Framing Communication Messages to Promote Covid-19 Protective Behaviors in Mexico: An Application of Protection Motivation Theory
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The objective of this research was to explore which elements of the Protection Motivation Theory (PMT) influence the intentions to reinforce the COVID-19 protective behaviors to frame communication messages that promote the voluntary adoption of health-protective practices. An experimental study was conducted by testing all combinations of the four PMT components at two levels, low and high. To take into account the age of participants, four age groups were considered. Eight combinations of the factorial experiment were evaluated by individuals of each age group. Additionally, the effect of the individual social responsibility and medical condition of participants, and the contagion risk of the region of residence were considered. Several statistical analyses were applied to the experimental data collected at two regions, high contagion risk and medium contagion risk. The results of the analysis indicate the threat and appraisal components of the PMT do not act independently but interactively. If the severity is tolerable, increasing vulnerability rises the intentions to reinforce the COVID-19 protective practices among residents of both regions. While in the case of the high contagion risk region, vulnerability dominates the intentions to strengthen protective behaviors when self-efficacy is high. But if vulnerability perceptions are low, then an improvement in self-efficacy enhances the intentions to reinforcing protection. According to these findings, communication messages that simultaneously highlight severity and vulnerability result in negative fear emotions and low perceived control that demotivate individuals to strengthen their protective behaviors to prevent the spread of COVID-19.
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Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191-215. https://doi.org/10.1037/0033-295X.84.2.191.
Bandura, A. (1991). Social cognitive theory of moral thought and action. In W. M. Kurtines & J. L. Gewirtz (Eds.), Handbook of moral behavior and development, Vol. 1 (pp. 45-103). Hillsdale, NJ: Erlbaum.
Bandura, A. (2002). Selective moral disengagement in the exercise of moral agency. Journal of Moral Education, 31(2), 101-119. https://doi.org/10.1080/0305724022014322.
Bandura, A., Barbaranelli, C., Caprara, G. V. & Pastorelli, C. (1996). Mechanisms of moral disengagement in the exercise of moral agency. Journal of Personality and Social Psychology, 71(2), 364-374. https://doi.org/10.1037/0022-3514.71.2.364.
Chin, J. H., & Mansori, S. (2019). Theory of planned behaviour and health belief model: females’ intention on breast cancer screening. Cogent Psychology, 6(1), 1647927. https://doi.org/10.1080/23311908.2019.1647927.
Cismaru, M., & Lavack, A. M. (2006). Marketing communications and protection motivation theory: examining consumer decision-making. International Review on Public and Non Profit Marketing, 3(2), 9-24. https://doi.org/10.1007/BF02893617
Cismaru, M., & Lavack, A. M. (2007). Interaction effects and combinatorial rules governing Protection Motivation Theory variables: a new model. Marketing Theory, 7(3), 249-270. https://doi.org/10.1177/1470593107080344.
Cismaru, M., Lavack, A. M., Hadjistavropoulos, H. D., & Dorsch, K. (2008). Understanding health behavior: an integrated model for social marketers. Social Marketing Quarterly, 14(2), 2-32. https://doi.org/10.1080/15245000802034663.
Collins, L. M., Dziak, J. J., & Li, R. (2009). Design of experiments with multiple independent variables: a resource management perspective on complete and reduced factorial designs. Psychological Methods, 14(3), 202-224. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2796056/.
Dziak, J. J., Nahum-Shani, I., & Collins, L. M. (2012). Multilevel factorial experiments for developing behavioral interventions: power, sample size, and resource considerations. Psychological Methods, 17(2), 153-175. htpps://doi.10.1037/a0026972.
Dryhurst, S., Schneider, C. R., Kerr, J., Freeman, A. L. J., Recchia, G. van der Bles, A. M., Spiegelhalter, D., & van der Linden, S. (2020). Risk perceptions of COVID-19 around the world. Journal of Risk Research. https://doi.org/10.1080/13669877.2020.1758193.
Deep Knowledge Group (2020). COVID-19 Regional Safety Assessment. Big Data Analysis of 200 Countries and Regions (full report). Available at: http://analytics.dkv.global/covid-regional-assessment-200-regions/full-report.pdf.
Enriquez D., Perez-Lloret, S., & Szyld, E. (2020). Afectación poblacional por COVID-19 según grupo de edad. Intramed. Available at: https://www.intramed.net/contenidover.asp?contenidoid=96054.
European Centre for Disease Prevention and Control (ECDC, 2020). Covid-19 Pandemic. Available at: https://www.ecdc.europa.eu/en/covid-19-pandemic.
Ferrer, R., & Klein, W. M. (2015). Risk perceptions and health behavior. Current Opinion in Psychology, 5, 85–89. https://doi.org/10.1016/j.copsyc.2015.03.012.
Floyd, D. L., Prentice-Dunn, S., & Rogers, R. W. (2000). A meta-analysis of research on protection motivation theory. Journal of Applied Social Psychology, 30, 407–429.
https://doi.org/10.1111/j.1559-1816.2000.tb02323.x.
Glanz, K., & Bishop, D. B. (2010). The role of behavioral science theory in development and implementation of public health interventions. Annual Review of Public Health, 31, 399-418. 10.1146/annurev.publhealth.012809.103604.
Gobierno de Mexico (2020). Covid-19 Mexico. Available at: https://coronavirus.gob.mx/datos/#COMNac.
Gobierno del Estado de Mexico (2020). Secretaria de Salud: Casos positivos y defunciones a COVID-19 por municipio. Available at: https://salud.edomex.gob.mx/salud/covid19_municipio.
Griffin, J. B. Jr. (1990). Chapter 204. Loss of control. In H. K. Walker, W. D. Hall, J. W. Hurst (eds.), Clinical Methods: The History, Physical, and Laboratory Examinations, 3rd ed. Boston: Butterworths (pp. 918-919). Available at: https://www.ncbi.nlm.nih.gov/books/NBK317/.
Harper, C.A., Satchell, L.P., Fido, D., & Latzman, R. D. (2020). Functional fear predicts public health compliance in the COVID-19 pandemic. International Journal of Mental Health Addiction (2020). https://doi.org/10.1007/s11469-020-00281-5.
Hastings, G., Stead, M., & Webb, J. (2004). Fear appeals in social marketing: strategic and ethical reasons for concern. Psychology and Marketing, 21(11), 961 – 986. https://doi.org/10.1002/mar.20043.
Hernández, G. (May 27, 2020). Semáforo Covid-19 en México: parámetros para cambiar de color a partir del 1 de junio. Diario AS Mexico. Available at: https://mexico.as.com/mexico/2020/05/27/actualidad/1590588671_326026.html.
Instituto Mexicano del Seguro Social (IMSS) (2020). Calculadora de Complicación de Salud por COVID -19. Available at: http://www.imss.gob.mx/covid-19/calculadora-complicaciones.
Kirk, R. E. (2013). Confounded factorial designs: Designs with group-interaction confounding. In R. E. Kirk (2013). Experimental Design. Procedures for the Behavioral Sciences, 4th ed. (pp. 719-803). London, UK: Sage Research Methods. https://dx.doi.org/10.4135/9781483384733.
León-Rubio, J. M., & Medina-Anzano, S. (2016). Psicología Social de la Salud: Fundamentos Teóricos y Metodológicos. Available at: https://www.researchgate.net/publication/31742986_Psicologia_social_de_la_salud_fundamentos_teoricos_y_metodologicos_JM_Leon_Rubio_S_Medina_Anzano.
McKinley, C. J., & Ruppel, E. (2014). Exploring how perceived threat and self-efficacy
contribute to college students’ use and perceptions of online mental health resources. Computers in Human Behavior, 34, 101-109. Available at: https://digitalcommons.montclair.edu/cgi/viewcontent.cgi?article=1007&context=scom-facpubs.
Milne, S., Seeran, P., & Orbell, S. (2006). Prediction and intervention in health‐related behavior: a meta‐analytic review of protection motivation theory, Journal of Applied Social Psychology, 30(1), 106-143. https://doi.org/10.1111/j.1559-1816. 2000.tb02308.x.
National Academies of Sciences, Engineering, and Medicine (2020). Encouraging
Adoption of Protective Behaviors to Mitigate the Spread of COVID-19: Strategies
for Behavior Change. Washington, DC: The National Academies Press.
https://doi.org/10.17226/25881.
National Safety Council, & Campbell Institute (2014). Risk Perceptions: Theories, Strategies, and Next Steps. Available at: https://www.nsc.org/Portals/0/Documents/CambpellInstituteandAwardDocuments/WP-Risk%20Perception.pdf.
Organización Mundial de la Salud [OMS] (2020a). Brote de enfermedad por coronavirus (COVID-19): orientaciones para el público. Available at: https://www.who.int/es/emergencies/diseases/novel-coronavirus-2019/advice-for-public.
Organización Mundial de la Salud [OMS] (2020b). Coronavirus. Available at: https://www.who.int/health-topics/coronavirus#tab=tab_1.
Pacesila, M. (2018). The individual social responsibility: insights from a literature review. Management Research and Practice, 10(1), 17-26. Available at: https://www.questia.com/library/journal/1G1-543327251/the-individual-social-responsibility-insights-from.
Ramírez-Coronel, M. (Abril 29, 2020). El número de contagios de Covid-19 en México puede ser hasta 50 veces más que los reportados: Julio Frenk. El Economista. Available at: https://www.eleconomista.com.mx/arteseideas/El-numero-de-contagios-de-Covid-19-en-Mexico-puede-ser-hasta-50-veces-mas-que-los-reportados-Julio-Frenk-20200429-0157.html.
Rimal, R.N., & Real K. (2003). Perceived risk and efficacy beliefs as motivators of change: use of the risk perception attitude (RPA) framework to understand health behaviors. Human Communication Research, 9, 370–399. https://doi.org/10.1093/hcr/29.3.370.
Rogers, R. W. (1983). Cognitive and physiological processes in fear appeals and attitude change: A revised theory of protection motivation. In J. T. Cacioppo & R. E. Petty, (Eds.), Social Psychophysiology (pp. 153-176). Nueva York, NY: Guilford.
Salazar, L. F., Crosby, R. A., Noar, S. M., Walker, J. H., & DiClemente, R. J. (2013). Models based on perceived threat and fear appeals. In R. J. DiClemente, L. F. Salazar and R. A. Crosby (Eds.), Health Behavior Theory for Public Health (pp. 83-104). Burlington, MA: Jones & Bartlett Learning.
Secretaria de Salud de Guanajuato (2020). Estatus del Estado. Available at: https://coronavirus.guanajuato.gob.mx/.
Secretaria de Salud declara inicio de la fase 3 del Covid-19 en Mexico, 2020 (April 21, 2020). The Economist. Available at: https://www.eleconomista.com.mx/politica/Secretaria-de-Salud-declara-inicio-de-la-Fase-3-del-Covid-19-en-Mexico-20200421-0039.html.
Stolow, J. A., Moses, L. M., Lederer, A. M., and Carter, R. (2020). How fear appeal approaches in COVID-19 health communication may be harming the global community. Health Education & Behavior, 47(4), 531-535.
University of Oxford. (2020). Statistics and Research: Coronavirus (COVID-19) cases. Available at: https://ourworldindata.org/covid-cases.
Van der Pligt, J. (1996). Risk perception and self-protective behavior. European Psychologist, 1(1), 34-43. https://doi.org/10.1027/1016-9040.1.1.34.
World Health Organization. WHO Coronavirus Disease (COVID-19) Dashboard. Available at: https://covid19.who.int/.
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