Association of Social-Cognitive Factors with Individual Preventive Behaviors of COVID-19 among a Mixed-Sample of Older Adults from China and Germany.

Identifying modifiable correlates of older adults' preventive behaviors is contributable to the prevention of the COVID-19 and future pandemics. This study aimed to examine the associations of social-cognitive factors (motivational and volitional factors) with three preventive behaviors (hand washing, facemask wearing, and physical distancing) in a mixed sample of older adults from China and Germany and to evaluate the moderating effects of countries. A total of 578 older adults (356 Chinese and 222 German) completed the online cross-sectional study. The questionnaire included demographics, three preventive behaviors before and during the pandemic, motivational factors (health knowledge, attitude, subjective norm, risk perception, motivational self-efficacy (MSE), intention), and volitional factors (volitional self-efficacy (VSE), planning, and self-monitoring) of preventive behaviors. Results showed that most social-cognitive factors were associated with three behaviors with small-to-moderate effect sizes (f2 = 0.02 to 0.17), controlled for demographics and past behaviors. Country moderated five associations, including VSE and hand washing, self-monitoring and facemask wearing, MSE and physical distancing, VSE and physical distancing, and planning and physical distancing. Findings underline the generic importance of modifiable factors and give new insights to future intervention and policymaking. Country-related mechanisms should be considered when aiming to learn from other countries about the promotion of preventive behaviors.

Association of Social-Cognitive Factors with Individual Preventive Behaviors of COVID-19 among a Mixed-Sample of Older Adults from China and Germany

Identifying modifiable correlates of older adults' preventive behaviors is contributable to the prevention of the COVID-19 and future pandemics. This study aimed to examine the associations of social-cognitive factors (motivational and volitional factors) with three preventive behaviors (hand washing, facemask wearing, and physical distancing) in a mixed sample of older adults from China and Germany and to evaluate the moderating effects of countries. A total of 578 older adults (356 Chinese and 222 German) completed the online cross-sectional study. The questionnaire included demographics, three preventive behaviors before and during the pandemic, motivational factors (health knowledge, attitude, subjective norm, risk perception, motivational self-efficacy (MSE), intention), and volitional factors (volitional self-efficacy (VSE), planning, and self-monitoring) of preventive behaviors. Results showed that most social-cognitive factors were associated with three behaviors with small-to-moderate effect sizes (f2 = 0.02 to 0.17), controlled for demographics and past behaviors. Country moderated five associations, including VSE and hand washing, self-monitoring and facemask wearing, MSE and physical distancing, VSE and physical distancing, and planning and physical distancing. Findings underline the generic importance of modifiable factors and give new insights to future intervention and policymaking. Country-related mechanisms should be considered when aiming to learn from other countries about the promotion of preventive behaviors.

Association of Social-cognitive Factors With Individual Preventive Behaviors of Covid-19 Among a Mixed-sample of Older Adults From China and Germany (preprint)

Background: Older adults are vulnerable to infection and infections developing into severe diseases during the COVID-19 pandemic. Performing individual preventive behaviors including hand washing frequently, facemask wearing and physical distancing play an important role to reduce the transmission of COVID-19 in the community. Identifying key correlates of the preventive behaviors that are modifiable through intervention is a recognized priority. This study aimed to examine the association of social-cognitive factors (motivational and volitional factors) with preventive behaviors in a mixed-sample of older adults from China and Germany and to evaluate the moderating effects of countries on the associations of these factors with preventive behaviors.Methods: Cross-sectional questionnaire surveys were conducted in China (June 2020 to July 2020) and Germany (June 2020 to February 2021). 578 older adults completed the online survey (N Chinese = 356, mean age = 67.75, SD = 6.24, 39.6% females; N German = 222, mean age = 69.09, SD = 6.9, 63.5% females). The questionnaire consisted of demographics, three preventive behaviors (hand washing, facemask wearing and physical distancing) before and during the pandemic, motivational factors (health knowledge, attitude, subjective norm, risk perception, motivational self-efficacy, intention) and volitional factors (volitional self-efficacy, planning and self-monitoring) of preventive behaviors. Univariate linear regressions and multiple hierarchical linear regressions with simple slope analyses were used. Results: The majority of motivational and volitional factors were associated with three preventive behaviors with small-to-moderate effect sizes (f2 = .02 to .17), when controlling for demographics and past preventive behaviors. When country was included in the regression models, it predicted all three preventive behaviors. Country also moderated five associations, including 1) volitional self-efficacy and hand washing, 2) self-monitoring and facemask wearing, 3) motivational self-efficacy and physical distancing, 4) volitional self-efficacy and physical distancing, and 5) planning and physical distancing. Conclusions: Findings underline the generic importance of modifiable factors and addressing them through preventive behavior interventions especially increasing health knowledge, developing intentions and plans, and strengthening self-efficacy among older adults. Country-related mechanisms should be considered when aiming to learn from other countries on the promotion of preventive behaviors.