The novel coronavirus SARS‐CoV‐2 has likely been circulating around the globe since
November 2019. At the time of writing in January 2020, the New York Times COVID‐19
tracker documented 90.3 million+ cases and 1.9 million+ deaths (“Coronavirus World
Map,”). In addition to the sky‐high morbidity and mortality rates brought by the pandemic,
the global and local outbreaks have dislocated economies and social conditions. As
reviewed by Dennis (2020), the Asian Development Bank announced that COVID‐19 could
cost the global economy between $5.8 and $8.8 trillion. The estimated number of jobs
lost has been 81 million in the Asian Pacific region (International Labour Organization,
2020a), 30 million in Latin America and the Caribbean 2020 (International Labour Organization,
2020), and 22 million in the United States (Ponciano, 2020).
Unprecedented devastation reinstates old scientific questions and brings new ones.
For social psychologists who study attitudes, persuasion, self‐regulation, or behavioural
change, these questions are inspired by the need to systematically identify the content
of persuasive messages, the self‐regulatory consequences of the pandemic, the processing
of prevalence and incidence information, and changes to prosocial behaviour and group
identities brought about by the pandemic.
Developing and Selecting Public Health Messages
The pandemic has brought the imperative of producing a rapid and flexible public health
response to address rapidly evolving risks. It underscores the lack of evidence‐based
guidelines on how to select message and intervention contents to change attitudes
and behaviours. Traditionally, the approach to selecting beliefs or themes for a health‐promotion
campaign has been to rely on (a) intuition and loosely designed market probes or (b)
theory with identification of salient beliefs.
Creative ad agencies illustrate the use of intuition and fairly informal market research
such as focus groups. An iconic example of a health campaign designed by advertisers
is Truth. Some of the Truth efforts have been documented in academic publications.
For example, Hicks (2001) wrote an article explaining some of the decisions made in
the campaign as implemented in the state of Florida (Sly et al., 2001). He related
that they designed the campaign by interacting with young people, including through
focus groups, and considering products that had been successfully marketed with youth.
The main breakthrough concerned the realisation that young people smoked to feel “in
control.” Therefore, the designers reasoned that making young people rebel against
manipulation from the tobacco industry could be a successful approach. The team also
went for surprise in the ad executions. In Hick’s words: “Like any engaging brand,
the creative work had to surprise and lead the target rather than be based on images
they expected” (p. 4).
Theory can act as a guide for campaign or intervention design as well. For example,
one could use a reasoned action approach (Ajzen & Albarracín, 2007; Ajzen et al.,
2018) or the information‐motivation‐behavioral skills model (Fisher et al., 2006)
to make decisions about what behavioural precursors to target. Messages can create
new norms or make health behaviours appear more desirable. They may increase self‐efficacy
or provide training in behavioural skills. Once research establishes if a behaviour
is controlled by attitudes, norms, and/or self‐efficacy, there are methods to elicit
underlying salient beliefs. For example, one may ask questions about the positive
and negative outcomes of performing a behaviour, and outcomes listed by at least 10%
of the population would be deemed salient (Ajzen & Fishbein, 1980).
The COVID‐19 pandemic has required and will continue to require designing campaigns
and other interventions to encourage health behaviours such as mask‐wearing and vaccination.
Social psychologists facing this daunting task, however, will find both the intuitive
and theoretical approaches only partially satisfying. Let us assume that we determine
a possible belief or emotional reaction to address. At this point, the following questions
arise: (a) Of multiple candidate beliefs, how should we decide which ones to choose?
(b) How many of these beliefs could we address? (c) Can these beliefs be additively
combined without detriment? (d) Should we prioritise beliefs based on theory or intuition?
We believe that social psychologists are ideally poised to address these questions
and to design methods to design messages in a systematic fashion. One approach would
be to integrate theory and data‐driven methods. As an illustration, one could gather
data on salient beliefs from an elicitation study, from health personnel who have
direct contact with those who need to be encouraged to perform preventive behaviours,
and from experts who can provide solutions based on theory. However, this procedure
could lead to six beliefs from an elicitation study, four additional thematic recommendations
from health personnel, and a number of variables from theory. Threat models like the
protection motivation theory (Floyd et al., 2000; Maddux & Rogers, 1983; Tannenbaum
et al., 2015) incorporate threat, which includes perceptions of risk or susceptibility
as well as perceptions of severity, and efficacy perceptions, which comprise the sense
that the recommended behaviour will avert the threat. Normative approaches such as
those by Cialdini and colleagues (Cialdini, 2003; Cialdini et al., 1991) would prescribe
highlighting approval for and actual performance of the recommended behaviour in the
population. The reasoned action approach (Ajzen & Albarracín, 2007) would recommend
addressing norms as well as the outcomes of the behaviour, with the caveat that the
importance of norms and attitudes should be first verified in the population under
study. Social‐cognitive theory (Bandura, 2001), as well as the reasoned action approach
(Ajzen & Albarracín, 2007), would recommend inducing perceptions of control over the
behaviour. Integrative models such as the information‐motivation‐behavioral skills
model (Fisher et al., 2006) and the health belief model (Janz & Becker, 1984) would
incorporate norms, attitudes, self‐efficacy, and behavioural skills.
The review of possible theory‐based recommendations up to this point includes six
theories and six possible themes to address in an intervention. Reactance theory (Brehm,
1966) would further suggest a strategy that emphasises people’s freedom to engage
in the behaviour, particularly for those who do not oppose the recommended measures.
Social determination theory (Deci & Ryan, 2012; Ryan & Deci, 2006) would also highlight
the opposition between intrinsic and extrinsic motivation, recommending that interventions
promote a sense of autonomy (Hagger & Chatzisarantis, 2014). Together, the reactance
and social determination theories suggest autonomy as an additional theme to introduce
in an intervention.
Action goal theory (Albarracin, 2021) provides further themes for intervention. In
particular, people can confront a challenge by setting general goals for action or
setting more specific goals and plans. Because the pandemic has forced people to be
inactive, instilling a general goal for action may be beneficial. However, general
action goals are insufficient guides for behaviour and thus require setting specific
goals as well. Consequently, additional intervention themes include a general appeal
to action and the benefits of combining such an appeal with more specific goals.
Altruism is also relevant to health behaviours that have benefits not only for the
self but also for the community at‐large (Alessandri et al., 2009; Grant & Gino, 2010).
In the context of the pandemic, people report greater intentions to wash their hands
and practice social distancing to prevent the coronavirus when public (vs. private)
benefits of doing so are emphasised (Jordan et al., 2020). People also report higher
intentions to vaccinate when considering its benefit to others than its benefit to
themselves (Betsch et al., 2013). Altruisic motivation alone may not always produce
desirable health behaviours, however. For example, Jung and Albarracín (2021) showed
that highlighting the social benefits of vaccination is more effective in encouraging
vaccination when people believe that their actions will make a personal impact on
others. Even a subtle contextual cue like social density can affect perceptions of
personal impact, such that people living in less (vs. more) crowded areas are more
responsive to prosocial appeals for vaccination because they expect their behaviour
to have a greater community impact.
Other important themes may also be inferred from the altruism literature. For example,
because people often attach more value to activities that require more pain and effort
(Festinger & Carlsmith, 1959; Olivola & Shafir, 2013), contributing time to a charitable
cause is considered more valuable than contributing money (Reed et al., 2007, 2016).
When it comes to vaccine development, investments of time and effort may also be more
appreciated than investments of money, conferring more trust in vaccine developers.
Trust may also increase by merely providing information about the rigor of the vaccine
development process.
In addition, political psychology has uncovered different values associated with conservative
and liberal ideology (Albarracin & Shavitt, 2018). Individualising values, defining
of liberal ideology, include concern about caring, nurturing, and protecting vulnerable
individuals from harm (Graham et al., 2009). Binding values, defining of conservative
ideology, involve ingroup loyalty, authority, respect, and purity (Graham et al.,
2009). Research on value‐based persuasion has compared two messages: “Show your love
for all of humanity and the world in which we live by helping to care for our vulnerable
natural environment,” and “Show your love for your country by joining the fight to
protect the purity of America’s natural environment” (Wolsko et al., 2016). Although
liberals supported environmental conservation regardless of the appeal, conservatives
were more persuaded by the binding message than they were by either the individualising
message or a control message (Wolsko et al., 2016).
A review of just eight theories would provide at least eight themes to explore, but
how are researchers and practitioners to make these decisions? To begin, designing
interventions should go beyond one preferred theory and incorporate all of the factors
that will maximise recipients’ benefits. Thus, a method of empirically reducing these
themes seems necessary. To demonstrate, we conducted a study to test a possible method
to select promising combinations of messages by implementing a factorial design and
then estimating the size of the effects of particular combinations of message themes.
The design was a 2 (autonomy) × 3 (goals) × 3 (values) × 4 (investment) × 2 (prosociality) × 2
(vaccine development) × 4 (norms), which resulted in 2,304 combinations. To reduce
the number of dimensions, we randomly assigned a group of 507 participants (recruited
from Amazon’s Mechanical Turk, 258 females, M
age = 41.18, SD
age = 12.29) to the cells of this factorial design. They were presented with one message
and then reported their intentions to receive the vaccine. The measures of intention
included “Will you get vaccinated once the COVID‐19 vaccine is available to you?”
(0 = no, 1 = not sure, 2 = yes); “Do you plan to get vaccinated with the COVID‐19
vaccine as soon as you can?” (1 = very unlikely, 2 = unlikely, 3 = likely, 4 = very
likely). The items demonstrated a high internal consistency (α = .89). These items
were first standardised and then were averaged to create a single score of vaccination
intention. This score was then used to estimate the average impact of combinations
of two or three factors, thus obtaining the means for the cells of all of the two‐
and three‐way interactions. This procedure allowed us to select two groups of messages,
one with means between 1 z and 2 z, and another with means above 2 z. We are currently
testing this method’s efficacy for the selection of message contents.
Mental Health Impacts and Self‐Regulation
The COVID‐19 pandemic has raised concerns about its impact on mental health (Farkhad
& Albarracín, 2020; Riehm et al., 2020). However, we believe that the most insidious
psychological problems during the pandemic concern inability to regulate behaviour
and protect oneself from infection with the SARS‐CoV‐2 virus. Research on collective
forms of self‐regulation is thus critical to illuminate the dynamic of behaviours
such as mask wearing and social distancing within the population. For example, what
is the impact of isolation on loneliness and, in turn, the inability to avoid social
gatherings? What is the impact of fear on similar processes, and does promoting the
idea that the pandemic causes mental health problems increase people’s tendency to
ignore preventive recommendations?
Research on how isolation and social networks affect the regulation of specific behaviours
is critical. Typically, social support has been studied in relation to mental health,
with research showing that having emotional and instrumental help decreases the risk
of depression and other symptoms (Kessler & McLeod, 1985; Lakey & Orehek, 2011; Turner
et al., 1983). However, the effect of others on self‐regulation goes beyond soothing
to affect our planning, long‐term orientation and selection of beneficial courses
of action. Thus, when a pandemic cuts social links, it may deprive individuals from
the mechanisms of social regulation of behaviour. This is an important area of research
for the future.
How People Use Risk Information: Impact of Prevalence and Incidence
Health statistics have dominated the news and public health communications since the
beginning of the pandemic. Curves representing accumulation of cases are displayed
daily, mainly in interactive forms. These curves present two key epidemiological metrics:
(a) prevalence and (b) incidence. Prevalence is the number of people who have a disease
per 100,000 inhabitants at any given time; incidence is the rate of occurrence of
new cases for a given time period, such as the number of new cases per 100,000 inhabitants
per day, month, or year.
Although prevalence and incidence are important markers of the course of a pandemic,
how people interpret and use each type of information is not clear. In theory, prevalence
could signal the level of infectivity of a population and thus the potential to contract
the disease within a geographic area. Correspondingly, incidence allows for both inferences
about undiagnosed cases as well as inferences about the behavioural norm of a population.
For example, if incidence is low, we may conclude that prevalence may be the tip of
the iceberg, signalling a large rate of yet‐undiagnosed infections. However, if incidence
is high, we may conclude that people are currently not following the recommended behaviours,
which may lead us to follow suit and ignore public health recommendations.
Despite their importance for both understanding human behaviour during a pandemic
and designing public health communications, these issues have not been addressed in
past research. Therefore, social psychologists could investigate the degree to which
people pay attention to prevalence and incidence, and their naïve interpretations
of the meaning of these indexes. It would also be important to examine if these determinations
are made in an elaborative or a spontaneous fashion, and whether and when they inform
behavioural decisions.
Dissemination of Information Within Networks
Even though public policy to address the COVID‐19 pandemic has focused on individuals
staying at home, exercising social distance, or seeking care when necessary, pandemics,
by definition, go beyond individuals. People make decisions about how to behave on
the basis of not only their individual interpretation of public health communications
and mandates but also their observations of what others are doing. Up to this point,
however, scientific understanding of those observations is limited in two ways. First,
even though there is a rich and important literature on normative influences (Becker
et al., 2017; Centola, 2019b; Watts, 2004), our theories and evidence base about normative
influences within digital networks have only scratched the surface. Second, surprisingly,
the literature on norms (Albarracín & Shavitt, 2018; Cialdini & Goldstein, 2004; Schultz
et al., 2019) has not been integrated with the literature on behavioural influences
on attitudes, leading to an absence of a lens to study contexts where people are both
observers and actors.
Prior work has examined diffusion of information and behaviour as a function of network
properties, including tie‐strength (Granovetter, 1973, 1983), tie‐asymmetry (Almaatouq
et al., 2016), and homophily (Becker et al., 2017; Centola, 2010, 2019a), among other
factors. Despite its great advances, this prior work has not studied generalisation
processes (Albarracín & Handley, 2011; Albarracín et al., 2008, 2018, 2019; Hepler
& Albarracín, 2013, 2014; Jiang et al., 2014) or the reciprocal influences of attitude
(i.e., evaluation) on behaviour (overt actions including, in our case, posting a badge)
and of behaviour on attitudes (Albarracin, 2021; Albarracín & Wyer, 2000; Glasman
& Albarracín, 2006). Although behaviours that make use of our automatic, reflexive
processes (e.g., posture) may easily be adopted by mimicry (Albarracin, 2021), understanding
how attitudes influence collective adoption of behaviours that require deliberation
(e.g., violating social distancing) is key in public health contexts.
When a person posts an image or a badge on social media, it can lead to the emergence
of additional posts that set an agenda (i.e., the central topic of the posts). The
agenda is naturally set to be general if one views (a) a post like the ones in the
top of Figure 1. In contrast, the agenda is naturally set to be specific if one views
(b) one of the specific posts in the bottom of Figure 1. This agenda in turn can lead
people in this network to form general attitudes (e.g., toward support for COVID‐19
efforts) or specific attitudes (e.g., toward taking vitamin C to prevent infection
with SARS‐CoV‐2). When the agenda is general, the presence of risky behaviours within
the network poses the risk of producing a general risky attitude than does the presence
of health behaviours within the network. Thus, a general agenda can amplify risk via
generalisation of this risk.
Figure 1
Examples of social media posts on preventing COVID‐19. [Colour figure can be viewed
at wileyonlinelibrary.com]
Human Prosociality
Because all behaviours designed to prevent infections protect not only the actor but
also society at large, the pandemic serves as a reminder that our decisions have consequences
for other people. Accordingly, a considerable body of research has highlighted how
prosocial (i.e., self‐transcendent) concerns can motivate COVID‐19 prevention behaviours
(Jordan et al., 2020; Pfattheicher et al., 2020) and vaccination (Jung & Albarracin,
2021). Less is known, however, about the implications of the COVID‐19 pandemic itself
on people’s prosociality. We discuss several hypotheses that warrant attention.
The restrictions imposed by the pandemic have brought considerable losses in terms
of social contact, jobs, and other elements of one’s safety net. These personal adversities
may impair people’s ability to attend to others’ needs because individuals need cognitive
and motivational resources to implement actions in the service of the common good
(DeWall et al., 2008; Xu et al., 2012). An important question is then how to encourage
concern for others while helping individuals deal with their own hardships. We propose
that shifting people’s focus from the impact of the pandemic on them personally onto
similar impacts on other people may simultaneously increase the ability to find solutions
for one’s personal problems while also heightening concern for other people. The rationale
is that people are more sympathetic toward others who share similar experiences (Loewenstein
& Small, 2007) and that merely perceiving that others are going through similar difficulties
as one’s own can increase intentions to seek help (Gage‐Bouchard et al., 2017) and
promote personal resilience (Walsh, 2007).
In addition, cultures vary in the extent to which they primarily construe the pandemic
as an individual experience (e.g., how it has impacted me) or a collective/shared
experience (e.g., how it has impacted us). This difference could in turn yield different
prosocial outcomes across cultures during and postpandemic. Indeed, collectivistic
(vs. individualistic) cultures, which are more likely to view the pandemic as a shared
experience, cooperate more to perform COVID‐19 preventive behaviours (Huang et al.,
2020; Pei et al., 2020). What is not known, however, is whether, because of the pandemic,
those in collectivistic cultures also engage in more mutual support in other domains
(e.g., social isolation, economic challenges) and therefore are less negatively impacted
by the pandemic psychologically (e.g., less COVID‐19 related depression) compared
to those in individualistic cultures.
The pandemic also has highlighted new ways in which people can help others. Prepandemic,
large charity networks (e.g., United Nations Childre’s Fund) served as a primary vehicle
to coordinate donations and volunteering (givingusa.org). During the pandemic, however,
communities created new solutions to support people in need, such as ordering more
takeout from local restaurants, continuing to pay for local services they could not
use during lockdowns, and paying for COVID‐19 tests for neighbours with limited financial
means (“How individuals in the U.S. helped their neighbors through Covid‐19,” CNBC
News, 2020; “Italians pay it forward by collecting donations for COVID tests,” CBS
News, 2021). Importantly, these smaller community‐based efforts were able to address
the challenges posed by the pandemic more quickly and more effectively than were big
charity networks (Ward, 2020). New research questions could thus involve how the pandemic
has changed people’s philanthropic priorities. For example, the pandemic may have
increased people’s preference to give through local rather than national or global
community organisations, Moreover, people may also be more attentive to those who
are spatially closer (e.g., their neighbours) and prefer to help them more than people
who are farther away. Alternatively, cooperation in smaller community networks could
have a ripple effect on large‐scale cooperation, with local experiences of mutual
support within their own communities extending to other communities and countries
as well.
Changes to Group Identity
One of the most noticeable restrictions of the pandemic has been on physical boundaries,
including reduced ability and motivation to travel to other countries and bans to
the entry of foreign nationals into countries. An important question for social psychologists
is whether these measures have increased or decreased the salience of national identities.
At least three possible mechanisms could increase nationalism. First, the restrictions
may simply amplify the distance between one’s nation and others (Tajfel, 1981). Second,
the restrictions are signals that excluding other groups is the norm and may model
xenophobia (Tankard & Paluck, 2016). Third, travel restrictions that reduce globalisation
and immigration may limit exposure to social diversity and lead to the perception
that one’s own group is the norm (Briley et al., 2013; Gerbner et al., 1980, 1982).
The decline in social diversity is likely to be more prominent in regions that were
less ethnically diverse to begin with, including South Korea and Hong Kong.
Decreases in the salience of group boundaries are possible as well, given that most
communications during the pandemic were conducted online. Physical location has currently
little influence on how people go about doing work, attending workshops, or connecting
with others. Therefore, during the pandemic, people may have increasingly relied on
individuating characteristics (e.g., personality) when evaluating and interacting
with others, and correspondingly less on characteristics associated with their physical
location, such as nationality, race, and ethnicity. Indeed, focusing on individuating
information has been shown to reduce stereotyping in implicit and explicit person
perception (Rubinstein et al., 2018). However, whether indeed the pandemic has magnified
or minimised perceived differences among groups, and its consequences for intergroup
cooperation, should be systematically addressed in future research.
Final Note
The extraordinary circumstances of the COVID‐19 pandemic have raised a number of theoretical
and practical challenges for traditional fields within social psychology. One challenge
will be identifying and testing systematic methods to develop and integrate contents
for health campaigns and interventions. Even though a number of theories can inspire
these decisions, contents are population‐specific and must be combined in a meaningful
and efficacious way. Another challenge is defining and investigating the pandemic’s
impacts on not only depression and anxiety but also externalizing behaviours. The
COVID‐19 pandemic has created a new spectrum of impulsive behaviour. In addition to
traditional manifestations such as substance use, the new behaviours involve risky
socialisation and ignoring fairly nuanced health recommendations.
The pandemic has also introduced a number of questions about social networks and cooperative
behaviour. irstSocial media networks have become in many cases the only way in which
people have social contact; therefore, the mechanisms of transmission of behavioural
norms and attitudes are key and need to be investigated in new ways. We propose to
research generalisation processes and methods of encapsulating risky behaviours while
amplifying healthy ones. Furthermore, explicating the forms in which people might
seek prosocial goals while they also satisfy individual ones will be important, as
will investigating generalisation of specific prosocial goals to new arenas. Finally,
the pandemic has highlighted the possible impact of travel restrictions on group and
other forms of national identity.
Conflict of Interest
The authors declare that they have no conflicts of interest with respect to their
authorship or the publication of this article.