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Article

The Role of Illness Perceptions, Coping, and Self-Efficacy on Adherence to Precautionary Measures for COVID-19

1
The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China
2
Department of Psychology, University of Cyprus, P.O. Box 20537, Nicosia 1678, Cyprus
3
Department of Applied Health Research, University College London, London WC1E 6BT, UK
4
Department of Psychology, Division of Clinical Psychology and Intervention Science, University of Basel, 4001 Basel, Switzerland
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(18), 6540; https://doi.org/10.3390/ijerph17186540
Received: 12 August 2020 / Revised: 27 August 2020 / Accepted: 5 September 2020 / Published: 8 September 2020
As the novel coronavirus disease 2019 (COVID-19) pandemic continues, engaging the public in adherence to precautionary measures for preventing COVID-19 spread or infection becomes difficult. The present study aims to extend our understanding of how illness perceptions, coping, and self-efficacy affect adherence to precautionary measures among the public. An online survey was administered between April and June 2020 to a sample of 514 Hong Kong citizens. Variables considered were illness perceptions toward COVID-19, problem-solving, avoidance-based coping, self-efficacy, as well as adherence to precautionary measures including physical distancing, limiting unnecessary travelling, and washing hands regularly with soap and water. Adjusted structural equation model showed that illness perceptions toward COVID-19 had significant direct effect on their adherence to precautionary measures (unstandardized β = 0.50, [95% CI, 0.28, 0.80], p = 0.001), and indirect effects through avoidance-based coping (β = −0.10 [95% CI, −0.26, −0.01], p = 0.016) and self-efficacy (β = −0.10, [95% CI, −0.18, −0.01], p = 0.025). These results imply that apart from emphasizing the health hazards of a novel infectious disease, an effective public health intervention and crisis communication should address avoidance-based coping and self-efficacy of the public in adherence to precautionary measures for COVID-19. View Full-Text
Keywords: COVID-19; adherence; public health; avoidance; coping COVID-19; adherence; public health; avoidance; coping
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MDPI and ACS Style

Chong, Y.Y.; Chien, W.T.; Cheng, H.Y.; Chow, K.M.; Kassianos, A.P.; Karekla, M.; Gloster, A. The Role of Illness Perceptions, Coping, and Self-Efficacy on Adherence to Precautionary Measures for COVID-19. Int. J. Environ. Res. Public Health 2020, 17, 6540. https://doi.org/10.3390/ijerph17186540

AMA Style

Chong YY, Chien WT, Cheng HY, Chow KM, Kassianos AP, Karekla M, Gloster A. The Role of Illness Perceptions, Coping, and Self-Efficacy on Adherence to Precautionary Measures for COVID-19. International Journal of Environmental Research and Public Health. 2020; 17(18):6540. https://doi.org/10.3390/ijerph17186540

Chicago/Turabian Style

Chong, Yuen Yu, Wai Tong Chien, Ho Yu Cheng, Ka Ming Chow, Angelos P. Kassianos, Maria Karekla, and Andrew Gloster. 2020. "The Role of Illness Perceptions, Coping, and Self-Efficacy on Adherence to Precautionary Measures for COVID-19" International Journal of Environmental Research and Public Health 17, no. 18: 6540. https://doi.org/10.3390/ijerph17186540

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