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      Using an integrated social cognition model to predict COVID‐19 preventive behaviours

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          Abstract

          Objectives

          Rates of novel coronavirus disease 2019 (COVID‐19) infections have rapidly increased worldwide and reached pandemic proportions. A suite of preventive behaviours have been recommended to minimize risk of COVID‐19 infection in the general population. The present study utilized an integrated social cognition model to explain COVID‐19 preventive behaviours in a sample from the Iranian general population.

          Design

          The study adopted a three‐wave prospective correlational design.

          Methods

          Members of the general public ( N = 1,718, M age = 33.34, SD = 15.77, male = 796, female = 922) agreed to participate in the study. Participants completed self‐report measures of demographic characteristics, intention, attitude, subjective norm, perceived behavioural control, and action self‐efficacy at an initial data collection occasion. One week later, participants completed self‐report measures of maintenance self‐efficacy, action planning and coping planning, and, a further week later, measures of COVID‐19 preventive behaviours. Hypothesized relationships among social cognition constructs and COVID‐19 preventive behaviours according to the proposed integrated model were estimated using structural equation modelling.

          Results

          The proposed model fitted the data well according to multiple goodness‐of‐fit criteria. All proposed relationships among model constructs were statistically significant. The social cognition constructs with the largest effects on COVID‐19 preventive behaviours were coping planning (β = .575, < .001) and action planning (β = .267, < .001).

          Conclusions

          Current findings may inform the development of behavioural interventions in health care contexts by identifying intervention targets. In particular, findings suggest targeting change in coping planning and action planning may be most effective in promoting participation in COVID‐19 preventive behaviours.

          Statement of contribution

          What is already known on this subject?

          • Curbing COVID‐19 infections globally is vital to reduce severe cases and deaths in at‐risk groups.

          • Preventive behaviours like handwashing and social distancing can stem contagion of the coronavirus.

          • Identifying modifiable correlates of COVID‐19 preventive behaviours is needed to inform intervention.

          What does this study add?

          • An integrated model identified predictors of COVID‐19 preventive behaviours in Iranian residents.

          • Prominent predictors were intentions, planning, self‐efficacy, and perceived behavioural control.

          • Findings provide insight into potentially modifiable constructs that interventions can target.

          • Research should examine if targeting these factors lead to changes in COVID‐19 behaviours over time.

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          Most cited references38

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          Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention

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            The Fear of COVID-19 Scale: Development and Initial Validation

            Background The emergence of the COVID-19 and its consequences has led to fears, worries, and anxiety among individuals worldwide. The present study developed the Fear of COVID-19 Scale (FCV-19S) to complement the clinical efforts in preventing the spread and treating of COVID-19 cases. Methods The sample comprised 717 Iranian participants. The items of the FCV-19S were constructed based on extensive review of existing scales on fears, expert evaluations, and participant interviews. Several psychometric tests were conducted to ascertain its reliability and validity properties. Results After panel review and corrected item-total correlation testing, seven items with acceptable corrected item-total correlation (0.47 to 0.56) were retained and further confirmed by significant and strong factor loadings (0.66 to 0.74). Also, other properties evaluated using both classical test theory and Rasch model were satisfactory on the seven-item scale. More specifically, reliability values such as internal consistency (α = .82) and test–retest reliability (ICC = .72) were acceptable. Concurrent validity was supported by the Hospital Anxiety and Depression Scale (with depression, r = 0.425 and anxiety, r = 0.511) and the Perceived Vulnerability to Disease Scale (with perceived infectability, r = 0.483 and germ aversion, r = 0.459). Conclusion The Fear of COVID-19 Scale, a seven-item scale, has robust psychometric properties. It is reliable and valid in assessing fear of COVID-19 among the general population and will also be useful in allaying COVID-19 fears among individuals.
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              Estimation of the Transmission Risk of the 2019-nCoV and Its Implication for Public Health Interventions

              Since the emergence of the first cases in Wuhan, China, the novel coronavirus (2019-nCoV) infection has been quickly spreading out to other provinces and neighboring countries. Estimation of the basic reproduction number by means of mathematical modeling can be helpful for determining the potential and severity of an outbreak and providing critical information for identifying the type of disease interventions and intensity. A deterministic compartmental model was devised based on the clinical progression of the disease, epidemiological status of the individuals, and intervention measures. The estimations based on likelihood and model analysis show that the control reproduction number may be as high as 6.47 (95% CI 5.71–7.23). Sensitivity analyses show that interventions, such as intensive contact tracing followed by quarantine and isolation, can effectively reduce the control reproduction number and transmission risk, with the effect of travel restriction adopted by Wuhan on 2019-nCoV infection in Beijing being almost equivalent to increasing quarantine by a 100 thousand baseline value. It is essential to assess how the expensive, resource-intensive measures implemented by the Chinese authorities can contribute to the prevention and control of the 2019-nCoV infection, and how long they should be maintained. Under the most restrictive measures, the outbreak is expected to peak within two weeks (since 23 January 2020) with a significant low peak value. With travel restriction (no imported exposed individuals to Beijing), the number of infected individuals in seven days will decrease by 91.14% in Beijing, compared with the scenario of no travel restriction.
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                Author and article information

                Contributors
                pakpour_amir@yahoo.com , apakpour@qums.ac.ir
                Journal
                Br J Health Psychol
                Br J Health Psychol
                10.1111/(ISSN)2044-8287
                BJHP
                British Journal of Health Psychology
                John Wiley and Sons Inc. (Hoboken )
                1359-107X
                2044-8287
                11 August 2020
                : 10.1111/bjhp.12465
                Affiliations
                [ 1 ] Department of Rehabilitation Sciences The Hong Kong Polytechnic University Hung Hom Hong Kong
                [ 2 ] Pediatric Health Research Center Tabriz University of Medical Sciences Iran
                [ 3 ] Social Determinants of Health Research Center Research Institute for Prevention of Non‐Communicable Diseases Qazvin University of Medical Sciences Iran
                [ 4 ] International Gaming Research Unit Psychology Department Nottingham Trent University UK
                [ 5 ] School of Applied Psychology Menzies Health Institute Queensland Griffith University Mt Gravatt Queensland Australia
                [ 6 ] Psychological Sciences and Health Sciences Research Institute University of California, Merced California USA
                [ 7 ] Faculty of Sport and Health Sciences University of Jyväskylä Finland
                [ 8 ] Department of Nursing School of Health and Welfare Jönköping University Sweden
                Author notes
                [*] [* ] Correspondence should be addressed to Amir H. Pakpour, Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Shahid Bahonar Blvd, Qazvin 3419759811, Iran (emails: pakpour_amir@ 123456yahoo.com , apakpour@ 123456qums.ac.ir ).

                Author information
                https://orcid.org/0000-0002-2129-4242
                https://orcid.org/0000-0001-8880-6524
                https://orcid.org/0000-0001-9975-685X
                https://orcid.org/0000-0002-2685-1546
                https://orcid.org/0000-0002-8798-5345
                Article
                BJHP12465
                10.1111/bjhp.12465
                7436576
                32780891
                e078fda6-4065-4dd3-9011-c510664317b5
                © 2020 The Authors. British Journal of Health Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 09 April 2020
                : 21 July 2020
                Page count
                Figures: 1, Tables: 4, Pages: 25, Words: 26831
                Funding
                Funded by: Qazvin University of Medical Sciences , open-funder-registry 10.13039/501100006396;
                Funded by: Business Finland
                Award ID: #1801/31/2105
                Categories
                Special Section Article
                Special Section Articles
                Custom metadata
                2.0
                corrected-proof
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.8.7 mode:remove_FC converted:19.08.2020

                attitude,behaviour change,intention,planning,preventive behaviours

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