Dataset Information

Adjusting to the COVID-19 Outbreak in the United States: The impact of disruptions on habits and changes in health behaviors.

ABSTRACT: The COVID-19 pandemic provides a naturalistic test of whether pandemic-related disruptions weaken habits and undermine behavior stability. We hypothesized that better capacity to effortfully guide behavior (self-regulation) would buffer this effect and be associated with behavior stability and development of new habits to accomplish daily behaviors. A cross-sectional study of 416 MTurk workers recruited in April 2020 (M_age = 34.60, SD = 11.51) indicated that pandemic-related disruptions generally exceeded people's capacity to effortfully modify their behavior. Self-regulation related to the development of new habits and to lower likelihood that work productivity decreased. Self-regulation also protected against the effect of disruption on the likelihood that substance use increased. Besides these associations, self-regulation was largely unrelated to health-related behaviors and, in some instances, associated with poorer outcomes. These findings underscore the need to appreciate the impact of contextual disruptions in interpreting and promoting change in health-related behaviors.

SUBMITTER: Andrade FC

PROVIDER: S-EPMC9813642 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature

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Adjusting to the COVID-19 outbreak in the United States: The impact of disruptions on habits and changes in health behaviors.

Andrade Fernanda C FC Hoyle Rick H RH Burnell Kaitlyn K

Journal of health psychology 20230103 14

The COVID-19 pandemic provides a naturalistic test of whether pandemic-related disruptions weaken habits and undermine behavior stability. We hypothesized that better capacity to effortfully guide behavior (self-regulation) would buffer this effect and be associated with behavior stability and development of new habits to accomplish daily behaviors. A cross-sectional study of 416 MTurk workers recruited in April 2020 (Mage = 34.60, SD = 11.51) indicated that pandemic-rel ...[more]

PMID: 36594571

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Project description:ObjectivesHousehold chaos, including disorder, noise, and crowding within the home, is a risk factor for poor mental and physical health. Household chaos may act upon maternal behaviors of physical activity and sleep, potentially via higher stress. The purpose of this study is to evaluate the relationships among household chaos, maternal stress, and maternal physical activity and sleep, and identify barriers to home organization during the COVID-19 outbreak.MethodsA cross-sectional study using an online survey of 1721 mothers of preschoolers (ages = 3.0-5.9 years) in the United States was conducted in May 2020 during COVID-19 stay-at-home orders and early reopening. Mothers reported demographic characteristics, household chaos, stress, physical activity and sleep, and barriers to home organization during the outbreak. Mediation models were conducted among household chaos, stress, and physical activity and sleep with adjustment for covariates.ResultsAbout half of mothers were middle income (48.2%), employed full-time prior to the outbreak (59.1%), and met the physical activity (47.7%), and sleep guideline (49.7%, 7-9 h/day). Household chaos and stress were both negatively related to physical activity and sleep. For every 1 unit increase in mother's current stress, mothers were 11% (95% confidence interval = 6% to 16%) less likely to meet the physical activity guideline and 19% (95% confidence interval = 14% to 23%) less likely to meet the sleep guideline. Household chaos was positively related to stress. Stress partially mediated the relationship between household chaos and physical activity and sleep. Virus concerns, occupational changes (i.e. teleworking), and lack of childcare were barriers to home organization.ConclusionDuring the COVID-19 outbreak, many mothers had poor sleep and physical activity, which was associated with household chaos and stress. Opportunities to promote order at the individual, household, and community level may result in beneficial mental and physical health in mothers of young children during the COVID-19 outbreak and beyond.

Project description:INTRODUCTION:Academic Emergency Medicine (EM) departments are not immune to natural disasters, economic or political forces that disrupt a training program's operations and educational mission. Due process concerns are closely intertwined with the challenges that program disruption brings. Due process is a protection whereby an individual will not lose rights without access to a fair procedural process. Effects of natural disasters similarly create disruptions in the physical structure of training programs that at times have led to the displacement of faculty and trainees. Variation exists in the implementation of transitions amongst training sites across the country, and its impact on residency programs, faculty, residents and medical students. METHODS:We reviewed the available literature regarding due process in emergency medicine. We also reviewed recent examples of training programs that underwent disruptions. We used this data to create a set of best practices regarding the handling of disruptions and due process in academic EM. RESULTS:Despite recommendations from organized medicine, there is currently no standard to protect due process rights for faculty in emergency medicine training programs. Especially at times of disruption, the due process rights of the faculty become relevant, as the multiple parties involved in a transition work together to protect the best interests of the faculty, program, residents and students. Amongst training sites across the country, there exist variations in the scope and impact of due process on residency programs, faculty, residents and medical students. CONCLUSION:We report on the current climate of due process for training programs, individual faculty, residents and medical students that may be affected by disruptions in management. We outline recommendations that hospitals, training programs, institutions and academic societies can implement to enhance due process and ensure the educational mission of a residency program is given due consideration during times of transition.

Project description:Health impact assessment (HIA) has been promoted as a means to encourage transportation and city planners to incorporate health considerations into their decision-making. Ideally, HIAs would include quantitative estimates of the population health effects of alternative planning scenarios, such as scenarios with and without infrastructure to support walking and cycling. However, the lack of baseline estimates of time spent walking or biking for transportation (together known as "active transportation"), which are critically related to health, often prevents planners from developing such quantitative estimates. To address this gap, we use data from the 2009 US National Household Travel Survey to develop a statistical model that estimates baseline time spent walking and biking as a function of the type of transportation used to commute to work along with demographic and built environment variables. We validate the model using survey data from the Raleigh-Durham-Chapel Hill, NC, USA, metropolitan area. We illustrate how the validated model could be used to support transportation-related HIAs by estimating the potential health benefits of built environment modifications that support walking and cycling. Our statistical model estimates that on average, individuals who commute on foot spend an additional 19.8 (95% CI 16.9-23.2) minutes per day walking compared to automobile commuters. Public transit riders walk an additional 5.0 (95% CI 3.5-6.4) minutes per day compared to automobile commuters. Bicycle commuters cycle for an additional 28.0 (95% CI 17.5-38.1) minutes per day compared to automobile commuters. The statistical model was able to predict observed transportation physical activity in the Raleigh-Durham-Chapel Hill region to within 0.5 MET-hours per day (equivalent to about 9 min of daily walking time) for 83% of observations. Across the Raleigh-Durham-Chapel Hill region, an estimated 38 (95% CI 15-59) premature deaths potentially could be avoided if the entire population walked 37.4 min per week for transportation (the amount of transportation walking observed in previous US studies of walkable neighborhoods). The approach developed here is useful both for estimating baseline behaviors in transportation HIAs and for comparing the magnitude of risks associated with physical inactivity to other competing health risks in urban areas.

Dataset Information

Adjusting to the COVID-19 Outbreak in the United States: The impact of disruptions on habits and changes in health behaviors.

Publications

Adjusting to the COVID-19 outbreak in the United States: The impact of disruptions on habits and changes in health behaviors.

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