at safer limits. No PMT measure differentiated between those who engaged in riskier single-occasion drinking at follow up and those whose drinking was less risky. Past behaviour was the only significant predictor of riskier single-occasion drinking at follow up. Implications for the current utility of PMT are discussed particularly in relation to respondents' reactions to newly identified health threats.

Threat and coping appraisal as determinants of compliance with sports injury rehabilitation: an application of Protection Motivation Theory.

The aim of this study was to examine the effects of threat appraisal (perceived susceptibility to re-injury or retarded rehabilitation and perceived severity of injury) and coping appraisal (self-efficacy, treatment efficacy and outcome value), in the framework of Protection Motivation Theory (PMT), on compliance to a sports physiotherapist's prescribed modalities and rest. During extensive developmental work, a Sports Injury Rehabilitation Beliefs Survey was constructed with 19 items to assess the PMT components. Five compliance measures were developed from physiotherapist and patient surveys. Data from 62 subjects (68% female, mean +/- S.D. age 21.7 +/- 2.85 years, and involved in many recreational and competitive activities) were obtained from a single university-based sports injury clinic, in a prospective study. The study revealed that over half the subjects were subsequently non-compliant to some degree. Greater perceptions of both susceptibility to retarded rehabilitation and injury severity, at the first appointment, were related to subsequent non-compliant behaviour. Greater self-efficacy in the ability to perform prescribed rehabilitation modalities, stronger beliefs in the treatment efficacy, and higher value attached to rehabilitation, were all related to compliant behaviour. Compliance to restricted activity (or rest) was only related to greater perceptions of susceptibility. The findings provide some support for PMT in this context and offer a basis for designing sports therapist interventions which focus on threat and coping appraisal.

Hostility and hearing protection behavior: the mediating role of personal beliefs and low frustration tolerance.

The authors examined whether hostility would negatively be associated with occupational health behavior, namely, the use of hearing protection devices (HPDs). Also examined as possible mediators were the protection motivation theory (PMT) components and low frustration tolerance (LFT). Participants were 226 male industrial workers, all exposed to potentially hearing-damaging noise. Hostility was negatively related to HPD use. It moderately correlated with the PMT components: negatively with perceived susceptibility, severity, effectiveness, and self-efficacy and positively with perceived barriers. Hostility correlated highly with LFT. Regression analyses confirmed the mediating role of perceived barriers, low self-efficacy, and LFT in the negative relationship between hostility and the use of HPDs. Thus, intrapsychic characteristics of hostile people may be significant for hearing protection behavior.

Relative contributions of protection motivation theory components in predicting exercise intentions and behavior.

A factorial design was employed to test the relative effectiveness of the four cognitive appraisal processes (severity, vulnerability, response efficacy, and self-efficacy) contained in the revised protection motivation theory (PMT). One hundred sixty undergraduate women read persuasive appeals for increasing exercise, which varied on these four dimensions. As predicted, both the vulnerability and self-efficacy variables enhanced intentions to exercise along with similar effects on self-reported exercising. Intentions were predictive of self-reported changes in behavior. The obtained interaction between vulnerability, self-efficacy, and response efficacy suggests that individuals employed a "precaution strategy": They intended to adopt the recommended behavior even though they held weak beliefs about its effectiveness and were not convinced of their at-risk status. These findings are compared to others obtained using the PMT, and the issue of main and interactive effects produced by the model is also addressed.