Understanding a constellation of eight COVID-19 disease prevention behaviours using the COM-B model and the theoretical domains framework: a qualitative study using the behaviour change wheel

Frontiers in Public Health

Public Health

Foyeke Tolani¹  Emily Christopher¹  Lesley J. M. Lewis²  Madelynne A. Arden³  Phoebe Brook-Rowland⁴  Abby Moffat⁴  Angel M. Chater⁵  Emily McBride⁶  Gillian W. Shorter⁷  Daryl B. O’Connor⁸  Tracy Epton⁹  Eleanor Whittaker^1,10  Vivien Swanson^1,11  Lucie M. T. Byrne-Davis^1,12  Jo Hart^1,12  Atiya Kamal^1,13 

[1]Bedford Borough, Central Bedfordshire and Milton Keynes Councils’ Shared Public Health Services, Bedford, United Kingdom

[2]Behavioural Science Unit, Public Health, Somerset County Council, Taunton, United Kingdom

[3]Centre for Behavioural Science and Applied Psychology, Sheffield Hallam University, Sheffield, United Kingdom

[4]Centre for Health, Wellbeing and Behaviour Change, Institute for Sport and Physical Activity Research, University of Bedfordshire, Bedford, United Kingdom

[5]Centre for Health, Wellbeing and Behaviour Change, Institute for Sport and Physical Activity Research, University of Bedfordshire, Bedford, United Kingdom

[6]Centre for Behaviour Change, University College London, London, United Kingdom

[7]Department of Behavioural Science and Health, University College London, London, United Kingdom

[8]Drug and Alcohol Research Network, School of Psychology, Queen’s University Belfast, Belfast, United Kingdom

[9]Laboratory for Stress and Health Research, University of Leeds, Leeds, United Kingdom

[10]Manchester Centre for Health Psychology, University of Manchester, Manchester, United Kingdom

[11]North Yorkshire County Council, Northallerton, North Yorkshire, United Kingdom

[12]Psychology Division, University of Stirling, Stirling, United Kingdom

[13]School of Medical Sciences, University of Manchester, Manchester, United Kingdom

[14]School of Social Sciences, Birmingham City University, Birmingham, United Kingdom

关键词: COVID-19;    behaviour change;    hand hygiene;    face covering;    physical-distancing;    testing;    vaccination;    COM-B;   

DOI  :  10.3389/fpubh.2023.1130875

 received in 2023-01-09, accepted in 2023-05-30,  发布年份 2023

来源: Frontiers

【 摘 要 】

BackgroundThe use of behavioural science and behaviour change within local authorities and public health has supported healthful change; as evidenced by its importance and contribution to reducing harm during the COVID-19 pandemic. It can provide valuable information to enable the creation of evidence-based intervention strategies, co-created with the people they are aimed at, in an effective and efficient manner.AimThis study aimed to use the COM-B model to understand the Capability, Opportunity and Motivation of performing a constellation of eight COVID-19 disease prevention behaviours related to the slogans of ‘Hands, Face, Space, Fresh Air’; ‘Find, Isolate, Test, (FIT), and Vaccinate’ in those employed in workplaces identified as high risk for transmission of the SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) to support intervention development.MethodsThis qualitative study recruited twenty-three participants (16 female, 7 male), who were interviewed from three environments (schools, care homes, warehouses) across three local authorities. Semi-structured interviews were analysed using thematic analysis.FindingsTen core themes were identified inductively; (1) knowledge and skills, (2) regulating the behaviour, (3) willingness to act, (4) necessity and concerns, (5) emotional impact, (6) conducive environment, (7) societal influence, (8) no longer united against COVID-19, (9) credible leadership, and (10) inconsistent adherence to COVID-19 prevention behaviours. Themes were then deductively mapped to the COM-B model of behaviour change and the theoretical domains framework and a logic model using the behaviour change wheel (BCW) was produced to inform intervention design.ConclusionThis study offers a novel approach to analysis that has included eight behaviours within a single thematic analysis and COM-B diagnosis. This will enable local authorities to direct limited resources to overarching priorities. Of key importance, was the need for supportive and credible leadership, alongside developing interventions collaboratively with the target audience. COVID-19 has had an emotional toll on those interviewed, however, promoting the value of disease prevention behaviours, over and above their costs, can facilitate behaviour. Developing knowledge and skills, through education, training, marketing and modelling can further facilitate behaviour. This supports guidance produced by the British Psychological Society COVID-19 behavioural science and disease prevention taskforce.

【 授权许可】

Unknown   
Copyright © 2023 Chater, Brook-Rowland, Tolani, Christopher, Hart, Byrne-Davis, Moffat, Shorter, Epton, Kamal, O’Connor, Whittaker, Lewis, McBride, Swanson and Arden.