Adhering to COVID-19 health guidelines: Examining demographic and psychological predictors of adherence.
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ABSTRACT:
SUBMITTER: Bailey B
PROVIDER: S-EPMC8239601 | biostudies-literature |
REPOSITORIES: biostudies-literature
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Project description:BackgroundPhysical distancing, wearing face masks and hand hygiene are evidence-based methods to protect the public from coronavirus disease 2019 (COVID-19) infection. There has been a proliferation of research examining characteristics that can be targeted by public health interventions. This rapid review sought to identify predictors of attitudes toward and adherence to COVID-19 public health guidelines, and identify interventions aiming to improve adherence.MethodsArticles were retrieved from multiple databases (e.g. MEDLINE, CINAHL and medRxiv) on 6 August 2020. Studies were limited to samples collected from Western countries. Studies were classified according to the types of factor (s) examined as independent variables. The consistency of evidence for each factor was scored by two reviewers.ResultsIn total, 1323 unique articles were identified in the initial search, resulting in 29 studies in the final synthesis. The available evidence suggests individuals who are older, identify as women, trust governments, perceive COVID-19 as threatening and access information through traditional news media are more likely to adhere with COVID-19 public health guidelines. Interventions for improving adherence have not yet been investigated thoroughly, and this review identified only three experimental studies.ConclusionsThis review has identified several characteristics that impact attitudes and adherence to COVID-19 public health guidelines.
| S-EPMC7989238 | biostudies-literature
Project description:In this research, we examined whether psychological entitlement predicted noncompliance with the health guidelines of the COVID-19 pandemic. People higher in psychological entitlement typically try to avoid behaviors that might cause themselves harm, but their high expectations, lack of concern about others, and distrust of authority figures could affect their perceptions of the threat of the coronavirus and their views on the benefits of following the health guidelines. Across three studies (N = 1004, online samples from the United States), people higher in psychological entitlement reported less compliance with the health guidelines of the COVID-19 pandemic than people lower in psychological entitlement. Moreover, people higher in psychological entitlement believed that the threat of the virus was overblown and were less concerned about harming others, views that may partly explain their noncompliance. People higher in psychological entitlement were also more likely to report that they had contracted COVID-19, and thus their refusal to follow the health guidelines may have had negative consequences for them. An appeal to self-image concerns did not lead individuals higher in entitlement to be more likely to comply with the health guidelines.
| S-EPMC7598540 | biostudies-literature
Project description:PurposeIntegrated 24-Hour Movement Guidelines provide specific recommendations on screen viewing (SV), moderate-to-vigorous physical activity (MVPA) and sleep to improve health of children and youth. However, few studies have examined whether these guidelines are met in young children, particularly in Asia. We evaluated adherence to integrated and individual guidelines and its predictors in 5.5-year-old Singaporean children.MethodsGrowing Up in Singapore towards Healthy Outcomes (GUSTO) is a mother-offspring birth cohort study. At age 5.5 years, child SV was reported by parents. Movement behaviours (MBs) were measured continuously using wrist-worn accelerometers over 7 consecutive days and nights. For accelerometer data including ≥3 days with ≥16 h/day we estimated mean (±SD) daily MVPA, SV and nighttime sleep duration across the week. Adherence to integrated (Canadian/Australian) guidelines was defined as meeting all individual guidelines: ≥60 min of MVPA/day, ≤2 h of screen time/day, and 9-11 h of sleep/night. Socio-demographic and maternal predictors collected at pregnancy enrolment and at 26-28 weeks' gestation were examined by multivariable logistic regression.ResultsOf 864 children followed up age 5.5 years, 547 (63.3%) had both valid ActiGraph and questionnaire data (51.7% boys and 58.3% Chinese ethnicity). Children averaged 101.9 (± 88.7) min/day SV, 67.3 (± 23.7) min/day MVPA and 480.6 (± 57.2) min/night sleep. Few children met integrated guidelines. Specifically, the proportions of children who met none, SV, MVPA, sleep and integrated guidelines were 11.2, 70.2, 59.6, 13.7 and 5.5%, respectively. Multivariable analysis showed that maternal activity and television (TV) viewing were associated with meeting integrated guidelines (insufficiently vs. highly active (OR [95% CI]): 0.11 [0.01, 0.95]; 2-3 vs. ≥ 3 h TV: 3.52 [1.02, 12.22]). Examining higher adherence to individual guidelines, Chinese ethnicity, younger maternal age and lower maternal TV and sleep time were associated with greater SV; male sex, Malay ethnicity, higher birth order and higher maternal activity level were associated with greater MVPA; and older maternal age was associated with adherence to sleep guideline.ConclusionsBeyond individual behaviours, consideration of the full spectrum of MBs may be important to improve children's health. However, few Singaporean children adhere to integrated 24-h movement guidelines. Maternal behaviours as early as during pregnancy could be important targets for future interventions aiming to promote these MBs in children.
| S-EPMC6704617 | biostudies-literature
Project description:BackgroundIn the absence of a vaccine, governments have focused on social distancing, self-isolation, and increased hygiene procedures to reduce the transmission of SARS-CoV-2 (COVID-19). Compliance with these measures requires voluntary cooperation from citizens. Yet, compliance is not complete. Existing research on the predictors of compliance is almost exclusively based on cross-sectional data, raising the possibility of reverse causality and confounding.MethodsUsing data from the UCL COVID-19 Social Study, a large weekly online panel of UK adults from first three months of lockdown in the UK (n = 51,600), we tested whether within-person changes in confidence in government, mental wellbeing, social experiences and awareness of COVID-19 were longitudinally related to self-reported compliance levels with guidelines from authorities using random intercept cross-lagged panel models.FindingsWe found evidence of a small longitudinal association between increased confidence in government to tackle the pandemic and higher self-reported compliance, but little evidence that factors such as mental health and wellbeing, worries about future adversities, and social isolation and loneliness were related to later compliance. We found higher self-reported compliance was longitudinally related to higher depressive symptoms. We found that low compliance was related to lower leisure engagement, providing care, and working outside the home.InterpretationOur results suggest that to effectively manage the pandemic, governments should ensure that confidence is maintained.FundingNuffield Foundation, Wellcome Trust and the MARCH Mental Health Network. MARCH is funded by the Cross-Disciplinary Mental Health Network Plus initiative supported by UK Research and Innovation.
| S-EPMC7907734 | biostudies-literature
Project description:The novel coronavirus (COVID-19) is spreading exponentially, increasing fear, depression, and other mental health disorders in the general public. Pakistan's economy is suffered mainly by the novel coronavirus. The massive healthcare expenditures bring inadequacy to manage COVID-19. The study explored the effects of coronavirus fear among the students who remain in their homes due to educational institutions' closure. The study results show that female students mostly fear the coronavirus pandemic compared to their male counterparts that negatively impact their health. The "age" of the students and "household size" positively impact students' health, while the student's existing "healthcare profile" is not competitive enough to escape from the deadly coronavirus. The "knowledge" for the coronavirus pandemic and its prevention guidelines is the only solution to contain coronavirus. Simultaneously, "ignorance" is the foremost factor that could be more dangerous to spread coronavirus among the students; besides the COVID-19 pandemic, students and general public health mainly suffered from environmental pollution. The current epidemic also exacerbated environmental concerns among students isolated in their homes, and their outdoor activities are primarily limited. Hence, the student's quality of life is exposed mainly to environmental pollution over time. The "healthcare expenditures" and "government support" both are not competitive enough to control novel coronavirus. Thus, it required more sustainable strategic policies and national unity to controlled coronavirus with firm conviction and provincial synchronization.
| S-EPMC7895510 | biostudies-literature
Project description:BackgroundDuring the COVID-19 pandemic, frequently changing guidelines presented challenges to emergency department (ED) clinicians. The authors implemented an electronic health record (EHR)-integrated clinical pathway that could be accessed by clinicians within existing workflows when caring for patients under investigation (PUI) for COVID-19. The objective was to examine the association between clinical pathway utilization and adherence to institutional best practice treatment recommendations for COVID-19.MethodsThe authors conducted an observational analysis of all ED patients seen in a health system inclusive of seven EDs between March 18, 2020, and April 20, 2021. They implemented the pathway as an interactive flow chart that allowed clinicians to place orders while viewing the most up-to-date institutional guidance. Primary outcomes were proportion of admitted PUIs receiving dexamethasone and aspirin in the ED, and secondary outcome was time to delivering treatment.ResultsA total of 13 269 patients were admitted PUIs. The pathway was used by 40.6% of ED clinicians. When clinicians used the pathway, patients were more likely to be prescribed aspirin (OR, 7.15; 95% CI, 6.2-8.26) and dexamethasone (10.4; 8.85-12.2). For secondary outcomes, clinicians using the pathway had statistically significant ( P < 0.0001) improvement in timeliness of ordering medications and admission to the hospital. Aspirin, dexamethasone, and admission order time were improved by 103.89, 94.34, and 121.94 minutes, respectively.ConclusionsThe use of an EHR-integrated clinical pathway improved clinician adherence to changing COVID-19 treatment guidelines and timeliness to associated medication administration. As pathways continue to be implemented, their effects on improving patient outcomes and decreasing disparities in patient care should be further examined.
| S-EPMC9241559 | biostudies-literature
Project description:Delay discounting refers to the observation that the subjective value of an outcome decreases as the delay to its receipt increases. It is well-established that steep delay discounting is related to various maladaptive behaviors, including poorer health-related choices. One of the current challenges of public health policies that emerged during the COVID-19 pandemic is to encourage preventive behaviors against infectious diseases. In this study, we aimed to explore possible underpinnings of adherence to COVID-19 related public health policy guidelines such as disinfection, distancing, and masks (DDM). Participants completed monetary and health discounting tasks across two outcome amounts in gain and loss conditions, and they provided self-report measures of adherence to the DDM policy. Contrary to the theoretically plausible prediction that higher discounting rates would be negatively associated with adherence to health-related public policy guidelines, we found no compelling evidence to support such statement. We discuss the potential weaknesses of declarative measurements of attitudes toward COVID-19 and consider using behavioral interventions for influencing discounting rates for complementing and enhancing current policy guidelines.
| S-EPMC9441622 | biostudies-literature
Project description:Psychological health problems, especially emotional disorders, are common among adolescents. The epidemiology of emotional disorders is greatly influenced by stressful events. This study sought to assess the prevalence rate and socio-demographic correlates of depressive and anxiety symptoms among Chinese adolescents affected by the outbreak of COVID-19. We conducted a cross-sectional study among Chinese students aged 12-18 years during the COVID-19 epidemic period. An online survey was used to conduct rapid assessment. A total of 8079 participants were involved in the study. An online survey was used to collect demographic data, assess students' awareness of COVID-19, and assess depressive and anxiety symptoms with the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder (GAD-7) questionnaire, respectively. The prevalence of depressive symptoms, anxiety symptoms, and a combination of depressive and anxiety symptoms was 43.7%, 37.4%, and 31.3%, respectively, among Chinese high school students during the COVID-19 outbreak. Multivariable logistic regression analysis revealed that female gender was the higher risk factor for depressive and anxiety symptoms. In terms of grades, senior high school was a risk factor for depressive and anxiety symptoms; the higher the grade, the greater the prevalence of depressive and anxiety symptoms. Our findings show there is a high prevalence of psychological health problems among adolescents, which are negatively associated with the level of awareness of COVID-19. These findings suggest that the government needs to pay more attention to psychological health among adolescents while combating COVID-19.
| S-EPMC7196181 | biostudies-literature
Project description:Objectives: In this paper, we explore the adherence patterns to US Centers for Disease Control and Prevention (CDC) COVID-19 mitigation guidelines among current, former, and never smokers. Methods: We used an online cross-sectional survey of adults 18 years or older in 5 northeastern states of the US (N=1084). Results: Unadjusted analyses revealed that current smokers reported lower adherence to the CDC guidelines than former smokers (27.5 vs 29.4, p<.05). After accounting for sociodemographic covariates, this finding was no longer statistically significant. However, compared to former smokers, never smokers reported wearing their mask less often (OR=0.65; 95% CI=0.45-0.94) and current smokers were less likely to report always practicing illness-related hygiene skills (OR=0.60; 95% CI=0.39-0.93).Conclusions: Never smokers had poorer adherence to CDC guidelines than former smokers, namely wearing their masks, and current smokers were less likely to always follow the hygiene recommendations. Results should inform future public health efforts in targeting current smokers with lower adherence to CDC guidelines and learning from the ability of former smokers to demonstrate high adherence.
| S-EPMC9608846 | biostudies-literature
Project description:BackgroundAlthough evidence shows that poor air quality can harm human health, we have a limited understanding about the behavioural impact of air quality forecasts. Our aim was to understand to what extent air quality warning systems influence protective behaviours in the general public, and to identify the demographic and psychosocial factors associated with adherence and non-adherence to the health advice accompanying these warnings.MethodIn August 2016 literature was systematically reviewed to find studies assessing intended or actual adherence to health advice accompanying air quality warning systems, and encouraging people to reduce exposure to air pollution. Predictors of adherence to the health advice and/or self-reported reasons for adherence or non-adherence were also systematically reviewed. Studies were included only if they involved participants who were using or were aware of these warning systems. Studies investigating only protective behaviours due to subjective perception of bad air quality alone were excluded. The results were narratively synthesised and discussed within the COM-B theoretical framework.ResultsTwenty-one studies were included in the review: seventeen investigated actual adherence; three investigated intended adherence; one assessed both. Actual adherence to the advice to reduce or reschedule outdoor activities during poor air quality episodes ranged from 9.7% to 57% (Median = 31%), whereas adherence to a wider range of protective behaviours (e.g. avoiding busy roads, taking preventative medication) ranged from 17.7% to 98.1% (Median = 46%). Demographic factors did not consistently predict adherence. However, several psychosocial facilitators of adherence were identified. These include knowledge on where to check air quality indices, beliefs that one's symptoms were due to air pollution, perceived severity of air pollution, and receiving advice from health care professionals. Barriers to adherence included: lack of understanding of the indices, being exposed to health messages that reduced both concern about air pollution and perceived susceptibility, as well as perceived lack of self-efficacy/locus of control, reliance on sensory cues and lack of time.ConclusionWe found frequent suboptimal adherence rates to health advice accompanying air quality alerts. Several psychosocial facilitators and barriers of adherence were identified. To maximise their health effects, health advice needs to target these specific psychosocial factors.
| S-EPMC5610416 | biostudies-literature