COVID-19 Help-Seeking Behaviors: Application of the Theory of Planned Behavior

The novel coronavirus disease (COVID-19) is highly contagious. More than 247 million cases have been confirmed by the end of October 2021. Seeking help earlier may slow the spread of COVID-19 because it may help in early detection of infected cases, and it facilitate tracing those who were with close contact with infected cases. The purpose of this study is to identify participants’ intentions toward COVID-19 seeking help and the factors affecting their decision. This is a cross-sectional study. An online survey using Google Forms was used for data collection. Hierarchical multiple regression analysis was used to explain intentions to seek help for COVID-19. The concepts included in the Theory of Planned Behavior and COVID-19 knowledge were used as predictors. The sample included 780 participants, with an average age of 28.60±9.86 years old. Most of the sample were female (67.4%) and having a bachelor’s degree (72.7%). Participants showed high level of knowledge regarding COVID-19, 73% of the sample had a total knowledge score equal to or higher than 85%. Also, participants had high positive attitudes and high intentions to seek help for COVID-19. The four predictors: Attitudes towards COVID-19, subjective norm, perceived behavioral control, and COVID-19 knowledge significantly explained intentions to seek help. Participants had high intentions to seek help for COVID-19, which was related to having positive attitudes toward seeking help, high social approval, high perceived controllability, and high COVID-19 knowledge levels. Regular awareness campaigns during early stages of pandemics should be performed to improve attitudes and knowledge level, which may improve prevention measures, and promote help seeking behaviors. Consequently, this may facilitate early detection of cases, and slow the spread of pandemics.     

To share or not to share: A theoretically guided investigation of factors predicting intentions to use fully automated shared passenger shuttles

This study applied the Theory of Planned Behaviour (TPB) to assess individuals’ intentions to use fully automated shared passenger shuttles when they become publicly available. In addition, perceived trust was assessed to examine the extent to which this variable could account for additional variance in intentions above the TPB constructs of attitudes, subjective norms, and perceived behavioural control (PBC). Further, and also guided by the TPB, the study explored the differences in behavioural, normative, and control beliefs between individuals who reported high intentions to use automated passenger shuttles in the future (high intenders) and individuals who reported low intentions to use fully automated shared passenger shuttles in the future (low intenders). Participants (N = 438; 64% female) aged between 17 and 84 years (Mage = 35.42 years) were asked to complete an online questionnaire which took approximately 15 min. The findings revealed that attitudes, subjective norms, and PBC were significant positive predictors of intentions to use fully automated shared passenger shuttles when they become publicly available. When perceived trust was added to the hierarchical regression, this variable was shown to account for additional significant variance in intentions above the TPB constructs and was shown to be a significant positive predictor of intentions. Further, the results revealed significant differences in beliefs held by high and low intenders. Specifically, high intenders held significantly more positive beliefs towards fully automated shared passenger shuttles than low intenders. In turn, low intenders held significantly more negative beliefs towards these vehicles than high intenders. Overall, these findings provide support for the utility of the TPB in examining individuals’ intentions to use fully automated shared passenger shuttles when they become publicly available.     

Information‐Seeking as a Precaution Behavior: Exploring the Role of Decision‐Making Stages

The Planned Risk Information Seeking Model (PRISM) was employed to explain people's information‐seeking intentions in the context of hydraulic fracturing. Stages from the Precaution Adoption Process Model (PAPM) were included in the analysis as a moderator. The PRISM fit the data well. Moreover, results showed overall model differences among people who have not decided to take action on hydraulic fracturing, people who have decided to take action, and people who have decided not to take action. Findings provided justifications for tailored messages to encourage information seeking among the varying publics.     

The Theory of Planned Behavior as a model for understanding sedentary behavior

ObjectivesSedentary time has emerged as an independent risk factor for numerous adverse health outcomes. However, little is known about the social-cognitive correlates of sedentary behavior. The purpose of this study was to provide preliminary evidence for the factor structure and composition of sedentary derived Theory of Planned Behavior (TPB) constructs and to determine the utility of these constructs in predicting sedentary intention and sedentary time.MethodTwenty-three items were created to assess attitudes, subjective norms (SN), perceived behavioral control (PBC), and intention with respect to time spent being sedentary. Using a web-based survey, 372 adults completed a modified Sedentary Behavior Questionnaire and were then randomised to one of three TPB questionnaire packages: general, weekday, and weekend. Weekday and weekend participants completed items for work/school (less-volitional) and leisure/recreation (volitional) activities separately, resulting in five TPB models being analyzed: general, weekday work/school, weekday leisure/recreation, weekend work/school, and weekend leisure/recreation.ResultsIrrespective of model, items grouped into coherent factors consistent with TPB and explained 9–58% and 8–43% of the variance in intention and behavior, respectively. The strongest and most consistent predictor of intention and behavior were SN and intentions, respectively. Mediation analyses indicated that attitudes consistently affected sedentary time through intention.ConclusionsThere is growing evidence that the TPB is a useful framework for understanding sedentarism.     

An experimental approach towards the evaluation of a seat belt campaign with an inside view on the psychology behind seat belt use

A Belgian national safety belt campaign was evaluated by means of a questionnaire survey in an adolescent sample. The evaluation was done through a three group after-only design with the use of one control group and two experimental groups. The first experimental group, the attentive group, was exposed to the campaign material in a very direct, attentive way, whereas the second experimental group, the pre-attentive group, was exposed rather inattentively. The framework of the Theory of Planned Behaviour (TPB) was applied and extended with a habit and a past behaviour variable in order to verify whether seat belt usage is to be understood as an automaticity mechanism (i.e., habitual or repeated past behaviour) or as planned behaviour. In terms of campaign effect, the comparison of the pre-attentive group and the control group revealed no significant differences. However, the attentive group and the control group differed significantly regarding two basic dimensions of perceived behavioural control (i.e., confidence and motivation), habit, past behaviour, behavioural intention and behaviour. In terms of explaining seat belt usage, linear regression models were fitted and gave most support for the repeated past behaviour approach. According to the latter, using seat belts is recycling an originally reasoned behaviour, yet without systematically going through the whole underlying reasoning every time a situation in which the decision to wear a seat belt (or not) presents itself. The practical implications of these findings are discussed more in detail.     

Evidence for Discontinuity Patterns Across the Stages of Change: A Role for Attitudinal Ambivalence

Cross-sectional analyses of the transtheoretical ("stages of change") model (TTM) can provide valuable information concerning the variables that are likely to shift individuals from one stage to the next. The present study was designed to investigate the roles of theory of planned behaviour (TPB) variables and attitudinal ambivalence across the stages of change. Two samples derived from the general population completed measures of stage, TPB and attitudinal ambivalence with respect to consuming a low-fat diet (n = 148) and eating five portions of fruit and vegetables per day (n = 151). Consistent with previous research, the present study found linear increases in TPB variables across the stages of change. However, as predicted, attitudinal ambivalence showed discontinuity patterns, displaying a quadratic relationship with the stages of change, such that least ambivalence was experienced in the precontemplation and maintenance stages. Discussion of the findings focuses on implications for the development of theory-driven interventions.     

Women's expectations and experience of birth

Empirical research has identified two distinct item clusters used to measure perceived behavioral control (PBC) labeled self-efficacy and controllability. Self-efficacy has been reported as the superior predictor of intention in all research efforts with these PBC factors. However, we argue that the conception of these item clusters originates from backward theorizing and hypothesize that controllability items are better indicators of the originally conceived PBC construct, while self-efficacy taps the measurement domains of both PBC and intention. Therefore, the purpose of this study was to investigate factor distinction with PBC and intention items across disparate samples of 302 undergraduate students and 267 cancer survivors in the exercise domain. Results found the only model with acceptable fit across populations was that of controllability and intention ( h 2 (8) = 6.91, p = 0.55; RMSEA = 0.00; CFI = 1.00 for undergraduates and h 2 (8) = 26.51, p <0.01; RMSEA = 0.09; CFI = 0.97 for cancer survivors) supporting our hypothesis that the controllability concept, but not the self-efficacy factor, has a clean measurement distinction from intention. Further, self-efficacy items showed factor complexity between PBC and intention across both samples, suggesting that self-efficacy may have been reported as superior to controllability in predicting intention due to measurement redundancy rather than meaningful causal influence.     

The Process by Which Relative Autonomous Motivation Affects Intentional Behavior: Comparing Effects Across Dieting and Exercise Behaviors

A motivational model integrating self-deter-mination theory and the theory of planned behavior was tested in two samples for exercise and dieting behavior respectively. Relative autonomous motivation from self-determination theory was hypothesized to predict intentions to exercise or diet via the mediation of attitudes and perceived behavioral control (PBC) from the theory of planned behavior. It was also expected that attitudes and PBC would predict actual levels of exercise and dieting behavior via the mediation of intentions. Relations in the proposed model were expected to be invariant across the behaviors. Two samples of participants (N = 511) completed measures of the autonomous motives, attitudes, subjective norms, PBC, and intentions with respect to exercise and dieting behavior. Four weeks later, participants self-reported their behavior. Structural equation models supported the replicability of the proposed model in both behaviors. Findings supported the majority of the hypothesized effects in the proposed model across the two health behaviors. However, four effects were significantly different across the two behaviors: the effect of autonomous motives on intentions, subjective norms and PBC on intentions, and intentions on behavior. Findings extend knowledge of the processes by which psychological antecedents from the theories affect health behaviors integral to the maintenance of energy balance.