Document Type : Original Article
Authors
1 Department of Environmental Health Engineering, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
2 Research Center for Health Sciences, Institute of Health, Department of Health Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
3 Student Research Committee, Department of Health Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
Abstract
Background: The pneumonia associated with Coronavirus (COVID-19) appeared in Wuhan, China, and it quickly spread to other countries worldwide. In addition to physical damage, the virus adversely affects the mental health of the community. The aim of this research was to identify the factors influencing adherence to Covid-19 preventive measures, utilizing the Extended Parallel Process Model as a basis.
Methods: The cross-sectional investigation comprised all men and women from the community as its study population, and the participants were randomly selected. Data were collected using an online questionnaire developed by the researcher, grounded in the Extended Parallel Process Model. The questionnaire’s external consistency (R=0.78, P=0.01) and internal consistency (Cronbach’s alpha>0.7 for each concept) were both acceptable. SPSS27 was used to analyze the data.
Results: Participants in the study included 1193 individuals (58.4% female), with an age range of 15 to 80 years old and a mean age of 36.79±10.43 years. Women had higher mean scores for perceived response efficiency, self-efficacy, and preventive behaviors compared to men (P<0.001). The average scores of the EPPM model components demonstrated a strong correlation with the average scores of behaviors which aimed at preventing COVID-19. The most influential factor in determining the performance of health behaviors was perceived self-efficacy.
Conclusion: Health education interventions should prioritize enhancing perceived self-efficacy and response efficacy over concentrating solely on disease incidence and mortality.
Highlights
Hassan Hashemi (Google Scholar)
Masoud Karimi (Google Scholar)
Keywords
- Malik AA, McFadden SM, Elharake J, Omer SB. Determinants of COVID-19 vaccine acceptance in theUS.EClinicalMedicine.2020;26. doi: 1016/j.eclinm.2020.100495. PubMed PMID: 32838242. PubMed Central PMCID: PMC7423333.
- Castro A. Challenges posed by the COVID-19 pandemic in the health of women, children, and adolescents in Latin America and the Caribbean. United Nations Development Program (UNDP) website Accessed April. 2020;1:2021.
- Organization WH. COVID-19 weekly epidemiological update, edition 43, 8 June 2021. 2021.
- Raude J, Lecrique J-M, Lasbeur L, Leon C, Guignard R, Du Roscoät E, et al. Determinants of preventive behaviors in response to the COVID-19 pandemic in France: comparing the sociocultural, psychosocial, and social cognitive explanations. Frontiers in Psychology. 2020;11:584500. doi: 10.3389/fpsyg.2020.584500. PubMed PMID: 33329241. PubMed Central PMCID: PMC7734102.
- Constant A, Conserve DF, Gallopel-Morvan K, Raude J. Socio-cognitive factors associated with lifestyle changes in response to the COVID-19 epidemic in the general population: results from a cross-sectional study in France. Frontiers in psychology. 2020;11:579460. doi: 10.3389/fpsyg.2020.579460. PubMed PMID: 33132989. PubMed Central PMCID: PMC7550454.
- Nazione S, Perrault E, Pace K. Impact of information exposure on perceived risk, efficacy, and preventative behaviors at the beginning of the COVID-19 pandemic in the United States. Health Communication. 2021;36(1):23-31. doi: 10.1080/10410236.2020.1847446. PubMed PMID: 33183090.
- Jahangiry L, Bakhtari F, Sohrabi Z, Reihani P, Samei S, Ponnet K, et al. Risk perception related to COVID-19 among the Iranian general population: an application of the extended parallel process model. BMC public health. 2020;20:1-8. doi: 10.1186/s12889-020-09681-7. PubMed PMID: 33076875. PubMed Central PMCID: PMC7570396.
- Moorthy A, Sankar TK. Emerging public health challenge in UK: perception and belief on increased COVID19 death among BAME healthcare workers. Journal of Public Health. 2020;42(3):486-92. doi: 10.1093/pubmed/fdaa096. PubMed PMID: 32618332. PubMed Central PMCID: PMC7337745.
- Yassin A, AlOmari M, Al-Azzam S, Karasneh R, Abu-Ismail L, Soudah O. Impact of social media on public fear, adoption of precautionary behaviors, and compliance with health regulations during COVID-19 pandemic. International journal of environmental health research. 2022;32(9):2027-39. doi: 10.1080/09603123.2021.1935778. PubMed PMID: 34097535.
- Alex FJ, Tan G, Kyei SK, Ansah PO, Agyeman PK, Fayzullayevich JV, et al. Transmission of viruses and other pathogenic microorganisms via road dust: Emissions, characterization, health risks, and mitigation measures. Atmospheric Pollution Research. 2023;14(1):101642. doi: 10.1016/j.apr.2022.101642.
- Kashyap AK, Kumar A. Application of theory of planned behaviour in determining attitude and to measure purchase intention under the fear of Covid-19. Cogent Business & Management. 2024;11(1):2376108. doi: 10.1080/23311975.2024.2376108.
- Teshome F, Kebede A, Belina S, Tadele A. Compliance with COVID-19 public health and social preventive measures among Employees of Jimma zone, Ethiopia: Application of Health Belief Model. 2023. doi: 10.21203/rs.3.rs-2542000/v1.
- Choi HS, Lee J-E. Factors affecting COVID-19 preventive behaviors of young adults based on eHealth literacy and the Health Belief Model: a cross-sectional study. INQUIRY: The Journal of Health Care Organization, Provision, and Financing. 2023;60:00469580231159487. doi: 10.1177/00469580231159487. PubMed PMID: 36998209. PubMed Central PMCID: PMC10064177.
- Ackbarali S. Protection Motivation and Health Behaviors of Undergraduate Students in a Private, South Florida University During the COVID-19 Pandemic: Nova Southeastern University; 2023.
- Gumasing MJJ, Malabuyoc FLS, Ong AKS, Saflor CS. Determining Factors Influencing Filipinos’ Behavioral Protection against COVID: Integrating Extended Protection Motivation Theory, Theory of Planned Behavior, and Ergonomic Appraisal. COVID. 2024;4(6):771-97. doi: 10.3390/covid4060052.
- Jilani MMAK, Uddin MA, Uddin MS, Das AK, Dey M. Extending the theory of planned behavior to envisage social distancing behavior in containing the COVID-19 outbreak. Heliyon. 2024;10(4). doi: 10.1016/j.heliyon.2024.e26113. PubMed PMID: 38390150. PubMed Central PMCID: PMC10881367.
- Liu-Lastres B, Wen H. Using the extended parallel process model (EPPM) to explore US consumers' dining behaviors during COVID-19. British Food Journal. 2023;125(3):921-36. doi: 10.1108/BFJ-02-2022-0145.
- Reno JE, Dempsey AF. Promoting HPV vaccination among Latinx: an application of the extended parallel processing model. Journal of Behavioral Medicine. 2023;46(1):324-34. PubMed PMID: 35178652. doi: 10.1007/s10865-022-00293-7.
- Bashirian S, Khazaei S, Barati M, Jenabi E, Soltanian AR, Shirahmadi S, et al. COVID-19 prevention behaviors among health staff: data from a large survey in the west of Iran. Journal of research in health sciences. 2021;21(1):e00509. doi: 10.34172/jrhs.2021.43. PubMed PMID: 34024767. PubMed Central PMCID: PMC8957689.
- Tsoy D, Godinic D, Tong Q, Obrenovic B, Khudaykulov A, Kurpayanidi K. Impact of social media, Extended Parallel Process Model (EPPM) on the intention to stay at home during the COVID-19 pandemic. Sustainability. 2022;14(12):7192. doi: 10.3390/su14127192.
- Rassouli M, Ashrafizadeh H, Shirinabadi Farahani A, Akbari ME. COVID-19 management in Iran as one of the most affected countries in the world: advantages and weaknesses. Frontiers in public health. 2020;8:510. doi: 10.3389/fpubh.2020.00510. PubMed PMID: 33072688. PubMed Central PMCID: PMC7533538.
- Lawshe CH. A quantitative approach to content validity. Personnel psychology. 1975;28(4).
- Lenz ER. Measurement in nursing and health research: Springer publishing company; 2010.
- Witte K. Predicting risk behaviors: Development and validation of a diagnostic scale. Journal of health communication. 1996;1(4):317-42. doi: 10.1080/108107396127988. PubMed PMID: 10947367.
- Shahnazi H, Ahmadi-Livani M, Pahlavanzadeh B, Rajabi A, Hamrah MS, Charkazi A. Assessing preventive health behaviors from COVID-19: a cross sectional study with health belief model in Golestan Province, Northern of Iran. Infectious diseases of poverty. 2020;9(06):91-9. doi: 10.1186/s40249-020-00776-2. PubMed PMID: 33203453. PubMed Central PMCID: PMC7671178.
- Shirahmadi S, Seyedzadeh-Sabounchi S, Khazaei S, Bashirian S, Miresmæili AF, Bayat Z, et al. Fear control and danger control amid COVID-19 dental crisis: Application of the Extended Parallel Process Model. PloS one. 2020;15(8):e0237490. doi: 10.1371/journal.pone.0237490. PubMed PMID: 32790730. PubMed Central PMCID: PMC7425864.
- Khazaei S, Bashirian S, Jenabi E, Barati M, Karimi-Shahanjarini A, Moeini B, et al. COVID-19 preventive behaviors and its related beliefs among health workers: The role of threat and coping appraisals. Journal of education and community health. 2020;7(3):221-7. doi: 10.29252/jech.7.3.221.
- Ezati Rad R, Mohseni S, Kamalzadeh Takhti H, Hassani Azad M, Shahabi N, Aghamolaei T, et al. Application of the protection motivation theory for predicting COVID-19 preventive behaviors in Hormozgan, Iran: a cross-sectional study. BMC Public Health. 2021;21:1-11. doi: 10.1186/s12889-021-10500-w. PubMed PMID: 33685426. PubMed Central PMCID: PMC7938277.
- Prasetyo YT, Castillo AM, Salonga LJ, Sia JA, Seneta JA. Factors affecting perceived effectiveness of COVID-19 prevention measures among Filipinos during enhanced community quarantine in Luzon, Philippines: Integrating Protection Motivation Theory and extended Theory of Planned Behavior. International journal of infectious diseases. 2020;99:312-23. doi: 10.1016/j.ijid.2020.07.074. PubMed PMID: 32768695. PubMed Central PMCID: PMC7406473.
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