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Background: Older adults are at a higher risk from COVID-19. Individual preventive behaviors including frequent hand washing, mask wearing, and social distancing play important roles in reducing the transmission of COVID-19 in the community. This study aimed to identify the determinants of three preventive behaviors of older adults during the COVID-19 pandemic by using an Integrated Social Cognition Model.

Methods: Using a prospective study design, 516 Chinese older adults from Hubei province of China (mean age = 67.55 years, SD = 6.60, 57.9% females) completed two online questionnaire surveys. The demographics, social cognition constructs (motivational self-efficacy, risk perception, attitude, subjective norm, health knowledge, intention, volitional self-efficacy, planning, action control) and three preventive behaviors were measured during the first-wave online survey from 18 May 2020 to 7 June 2020. One month later, three preventive behaviors were measured again during the second-wave online survey. Data were analyzed by structural equation modelling.

Results: Models showed attitude, motivational self-efficacy and subjective norm were consistent predictors of intention, motivational self-efficacy was a consistent predictor of volitional self-efficacy, planning and volitional self-efficacy were consistent predictors of action control, and health knowledge was a consistent predictor of behaviors across all three preventive behaviors. In addition, mediating relationships were found in the model of hand washing behavior. In particular, planning (β = .109, p = .042) and action control (β = .056, p = .047) mediated between volitional self-efficacy and hand washing respectively. Action control also mediated between planning and hand washing (β = .087, p = .044). Moreover, the inclusion of past behaviors in three models attenuated most of the structural relations.

Conclusions: The current study's findings basically supported the Integrated Social Cognition Model and identified key modifiable determinants of preventive behaviors. Based on this model, future interventions aiming to promote COVID-19 preventive behaviors among older adults are warranted.

Titel:	Predicting hand washing, mask wearing and social distancing behaviors among older adults during the covid-19 pandemic: an integrated social cognition model.
Autor/in / Beteiligte Person:	Duan, Y ; Shang, B ; Liang, W ; Lin, Z ; Hu, C ; Baker, JS ; Wang, Y ; He, J
Link:	Zum Volltext
Zeitschrift:	BMC geriatrics, Jg. 22 (2022-02-02), Heft 1, S. 91
Veröffentlichung:	London : BioMed Central, [2001]-, 2022
Medientyp:	academicJournal
ISSN:	1471-2318 (electronic)
DOI:	10.1186/s12877-022-02785-2
Schlagwort:	Aged Female Hand Disinfection Humans Male Pandemics Physical Distancing Prospective Studies SARS-CoV-2 Social Cognition Surveys and Questionnaires COVID-19
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article; Research Support, Non-U.S. Gov't Language: English [BMC Geriatr] 2022 Feb 02; Vol. 22 (1), pp. 91. <i>Date of Electronic Publication: </i>2022 Feb 02. MeSH Terms: COVID-19* ; Aged ; Female ; Hand Disinfection ; Humans ; Male ; Pandemics ; Physical Distancing ; Prospective Studies ; SARS-CoV-2 ; Social Cognition ; Surveys and Questionnaires References: Appl Psychol Health Well Being. 2020 Dec;12(4):1244-1269. (PMID: 33006814) ; J Oral Sci. 2011 Sep;53(3):369-77. (PMID: 21959666) ; Transl Behav Med. 2018 Mar 1;8(2):212-224. (PMID: 29381786) ; Psychol Health. 2018 Aug;33(8):1062-1077. (PMID: 29629841) ; Int J Biol Sci. 2020 Mar 15;16(10):1745-1752. (PMID: 32226294) ; Front Psychol. 2020 Nov 19;11:582720. (PMID: 33329239) ; J Med Internet Res. 2020 Nov 25;22(11):e21672. (PMID: 33152684) ; Ann Thorac Surg. 2016 May;101(5):1644-5. (PMID: 27106412) ; Restor Dent Endod. 2013 Feb;38(1):52-4. (PMID: 23495371) ; BMC Public Health. 2017 Jul 28;18(1):65. (PMID: 28754156) ; Br J Soc Psychol. 2006 Mar;45(Pt 1):87-106. (PMID: 16573874) ; Psychol Health. 2016 Aug;31(8):993-1004. (PMID: 27049339) ; J Am Geriatr Soc. 2020 May;68(5):926-929. (PMID: 32255507) ; Curr Psychol. 2021 Jun 17;:1-10. (PMID: 34155429) ; Health Psychol Rev. 2014;8(1):1-7. (PMID: 25053004) ; PLoS One. 2012;7(2):e32734. (PMID: 22389720) ; BMC Public Health. 2019 Aug 13;19(1):1097. (PMID: 31409381) ; Gerontol Geriatr Med. 2021 Feb 26;7:2333721421997207. (PMID: 33718521) ; Br J Health Psychol. 2015 Feb;20(1):56-67. (PMID: 24471473) ; J Med Internet Res. 2018 Nov 19;20(11):e12052. (PMID: 30455167) ; Ann Behav Med. 2020 Oct 1;54(10):713-727. (PMID: 32914831) ; Int J Environ Res Public Health. 2020 Apr 22;17(8):. (PMID: 32331344) ; Appetite. 2010 Feb;54(1):126-33. (PMID: 19815040) ; Int J Environ Res Public Health. 2020 Feb 13;17(4):. (PMID: 32069991) ; J Med Internet Res. 2020 Dec 31;22(12):e23729. (PMID: 33293262) ; J Med Internet Res. 2017 Apr 10;19(4):e106. (PMID: 28396306) ; J Pediatr Psychol. 2021 Jan 20;46(1):15-26. (PMID: 33355343) ; PLoS One. 2021 Jan 7;16(1):e0244780. (PMID: 33411766) ; Appl Psychol Health Well Being. 2020 Dec;12(4):1286-1305. (PMID: 33016518) ; Front Neuroinform. 2021 Mar 08;15:567920. (PMID: 33762920) ; Psychol Health. 2015;30(8):911-23. (PMID: 25587901) ; J Sch Nurs. 2020 Dec;36(6):430-441. (PMID: 32990150) ; Exerc Sport Sci Rev. 2014 Apr;42(2):62-9. (PMID: 24508739) ; J Med Internet Res. 2020 Oct 9;22(10):e19684. (PMID: 33006940) ; Appl Psychol Health Well Being. 2014 Mar;6(1):1-47. (PMID: 24591064) ; Public Health. 2013 Jul;127(7):620-8. (PMID: 23790806) ; Front Psychol. 2020 Nov 30;11:584500. (PMID: 33329241) ; Health Psychol Rev. 2015;9(2):125-30. (PMID: 25966053) ; Front Psychol. 2012 Apr 17;3:111. (PMID: 22529829) ; Int J Environ Res Public Health. 2021 Feb 14;18(4):. (PMID: 33672885) ; PLoS One. 2021 Jan 14;16(1):e0245543. (PMID: 33444410) ; PLoS One. 2020 Oct 15;15(10):e0240785. (PMID: 33057375) ; J Epidemiol Community Health. 2020 Aug;74(8):617-619. (PMID: 32385125) ; BMC Public Health. 2021 Mar 1;21(1):426. (PMID: 33648486) ; Multivariate Behav Res. 1997 Jan 1;32(1):39-51. (PMID: 26751105) ; Psychol Bull. 1992 Jul;112(1):155-9. (PMID: 19565683) ; Health Educ Res. 2009 Aug;24(4):686-98. (PMID: 19318523) Contributed Indexing: Keywords: COVID-19; Hand washing; Integrated Social Cognition Model; Mask wearing; Older adults; Social distancing Entry Date(s): Date Created: 20220203 Date Completed: 20220207 Latest Revision: 20220207 Update Code: 20240513 PubMed Central ID: PMC8807958

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Predicting hand washing, mask wearing and social distancing behaviors among older adults during the covid-19 pandemic: an integrated social cognition model.