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Accepted for/Published in: Journal of Medical Internet Research

Date Submitted: Aug 4, 2020
Date Accepted: Feb 1, 2021
Date Submitted to PubMed: Mar 2, 2021

The final, peer-reviewed published version of this preprint can be found here:

Improving Predictions of COVID-19 Preventive Behavior: Development of a Sequential Mediation Model

Roberts J, David ME

Improving Predictions of COVID-19 Preventive Behavior: Development of a Sequential Mediation Model

J Med Internet Res 2021;23(3):e23218

DOI: 10.2196/23218

PMID: 33651707

PMCID: 7971155

Flattening the Curve: Development of a Sequential Mediation Model to Better Predict COVID-19 Preventive Behavior

  • James Roberts; 
  • Meredith E. David

ABSTRACT

The Health Belief Model (HBM) has a long history of use and empirical support in predicting preventive health behaviors but is not without its purported shortcomings. The present study creates and tests a new sequential mediation model to better predict Covid-19 preventive behaviors. To flatten the curve of the spread of Coronavirus, individual preventive behavior is crucial. Based upon a large sample of college students (n = 415), this study identifies a more optimal, and defensible, combination of predictor variables and explains 47 percent of the variation in Covid-19 preventive behaviors. College students are a particularly important segment to study because of their reluctance to perform Covid-19 preventive behaviors. Sequential mediation results show that fear of Covid-19 leads individuals to seek out information regarding the disease, which increases their knowledge and fosters self-efficacy which is key to driving precautionary behavior. Self-imposed preventative measures can drastically reduce the rate of infection. Given the lack of treatment options and the fact that no vaccine is yet available, it is of utmost importance that preventative measures are taken. Based upon the study’s newly created sequential mediation model, communication strategies for encouraging Covid-19 preventive behaviors are offered.


 Citation

Please cite as:

Roberts J, David ME

Improving Predictions of COVID-19 Preventive Behavior: Development of a Sequential Mediation Model

J Med Internet Res 2021;23(3):e23218

DOI: 10.2196/23218

PMID: 33651707

PMCID: 7971155

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