Conceptual replication and extension of health behavior theories' predictions in the context of COVID-19 : Evidence across countries and over time

Georgios ABAKOUMKIN*, Eleftheria TSELIOU, Kira O. McCABE, Edward P. Jr LEMAY, Wolfgang STROEBE, Maximilian AGOSTINI, Jocelyn J. BÉLANGER, Ben GÜTZKOW, Jannis KREIENKAMP, Maja KUTLACA, Michelle R. VANDELLEN, Jamilah Hanum ABDUL KHAIYOM, Vjollca AHMEDI, HANDAN AKKAS, Carlos A. ALMENARA, Mohsin ATTA, Sabahat Cigdem BAGCI, Sima BASEL, Edona BERISHA KIDA, Allan B. I. BERNARDONicholas R. BUTTRICK, Phatthanakit CHOBTHAMKIT, Hoon-Seok CHOI, Mioara CRISTEA, Sára CSABA, Kaja DAMNJANOVIĆ, Ivan DANYLIUK, Daniela DI SANTO, Karen M. DOUGLAS, Violeta ENEA, Daiane Gracieli FALLER, Gavan FITZSIMONS, Alexandra GHEORGHIU, Ángel GÓMEZ, Joanna GRZYMALA-MOSZCZYNSKA, Ali HAMAIDIA, Qing HAN, Mai HELMY, Joevarian HUDIYANA, Bertus F. JERONIMUS, Ding-Yu JIANG, Veljko JOVANOVIĆ, Željka KAMENOV, Anna KENDE, Shian-Ling KENG, Tra Thi Thanh KIEU, Kamila KOVYAZINA, Inna KOZYTSKA, Joshua KRAUSE, Arie W. KRUGLANSKI, Anton KURAPOV, Nóra Anna LANTOS, Cokorda Bagus Java LESMANA, Winnifred R. LOUIS, Adrian LUEDERS, Najma Iqbal MALIK, Anton MARTINEZ, Jasmina MEHULIĆ, Mirra Noor Milla, Idris MOHAMMED, Erica MOLINARIO, Manuel MOYANO, Hayat MUHAMMAD, Silvana MULA, Hamdi MULUK, Solomiia MYRONIUK, Reza NAJAFI, Claudia F. NISA, Boglárka NYÚL, Paul Anna O'KEEFE, Jose Javier Olivas OSUNA, Evgeny N. OSIN, Joonha PARK, Gennaro PICA, Antonio PIERRO, Jonas REES, Anne Margit Reitsema, Elena RESTA, Marika RULLO, Michelle K. RYAN, Adil SAMEKIN, Pekka SANTTILA, Edyta SASIN, Birga Mareen SCHUMPE, Heyla A. SELIM, Michael Vicente STANTON, Samiah SULTANA, Robbie M. SUTTON, Akira UTSUGI, Jolien Anne VAN BREEN, Caspar J. VAN LISSA, Kees VAN VEEN, Alexandra VAZQUEZ, Robin WOLLAST, Victoria Wai-lan YEUNG, Somayeh ZAND, Iris Lav Žeželj, Bang ZHENG, Andreas ZICK, Claudia ZÚÑIGA, N. Pontus LEANDER

*Corresponding author for this work

Research output: Journal PublicationsJournal Article (refereed)peer-review

Abstract

Virus mitigation behavior has been and still is a powerful means to fight the COVID-19 pandemic irrespective of the availability of pharmaceutical means (e.g., vaccines). We drew on health behavior theories to predict health-protective (coping-specific) responses and hope (coping non-specific response) from health-related cognitions (vulnerability, severity, self-assessed knowledge, efficacy). In an extension of this model, we proposed orientation to internal (problem-focused coping) and external (country capability) coping resources as antecedents of health protection and hope; health-related cognitions were assumed as mediators of this link. We tested these predictions in a large multi-national multi-wave study with a cross-sectional panel at T1 (Baseline, March-April 2020; N = 57,631 in 113 countries) and a panel subsample at two later time points, T2 (November 2020; N = 3097) and T3 (April 2021; N = 2628). Multilevel models showed that health-related cognitions predicted health-protective responses and hope. Problem-focused coping was mainly linked to health-protective behaviors (T1-T3), whereas country capability was mainly linked to hope (T1-T3). These relationships were partially mediated by health-related cognitions. We conceptually replicated predictions of health behavior theories within a real health threat, further suggesting how different coping resources are associated with qualitatively distinct outcomes. Both patterns were consistent across countries and time.
Original languageEnglish
Article numbere12909
JournalSocial and Personality Psychology Compass
Early online date14 Dec 2023
DOIs
Publication statusE-pub ahead of print - 14 Dec 2023

Bibliographical note

Publisher Copyright:
© 2023 The Authors. Social and Personality Psychology Compass published by John Wiley & Sons Ltd.

Keywords

  • coping
  • country capability
  • COVID-19
  • health behavior theories
  • hope
  • problem-focused coping
  • virus mitigation behavior

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