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- Title
Cognitive and Emotional Motivation to Explain Infection-Prevention Behaviors with Social Support as a Mediator During the COVID-19 Pandemic: A Nationwide Cross-Sectional Study in Korea.
- Authors
Park, Myonghwa; Oh, Keunyeob; Kim, Hyungjun; Fan, Xing; Giap, Thi-Thanh-Thnh; Song, Rhayun
- Abstract
Purpose: To predict the performance of infection-prevention behaviors among adults in Korea based on the health belief model, using social support as a mediator. Patients and Methods: A nationwide cross-sectional survey of 700 participants from the local community was conducted using both online and offline methods from 8 metropolitan cities and 9 provinces in Korea from November 2021 to March 2022. The questionnaire was composed of 4 sections: demographic information, motivational factors for behavior change, social support, and infection-prevention behaviors. Data were analyzed using structural equation modeling with the AMOS program. The general least-squares method was applied to assess the fit of the model and the bootstrapping method was tested for indirect effect and the total effect. Results: Motivation factors that directly affected infection-prevention behaviors were self-efficacy (γ=0.58, p< 0.001), perceived barriers (γ=–.08, p=0.004), perceived benefits (γ=0.10, p=0.002), perceived threats (γ=0.08, p=0.009), and social support (γ=0.13, p< 0.001), after controlling for related demographic variables. Cognitive and emotional motivation factors together explained 59% of the variance in infection-prevention behaviors. Social support exerted significant mediating effects between each cognitive and emotional motivation variable and infection-prevention behaviors, along with a significant direct effect on infection-prevention behaviors (γ=0.12, p< 0.001). Conclusion: The engagement of prevention behaviors among community-dwelling adults was influenced by their self-efficacy, perceived barriers, perceived benefits, and perceived threats with social support as a mediator. Prevention policy approaches could include providing specific information to improve self-efficacy and build awareness of the severity of the disease while establishing a supportive social environment for promoting health behaviors during the COVID-19 pandemic.
- Subjects
SOUTH Korea; COVID-19 pandemic; HEALTH behavior; SOCIAL support; HEALTH Belief Model; STRUCTURAL equation modeling; MOTIVATION (Psychology)
- Publication
Patient Preference & Adherence, 2023, Vol 17, p1063
- ISSN
1177-889X
- Publication type
Article
- DOI
10.2147/PPA.S404310