Conceptualization of college students’ COVID-19 related mask-wearing behaviors using the Multi-Theory Model of health behavior change

Davis, Robert E.; Sharma, Manoj; Simon, Kayla E; Wilkerson, Amanda H.

doi:10.34172/hpp.2021.24

Cited by 11 publications

(20 citation statements)

References 22 publications

(14 reference statements)

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“…Estimates of parameters were obtained through the maximum likelihood estimation method with 95% Wald’s confidence limits for the logistic model. The final model was selected based upon the Akaike Information Criterion (A1C) and the Schwarz Criterion (SC) [ 30 ]. For regression analyses, polytomous categorical variables were dummy-coded to calculate accurate parameters.…”

Section: Methodsmentioning

confidence: 99%

COVID-19 Booster Vaccination Hesitancy in the United States: A Multi-Theory-Model (MTM)-Based National Assessment

et al. 2022

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Background: Despite the availability of COVID-19 vaccines and the proven benefits of vaccinations outweighing the potential risks, hesitancy to accept vaccines and additional doses remains a persistent problem. Therefore, the purpose of the study was to investigate hesitancy, confidence, literacy, and the role of the multi-theory model (MTM) constructs in COVID-19 booster uptake. Methods: This cross-sectional study utilized a 52-item psychometric valid web-based survey conducted during the month of October 2021 to recruit a nationally representative sample of U.S. adults. Univariate, bivariate, and multivariate statistical tests were used to analyze the data. Results: Among the booster hesitant group (n = 209, 41.7%), a significantly larger proportion of respondents were unvaccinated with the primary series (43.5% vs. 11%, p < 0.001), were among 18–44 years age group (51.2% vs. 31.8%, p < 0.001), single or never married (33.0% vs. 24.3%, p = 0.04), had lower education with some high school (6.2% vs. 2.4%, p = 0.03), and identified themselves as Republicans (31.6% vs. 20.5%, p = 0.01). The hesitant group had lower mean scores of vaccine literacy, and vaccine confidence, and had 19% lower odds of behavioral confidence than their non-hesitant counterparts (adjusted odds ratio = 0.81, 95% CI: 0.71–0.92). Conclusions: The findings of this study underscore the need of raising public awareness through effective multi-theory-model-based communication campaigns.

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Section: Methodsmentioning

confidence: 99%

COVID-19 Booster Vaccination Hesitancy in the United States: A Multi-Theory-Model (MTM)-Based National Assessment

et al. 2022

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“…The survey included 20 demographic and vaccine status related, 8 items to measure the Vaccine Confidence Index (VCI), 14 items to assess functional, communicative, and critical vaccine literacy [ 22 , 23 ], 13 items related to initiation of booster vaccination behavior based on the MTM [ 18 , 19 , 20 ]. The MTM tool has been used in a variety of other protective behaviors, such as mask wearing and hand-washing related to the COVID-19 [ 24 , 25 ]. The MTM tool includes subscales of “perceived advantages,” “perceived disadvantages,” “behavioral confidence,” and “changes in the physical environment.” [ 26 ].…”

Section: Methodsmentioning

confidence: 99%

Assessing COVID-19 Booster Hesitancy and Its Correlates: An Early Evidence from India

Achrekar¹,

Batra

Urankar

et al. 2022

Vaccines

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The emergence of SARS-CoV-2 mutants, waning immunity, and breakthrough infections prompted the use of booster doses of the COVID-19 vaccine to fight against the pandemic. India started booster doses in January 2022 and it is critical to determine the intention of booster dose uptake and its correlates. Therefore, the current cross-sectional study aimed to investigate booster dose acceptability and associated predictors among the Indian population. A convenience sampling technique was utilized to recruit a sample of 687 Indian residents. A 55-item psychometric validated survey tool was used to assess booster dose acceptability, vaccine literacy and vaccine confidence. Univariate, bivariate, and multivariate statistical methods were used to analyze the data. Over 50% of participants reported their willingness to take the booster dose. Among the group not willing to take the booster dose (n = 303, 44.1%), a significantly larger proportion of respondents were unvaccinated with the primary series (12.2% vs. 5.2%, p < 0.001), had an annual income below 2.96 lacs/annum (52.8% vs. 33.1, p < 0.001), were residents of rural areas (38.0% vs. 23.2%, p < 0.001), were not living with vulnerable individuals (78.5% vs. 65.2%, p < 0.001) and did not have family/friends who had tested positive for COVID-19 (54.6% vs. 35.1%, p = 0.001). Demographic, vaccine variables and multi-theory model subscales to predict the initiation of booster dose among hesitant participants were statistically significant, R2 = 0.561, F (26, 244) = 11.978, p < 0.001; adjusted R2 = 0.514. Findings of this study highlight the need to develop evidence-based interventions to promote vaccine uptake, particularly among hard-to-reach communities living in developing countries.

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“…Mask use behavior questionnaire was designed by Sharma and colleagues at Las Vegas University in America 32 . This questionnaire contains 33 questions.…”

Section: Patient and Public Involvementmentioning

confidence: 99%

The effect of Multi-Theory model educational intervention on preventive behaviors of Covid-19 in Yazd students: a protocol study

Mahmoodabad

Yoshany

Moori

et al. 2023

Preprint

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Introduction: Identifying preventive behaviors from Covid-19 can be useful for planning short-term and long-term interventions for students washing hands, wearing masks and receiving vaccines. The aim of this study is to investigate the effect of educational intervention based on multi-theory model on preventive behaviors of Covid-19 in students in Yazd. Methods and analysis: This study will be a randomized controlled trial based on case and control groups on undergraduate students in Yazd universities. Received a clinical trial code and an ethics code in the research. The random cluster sampling method will be two-step. The data collection tool is a questionnaire consisting of 4 parts: the first part is demographic information, the second part is a hand washing behavior questionnaire based on a multi-theory model, the third part is a vaccine acceptance behavior questionnaire based on a multi-theory model, the fourth part is a questionnaire The behavior of wearing a mask is based on a multi-theory model. Questionnaires will be completed in 2 rounds. First before the intervention and one month after the intervention. After completing the pre-test, an educational intervention based on the multi-theory model will be performed for the case group and no intervention will be performed for the control group. Data analysis will be performed in SPSS software version 24. Ethics and dissemination: The ethical approval of this research was obtained by the Ethics Committee of Shahid Sadoughi University of Medical Sciences, Yazd. (Approval date: 9/24/1400) Reference number: IR.SSU.SPH.REC.1400.179. The results will be disseminated through peer-reviewed journals and conferences. The present study was carried out in accordance with the Declaration of Helsinki and approved by IRCT. The participants of this study were students, they were not patient, no special intervention was done on them, we only gave them a series of trainings to increase their awareness about preventive behaviors of COVID-19. Trial registration number: IRCT20211226053527N1

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Conceptualization of college students’ COVID-19 related mask-wearing behaviors using the Multi-Theory Model of health behavior change

Cited by 11 publications

References 22 publications

COVID-19 Booster Vaccination Hesitancy in the United States: A Multi-Theory-Model (MTM)-Based National Assessment

COVID-19 Booster Vaccination Hesitancy in the United States: A Multi-Theory-Model (MTM)-Based National Assessment

Assessing COVID-19 Booster Hesitancy and Its Correlates: An Early Evidence from India

The effect of Multi-Theory model educational intervention on preventive behaviors of Covid-19 in Yazd students: a protocol study

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