Background: People’s perceived risk to be infected and to have severe illness has been thought as a motivational source of adherence to behavioral measures during the COVID-19 crisis.
Methods: We used online self-reported data, spanning 20 months of the COVID-19 crisis in [blinded] (n = 241,275; 34% vaccinated; July 2020 - March 2022).
Results: The findings demonstrate, especially among vaccinated persons, that people’s perceived severity was more prominent than perceived probability for infection, up until Omicron emerged. At both the between-persons and between-day levels, perceived severity was the most strongly related to autonomous motivation, a pattern that was less pronounced for unvaccinated people towards the end of the crisis.
Conclusions: These findings show that variation in risk perceptions largely accounts for the variation in both between-individuals’ and day-to-day variation in motivation to adhere to the measures, thereby showing a sensitivity to the characteristics of the variants of the virus and the role of one’s vaccination status.
The transmissibility of new COVID‐19 variants and decreasing efficacy of vaccines led authorities to recommend a booster and even an annual dose. However, people's willingness to accept new doses varied considerably. Using two independent longitudinal samples of 4596 (Mean age = 53.6) and 514 (Mean age = 55.9) vaccinated participants, we examined how people's (lack of) vaccination motivation for their first dose was associated with their intention to get a booster (Sample 1) and an annual dose (Sample 2) several months later (Aim 1). We also aimed to capture the impact of the motivational heterogeneity on these intentions by capitalizing on participants' different motivational profiles collected at baseline (Aim 2). Across both samples, autonomous motivation, controlled motivation, and distrust‐based amotivation were uniquely related to, respectively, higher, lower, and even lower booster and annual dose intentions. Further, a two‐step clustering procedure revealed five profiles, with the profiles characterized by higher autonomous motivation (i.e. Good Quality and High Quantity profiles) reporting the highest vaccination intentions and the profile characterized by the highest number of obstacles (i.e. Global Amotivated profile) yielding the lowest vaccination intentions. These results stress the critical need to support citizens' volitional endorsement of vaccination to harvest long‐term benefits with respect to COVID‐19.
Taking care for older adults can place informal caregivers at risk for developing health problems. Therefore, interventions aiming to empower informal caregivers have been developed. Empowerment refers to a health promotion process including strategies to improve informal caregivers' self‐care behaviours, stress‐management and caregiving skills. In literature, empowerment‐oriented interventions often target subsamples of informal caregivers defined through the care receiver's condition. These interventions, however, do not adequately capture the complexity of care needs and might even exclude informal caregivers taking care for older people without a specific diagnosis or with a subthreshold condition. Therefore, the aim of this systematic review is to provide an overview of the content and effectiveness of empowerment‐oriented interventions directed at informal caregivers of community‐dwelling older adults. Following the PRISMA guidelines, a systematic review was performed by searching the following databases: PubMed, PsycINFO, EMBASE and Web of Science. From a total of 6798 unique publications, 13 intervention studies, of which seven randomised controlled trials, were eligible for inclusion. According to the Mixed Methods Appraisal Tool, eight studies scored poor. The intervention studies under review represented different domains of empowerment, with cultivation of positive feelings being the most prevalent one. Social participation and physical health received little attention in interventions. Although no adverse intervention effects were observed, the studies reported mixed results with 57 positive and 47 neutral effects. The limited number and poor quality of studies emphasise the need for future research investigating the effectiveness of empowerment‐oriented interventions targeting informal caregivers of older adults.
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