Document Type

Journal Article

Department/Unit

Department of Physical Education

Language

English

Abstract

Background

This study examined the effectiveness of a theoretical framework that integrates self-determination theory (SDT) and the theory of planned behavior (TPB) in explaining the use of facemasks to prevent seasonal influenza among Hong Kong older adults.

Methods

Data were collected at two time points in the winter in Hong Kong, during which influenza is most prevalent. At Time 1, older adults (N = 141) completed self-report measures of SDT (perceived autonomy support from senior center staff, autonomous motivation for influenza prevention) and TPB (attitude, subjective norm, perceived behavioral control, and intention for influenza prevention) constructs with respect to facemask used to prevent infection. Two weeks later, at Time 2, participants’ acceptance of a facemask to prevent influenza in the presence of an experimenter with flu-like symptoms was recorded.

Results

Path analysis found that perceived autonomy support of senior center staff was positively and significantly linked to autonomous motivation for facemask use, which, in turn, was positively related to intentions to wear facemasks through the mediation of attitude, subjective norm, and perceived behavioral control. However, the effect of intention on facemask use was not significant.

Conclusions

Results generally support the proposed framework and the findings of previous studies with respect to intention, but the non-significant intention-behavior relationship may warrant future research to examine the reasons for older adults not to wear facemasks to prevent seasonal influenza despite having positive intentions to do so.

Keywords

Elderly, Facemask wearing, Infection, Infectious diseases, Self-determination theory, Theory of planned behavior

Publication Date

7-28-2017

Source Publication Title

BMC Public Health

Volume

18

Start Page

65

Publisher

BioMed Central

Peer Reviewed

1

Copyright

This article is distributed under the terms of the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

Funder

This study was funded by Faculty Research Grant (FRG), Hong Kong Baptist University (grant number FRG1–13–14-066).

DOI

10.1186/s12889-017-4608-x

Link to Publisher's Edition

http://dx.doi.org/10.1186/s12889-017-4608-x

ISSN (electronic)

14712458

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