0000000000103404
AUTHOR
Jacob J. Keech
Application of the Health Action Process Approach to Social Distancing Behavior During COVID‐19
Author(s): Hamilton, Kyra; Smith, Stephanie R; Keech, Jacob J; Moyers, Susette A; Hagger, Martin S | Abstract: BackgroundThis study examined the social cognition determinants of social distancing behavior during the COVID-19 pandemic in samples from Australia and the US guided by the health action process approach (HAPA).MethodsParticipants (Australia: Nn=n495, 50.1% women; US: Nn=n701, 48.9% women) completed HAPA social cognition constructs at an initial time-point (T1), and one week later (T2) self-reported their social distancing behavior.ResultsSingle-indicator structural equation models that excluded and included past behavior exhibited adequate fit with the data. Intention and action …
Improving Hand Hygiene Behavior Using a Novel Theory-Based Intervention During the COVID-19 Pandemic
Abstract Background Promoting the adoption of personal hygiene behaviors known to reduce the transmission of COVID-19, such as avoiding touching one’s face with unwashed hands, is important for limiting the spread of infections. Purpose We aimed to test the efficacy of a theory-based intervention to promote the avoidance of touching one’s face with unwashed hands to reduce the spread of COVID-19. Methods We tested effects of an intervention employing imagery, persuasive communication, and planning techniques in two pre-registered studies adopting randomized controlled designs in samples of Australian (N = 254; Study 1) and US (N = 245; Study 2) residents. Participants were randomly assigned…
Predicting physical distancing over time during COVID-19 : testing an integrated model
Objective: We applied an integrated social cognition model to predict physical distancing behavior, a key COVID-19 preventive behavior, over a four-month period. Design: A three-wave longitudinal survey design. Methods: Australian and US residents (N = 601) completed self-report measures of social cognition constructs (attitude, subjective norm, moral norm, perceived behavioral control [PBC]), intention, habit, and physical distancing behavior on an initial occasion (T1) and on two further occasions one week (T2) and four months (T3) later. Results: A structural equation model revealed that subjective norm, moral norm, and PBC, were consistent predictors of physical distancing intention on …
Managing Stress During the COVID-19 Pandemic and Beyond : Reappraisal and Mindset Approaches
Abstract The novel coronavirus disease 2019 (COVID-19) pandemic is a truly global public health crisis with substantive human, social, and economic costs. The pandemic and the associated preventive ‘lockdown’ measures have also given rise to a parallel mental health crisis, with elevated levels of chronic stress observed in the general population. Stress levels are also likely to be higher among at-risk groups such as those who have become employed or are on furlough, those in essential services with higher risk of exposure, and those from underserved communities. Development of efficacious means to assist individuals in effectively managing their during the pandemic and beyond is an impera…
Predicting Social Distancing Intention and Behavior During the COVID-19 Pandemic: An Integrated Social Cognition Model.
Abstract Background Social distancing is a key behavior to minimize COVID-19 infections. Identification of potentially modifiable determinants of social distancing behavior may provide essential evidence to inform social distancing behavioral interventions. Purpose The current study applied an integrated social cognition model to identify the determinants of social distancing behavior, and the processes involved, in the context of the COVID-19 pandemic. Methods In a prospective correlational survey study, samples of Australian (N = 365) and U.S. (N = 440) residents completed online self-report measures of social cognition constructs (attitude, subjective norm, moral norm, anticipated regret…
Beliefs and attitudes of Australian learner drivers toward driving and avoiding driving through floodwater
Driving through floodwater is a significant cause of flood-related injury and mortality, and opportunities exist to embed safe driving messages regarding floodwaters to novice drivers in graduated driver licensing schemes. To inform future educational efforts, we investigated the beliefs and attitudes of Australian learner drivers about driving and avoiding driving through floodwaters. Methods: The study adopted a cross-sectional correlational design with measures drawn from the theory of planned behaviour and administered within an online survey. Phase 1 (N = 44 learner drivers) aimed to identify the core beliefs associated with driving through floodwater. Phase 2 (N = 250 learner drivers)…
Protocol for developing a mental imagery intervention: a randomised controlled trial testing a novel implementation imagery e-health intervention to change driver behaviour during floods.
IntroductionDrowning due to driving into floodwater accounts for a significant proportion of all deaths by drowning. Despite awareness campaigns such as ‘If it’s flooded, forget it’, people continue to drive into floodwater. This causes loss of life, risk to rescuers and damage to vehicles. The aim of this study was to develop and evaluate an online e-health intervention to promote safe driving behaviour during flood events.Methods and analysisThe study will use a 2×3 randomised controlled trial in which participants are randomised into one of two conditions: (1) education about the risks of driving into floodwater or (2) education about the risks of driving into floodwater plus a theory-ba…
Reasoned and implicit processes in heavy episodic drinking: An integrated dual-process model.
Objectives University students commonly engage in heavy episodic drinking (HED), which contributes to injury risk, deleterious educational outcomes, and economic costs. Identification of the determinants of this risky behaviour may provide formative evidence on which to base effective interventions to curb HED in this population. Drawing from theories of social cognition and dual-process models, this study tested key hypotheses relating to reasoned and implicit pathways to action for HED in a sample of Australian university students who drink alcohol. Design A two-wave correlational design was adopted. Methods Students (N = 204) completed self-reported constructs from social cognition theor…
Drivers’ experiences during floods: Investigating the psychological influences underpinning decisions to avoid driving through floodwater
Abstract A major risk factor for many flood-related drownings is driving through floodwater. We aimed to understand Australian drivers’ experiences and beliefs with respect to avoid driving through floodwater using the theory of planned behaviour as a framework. Study 1 (N = 23) used a qualitative design to gain an in-depth understanding of individuals’ experiences with driving through floodwater. Study 2 (N = 157) used a survey-based design to identify the factors related to this behaviour including knowledge, beliefs, and social-cognitive factors. In Study 1, drivers identified a range of advantages (e.g., didn’t damage car), disadvantages (e.g., inconvenient, but not so terrible), barrie…
Predicting physical distancing over time during COVID-19: testing an integrated model.
Objective: We applied an integrated social cognition model to predict physical distancing behavior, a key COVID-19 preventive behavior, over a four-month period. Design: A three-wave longitudinal survey design. Methods: Australian and US residents (N = 601) completed self-report measures of social cognition constructs (attitude, subjective norm, moral norm, perceived behavioral control [PBC]), intention, habit, and physical distancing behavior on an initial occasion (T1) and on two further occasions one week (T2) and four months (T3) later. Results: A structural equation model revealed that subjective norm, moral norm, and PBC, were consistent predictors of physical distancing intention on …
The lived experience of rescuing people who have driven into floodwater: Understanding challenges and identifying areas for providing support.
Background: Drowning is a major public health issue, with risk increasing during times of flood. Driving into floodwater is a major risk factor for flood-related drowning and injury, and despite widespread public health campaigns, many people continue to undertake this risky behaviour and require rescue. Purpose: We aimed to identify key challenges faced by emergency services personnel when rescuing those who have driven into floodwater, and to identify strategies for supporting rescuers in this important role. Methods: Australian flood rescue operators (N = 8) who had previously rescued a driver who had driven into floodwater participated in semi-structured interviews. Data were analysed u…
Drivers’ experiences during floods : investigating the psychological influences underpinning decisions to avoid driving through floodwater
A major risk factor for many flood-related drownings is driving through floodwater. We aimed to understand Australian drivers’ experiences and beliefs with respect to avoid driving through floodwater using the theory of planned behaviour as a framework. Study 1 (N = 23) used a qualitative design to gain an in-depth understanding of individuals’ experiences with driving through floodwater. Study 2 (N = 157) used a survey-based design to identify the factors related to this behaviour including knowledge, beliefs, and social-cognitive factors. In Study 1, drivers identified a range of advantages (e.g., didn’t damage car), disadvantages (e.g., inconvenient, but not so terrible), barriers (e.g.,…
Reasoned and implicit processes in heavy episodic drinking : An integrated dual‐process model
Objectives: University students commonly engage in heavy episodic drinking (HED), which contributes to injury risk, deleterious educational outcomes, and economic costs. Identification of the determinants of this risky behaviour may provide formative evidence on which to base effective interventions to curb HED in this population. Drawing from theories of social cognition and dual‐process models, this study tested key hypotheses relating to reasoned and implicit pathways to action for HED in a sample of Australian university students who drink alcohol. Design: A two‐wave correlational design was adopted. Methods: Students (N = 204) completed self‐reported constructs from social cognition th…
The association between stress mindset and physical and psychological wellbeing: testing a stress beliefs model in police officers.
Objective: Emergency service workers like police officers experience high levels of stress in the course of their regular duties. Holding particular stress mindsets may help to mitigate the deleter...
Changing people’s attitudes and beliefs toward driving through floodwaters : Evaluation of a video infographic
Abstract Despite awareness of campaigns such as ‘Turn Around, Don’t Drown’ and the Australian state of Queensland’s ‘If It’s Flooded, Forget It’, people continue to drive through floodwaters, causing loss of life, risk to rescuers, and damage to vehicles. The aim of this study was to develop a video infographic that highlights the dangers of driving through floodwaters and provide safety tips to reduce the risk, and to evaluate its effectiveness in changing the beliefs and intentions of Australian adults toward this risky driving behaviour. This study adopted an online three-wave non-controlled pretest–posttest design. Australian licensed drivers (N = 201, male = 41, female = 160; Mage = 34…
Alcohol use, aquatic injury, and unintentional drowning: A systematic literature review
Issues: Drowning is a global public health issue, and there is a strong association between alcohol and risk of drowning. No previous systematic review known to date has identified factors associated with alcohol use and engagement in aquatic activities resulting in injury or drowning (fatal and non-fatal). Approach: Literature published from inception until 31 January 2017 was reviewed. Included articles were divided into three categories: (i) prevalence and/or risk factors for alcohol-related fatal and non-fatal drowning and aquatic injury, (ii) understanding alcohol use and aquatic activities, and (iii) prevention strategies. Methodological quality of studies was assessed using National …
Changing driver behavior during floods: Testing a novel e-health intervention using implementation imagery
Abstract We tested the efficacy of a novel implementation imagery intervention (N = 460) in promoting safer intentions regarding driving into floodwater post-intervention, and at a four-week follow-up using a pre-registered randomized controlled design. Results showed that the intervention reduced intentions and subjective norms regarding driving into floodwater. The control condition also improved on intentions and subjective norms, but the changes appeared to only be maintained at the follow-up for the intervention group and the between group difference at the follow-up was not significant based on our pre-specified cutoff level for statistical significance of 0.01. Results also indicated…
Driving through floodwater: Exploring driver decisions through the lived experience
Abstract More than half of unintentional flood-related drowning deaths in Australia are due to driving through floodwater, despite on-going public campaigns. Currently, there is a knowledge gap in understanding why individuals choose to drive through floodwater and the decisions that may lead to such actions. We propose that a more complete understanding of individuals’ decisions to drive through floodwater needs to be considered in the context of the lived experience. Australian drivers (N = 20) who had intentionally driven through floodwater participated in semi-structured interviews. Data were analysed using a thematic analysis based in an interpretivist approach. Past experience, indivi…
Changing people’s attitudes and beliefs toward driving through floodwaters : Evaluation of a video infographic
Despite awareness of campaigns such as ‘Turn Around, Don’t Drown’ and the Australian state of Queensland’s ‘If It’s Flooded, Forget It’, people continue to drive through floodwaters, causing loss of life, risk to rescuers, and damage to vehicles. The aim of this study was to develop a video infographic that highlights the dangers of driving through floodwaters and provide safety tips to reduce the risk, and to evaluate its effectiveness in changing the beliefs and intentions of Australian adults toward this risky driving behaviour. This study adopted an online three-wave non-controlled pretest–posttest design. Australian licensed drivers (N = 201, male = 41, female = 160; Mage = 34.10) self…
Driving through floodwater: Exploring driver decisions through the lived experience
More than half of unintentional flood-related drowning deaths in Australia are due to driving through floodwater, despite on-going public campaigns. Currently, there is a knowledge gap in understanding why individuals choose to drive through floodwater and the decisions that may lead to such actions. We propose that a more complete understanding of individuals’ decisions to drive through floodwater needs to be considered in the context of the lived experience. Australian drivers (N = 20) who had intentionally driven through floodwater participated in semi-structured interviews. Data were analysed using a thematic analysis based in an interpretivist approach. Past experience, individual perc…
Psychometric properties of the stress control mindset measure in university students from Australia and the UK
Abstract Introduction Beliefs about the consequences of stress, stress mindsets, are associated with health and performance outcomes under stress. This article reports the development and examination of the psychometric properties of a measure of stress mindset: The Stress Control Mindset Measure (SCMM). The measure is consistent with theory on mindsets about self‐attributes and conceptualizes stress mindset as the extent to which individuals endorse beliefs that stress can be enhancing. Methods The study adopted a correlational cross‐sectional survey design in two student samples. Undergraduate students from an Australian university (Sample 1, N = 218) and a UK university (Sample 2, N = 21…
The lived experience of rescuing people who have driven into floodwater : understanding challenges and identifying areas for providing support
Background Drowning is a major public health issue, with risk increasing during times of flood. Driving into floodwater is a major risk factor for flood‐related drowning and injury, and despite widespread public health campaigns, many people continue to undertake this risky behaviour and require rescue. Purpose We aimed to identify key challenges faced by emergency services personnel when rescuing those who have driven into floodwater, and to identify strategies for supporting rescuers in this important role. Methods Australian flood rescue operators (N = 8) who had previously rescued a driver who had driven into floodwater participated in semi‐structured interviews. Data were analysed usin…
Managing stress during the coronavirus disease 2019 pandemic and beyond: Reappraisal and mindset approaches
The novel coronavirus disease 2019 (COVID‐19) pandemic is a global public health crisis of a scale not previously experienced in modern times (Kickbusch et al., 2020). Governmental ‘lockdown’ measures aimed at minimizing virus transmission including ‘stay at home’ orders, closure of businesses and places of congregation, and travel restrictions have had a substantive societal impact that permeates almost every facet of daily life (Gostin & Wiley, 2020; Shanafelt, Ripp, & Trockel, 2020). These widespread changes represent considerable sources of stress in the population and will have deleterious effects on mental and physical health going forward. As nations begin to emerge from ‘lockdown’, …
Alcohol use, aquatic injury, and unintentional drowning : A systematic literature review
Issues Drowning is a global public health issue, and there is a strong association between alcohol and risk of drowning. No previous systematic review known to date has identified factors associated with alcohol use and engagement in aquatic activities resulting in injury or drowning (fatal and non‐fatal). Approach Literature published from inception until 31 January 2017 was reviewed. Included articles were divided into three categories: (i) prevalence and/or risk factors for alcohol‐related fatal and non‐fatal drowning and aquatic injury, (ii) understanding alcohol use and aquatic activities, and (iii) prevention strategies. Methodological quality of studies was assessed using National He…
The Influence of University Students’ Stress Mindsets on Health and Performance Outcomes
Background Emerging evidence indicates that holding particular stress mindsets has favorable implications for peoples’ health and performance under stress. Purpose The aim of the current study was to examine the processes by which implicit and explicit stress mindsets relate to health- and performance-related outcomes. Specifically, we propose a stress beliefs model in which somatic responses to stress and coping behaviors mediate the effect of stress mindsets on outcomes. Methods Undergraduate university students (N = 218, n = 144 females) aged 17– 25 years completed measures of stress mindset, physical and psychological wellbeing, perceived stress, perceived somatic responses to stress…