Explaining Handwashing Behavior in a Sample of College Students during COVID-19 Pandemic Using the Multi-Theory Model (MTM) of Health Behavior Change: A Single Institutional Cross-Sectional Survey

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dc.contributor.author Sharma, Manoj
dc.contributor.author Batra, Kavita
dc.contributor.author Davis, Robert E.
dc.contributor.author Wilkerson, Amanda H.
dc.date.accessioned 2021-08-25T20:56:39Z
dc.date.available 2021-08-25T20:56:39Z
dc.date.issued 2021
dc.identifier.citation Sharma, M., Batra, K., Davis, R., Wilkerson, A. (2021): Explaining Handwashing Behavior in a Sample of College Students during COVID-19 Pandemic Using the Multi-Theory Model (MTM) of Health Behavior Change: A Single Institutional Cross-Sectional Survey. Healthcare. 9(1). en_US
dc.identifier.uri http://ir.ua.edu/handle/123456789/8067
dc.description.abstract Amidst the COVID-19 pandemic, handwashing offers a simple and effective hygienic measure for disease prevention. Reportedly, a significant proportion of college students did not follow handwashing recommendations provided by the Centers for Disease Control and Prevention (CDC) in the pre-COVID era. The purpose of this cross-sectional study was to explore and explain the handwashing behavior among college students during the COVID-19 pandemic using a contemporary fourth-generation multi-theory model (MTM) of health behavior change. Data were collected from 713 college students at a large public university in the Southern U.S. in October 2020 using a validated 36-item survey. Statistical analyses included independent samples t-tests, Pearson correlation, and hierarchical regression modeling. Among students not following handwashing recommendations, the constructs of participatory dialogue (β = 0.152; p < 0.05) and behavioral confidence (β = 0.474; p < 0.0001) were statistically significant and accounted for 27.2% of the variance in the likelihood of initiation of the behavior. Additionally, the constructs of emotional transformation (β = 0.330; p < 0.0001), practice for change (β = 0.296; p < 0.0001), and changes in the social environment (β = 0.180; p < 0.05) were statistically significant and accounted for 45.1% of the variance in the likelihood of sustaining handwashing behavior. This study highlights the applicability and usability of the MTM in designing and testing behavior change interventions and media messaging in campaigns targeting college students. en_US
dc.description.uri https://doi.org/10.3390/healthcare9010055
dc.format.mimetype application/pdf
dc.language English en_US
dc.rights.uri https://creativecommons.org/licenses/by/4.0/
dc.subject multi-theory model en_US
dc.subject behavior change en_US
dc.subject COVID-19 en_US
dc.subject pandemic en_US
dc.subject handwashing en_US
dc.subject young adults en_US
dc.subject college students en_US
dc.title Explaining Handwashing Behavior in a Sample of College Students during COVID-19 Pandemic Using the Multi-Theory Model (MTM) of Health Behavior Change: A Single Institutional Cross-Sectional Survey en_US
dc.type text


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