Facilitators and barriers of preventive behaviors against COVID-19 during Ramadan: A phenomenology of Indonesian adults

IntroductionIntercity mobility restriction, physical distancing, and mask-wearing are preventive behaviors to reduce the transmission of COVID-19. However, strong cultural and religious traditions become particular challenges in Indonesia. This study uses the Behavior Change Wheel to explore barrier...

Full description

Bibliographic Details
Main Authors: Rakhmat Ari Wibowo, Romi Bhakti Hartarto, Arnab Bhattacharjee, Dyah Titis Kusuma Wardani, Novat Pugo Sambodo, Prattama Santoso Utomo, Luthvia Annisa, Mohamad Saifudin Hakim, Meida Sofyana, Fatwa Sari Tetra Dewi
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.960500/full
_version_ 1797866224999202816
author Rakhmat Ari Wibowo
Romi Bhakti Hartarto
Arnab Bhattacharjee
Arnab Bhattacharjee
Dyah Titis Kusuma Wardani
Novat Pugo Sambodo
Novat Pugo Sambodo
Prattama Santoso Utomo
Luthvia Annisa
Mohamad Saifudin Hakim
Meida Sofyana
Fatwa Sari Tetra Dewi
author_facet Rakhmat Ari Wibowo
Romi Bhakti Hartarto
Arnab Bhattacharjee
Arnab Bhattacharjee
Dyah Titis Kusuma Wardani
Novat Pugo Sambodo
Novat Pugo Sambodo
Prattama Santoso Utomo
Luthvia Annisa
Mohamad Saifudin Hakim
Meida Sofyana
Fatwa Sari Tetra Dewi
author_sort Rakhmat Ari Wibowo
collection DOAJ
description IntroductionIntercity mobility restriction, physical distancing, and mask-wearing are preventive behaviors to reduce the transmission of COVID-19. However, strong cultural and religious traditions become particular challenges in Indonesia. This study uses the Behavior Change Wheel to explore barriers and facilitators for intercity mobility restriction, physical distancing, and mask-wearing during Ramadan.MethodsSemi-structured in-depth interviews with 50 Indonesian adults were conducted between 10 April and 4 June 2020. Having mapped codes into the Capacity, Opportunity, Motivation – Behavior (COM-B), and Theoretical Domain Framework (TDF) model, we conducted summative content analysis to analyze the most identified factors to preventive behaviors and proposed interventions to address those factors.ResultsBelief about the consequence of preventive behaviors was the most mentioned facilitator to all preventive behaviors among compliers. However, optimism as a TDF factor was commonly mentioned as a barrier to preventive behaviors among non-compliers, while environmental context and resources were the most commonly mentioned factors for intercity mobility restriction.ConclusionsPublic health intervention should be implemented considering the persuasion and involvement of religious and local leaders. Concerning job and economic context, policy related to the intercity mobility restriction should be reconsidered to prevent a counterproductive effect.
first_indexed 2024-04-09T23:21:40Z
format Article
id doaj.art-4c1885c7feaf48a9a2eeabfa82dad199
institution Directory Open Access Journal
issn 2296-2565
language English
last_indexed 2024-04-09T23:21:40Z
publishDate 2023-03-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Public Health
spelling doaj.art-4c1885c7feaf48a9a2eeabfa82dad1992023-03-21T16:20:50ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-03-011110.3389/fpubh.2023.960500960500Facilitators and barriers of preventive behaviors against COVID-19 during Ramadan: A phenomenology of Indonesian adultsRakhmat Ari Wibowo0Romi Bhakti Hartarto1Arnab Bhattacharjee2Arnab Bhattacharjee3Dyah Titis Kusuma Wardani4Novat Pugo Sambodo5Novat Pugo Sambodo6Prattama Santoso Utomo7Luthvia Annisa8Mohamad Saifudin Hakim9Meida Sofyana10Fatwa Sari Tetra Dewi11Department of Physiology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, IndonesiaDepartment of Economics, Faculty of Economics and Business, Universitas Muhammadiyah Yogyakarta, Yogyakarta, IndonesiaEdinburgh Business School, Heriot-Watt University, Edinburgh, United KingdomThe National Institute of Economic and Social Research, London, United KingdomDepartment of Economics, Faculty of Economics and Business, Universitas Muhammadiyah Yogyakarta, Yogyakarta, IndonesiaCenter for Health Financing Policy and Health Insurance Management, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, IndonesiaDepartment of Economics, Faculty of Economics and Business, Universitas Gadjah Mada, Yogyakarta, IndonesiaDepartment of Medical Education and Bioethics, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, IndonesiaDepartment of Microbiology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, IndonesiaDepartment of Microbiology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, IndonesiaDepartment of Physiology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, IndonesiaDepartment of Health Behavior, Environment and Social Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, IndonesiaIntroductionIntercity mobility restriction, physical distancing, and mask-wearing are preventive behaviors to reduce the transmission of COVID-19. However, strong cultural and religious traditions become particular challenges in Indonesia. This study uses the Behavior Change Wheel to explore barriers and facilitators for intercity mobility restriction, physical distancing, and mask-wearing during Ramadan.MethodsSemi-structured in-depth interviews with 50 Indonesian adults were conducted between 10 April and 4 June 2020. Having mapped codes into the Capacity, Opportunity, Motivation – Behavior (COM-B), and Theoretical Domain Framework (TDF) model, we conducted summative content analysis to analyze the most identified factors to preventive behaviors and proposed interventions to address those factors.ResultsBelief about the consequence of preventive behaviors was the most mentioned facilitator to all preventive behaviors among compliers. However, optimism as a TDF factor was commonly mentioned as a barrier to preventive behaviors among non-compliers, while environmental context and resources were the most commonly mentioned factors for intercity mobility restriction.ConclusionsPublic health intervention should be implemented considering the persuasion and involvement of religious and local leaders. Concerning job and economic context, policy related to the intercity mobility restriction should be reconsidered to prevent a counterproductive effect.https://www.frontiersin.org/articles/10.3389/fpubh.2023.960500/fullCOVID-19preventive behaviormobility restrictionphysical distancingface mask
spellingShingle Rakhmat Ari Wibowo
Romi Bhakti Hartarto
Arnab Bhattacharjee
Arnab Bhattacharjee
Dyah Titis Kusuma Wardani
Novat Pugo Sambodo
Novat Pugo Sambodo
Prattama Santoso Utomo
Luthvia Annisa
Mohamad Saifudin Hakim
Meida Sofyana
Fatwa Sari Tetra Dewi
Facilitators and barriers of preventive behaviors against COVID-19 during Ramadan: A phenomenology of Indonesian adults
Frontiers in Public Health
COVID-19
preventive behavior
mobility restriction
physical distancing
face mask
title Facilitators and barriers of preventive behaviors against COVID-19 during Ramadan: A phenomenology of Indonesian adults
title_full Facilitators and barriers of preventive behaviors against COVID-19 during Ramadan: A phenomenology of Indonesian adults
title_fullStr Facilitators and barriers of preventive behaviors against COVID-19 during Ramadan: A phenomenology of Indonesian adults
title_full_unstemmed Facilitators and barriers of preventive behaviors against COVID-19 during Ramadan: A phenomenology of Indonesian adults
title_short Facilitators and barriers of preventive behaviors against COVID-19 during Ramadan: A phenomenology of Indonesian adults
title_sort facilitators and barriers of preventive behaviors against covid 19 during ramadan a phenomenology of indonesian adults
topic COVID-19
preventive behavior
mobility restriction
physical distancing
face mask
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.960500/full
work_keys_str_mv AT rakhmatariwibowo facilitatorsandbarriersofpreventivebehaviorsagainstcovid19duringramadanaphenomenologyofindonesianadults
AT romibhaktihartarto facilitatorsandbarriersofpreventivebehaviorsagainstcovid19duringramadanaphenomenologyofindonesianadults
AT arnabbhattacharjee facilitatorsandbarriersofpreventivebehaviorsagainstcovid19duringramadanaphenomenologyofindonesianadults
AT arnabbhattacharjee facilitatorsandbarriersofpreventivebehaviorsagainstcovid19duringramadanaphenomenologyofindonesianadults
AT dyahtitiskusumawardani facilitatorsandbarriersofpreventivebehaviorsagainstcovid19duringramadanaphenomenologyofindonesianadults
AT novatpugosambodo facilitatorsandbarriersofpreventivebehaviorsagainstcovid19duringramadanaphenomenologyofindonesianadults
AT novatpugosambodo facilitatorsandbarriersofpreventivebehaviorsagainstcovid19duringramadanaphenomenologyofindonesianadults
AT prattamasantosoutomo facilitatorsandbarriersofpreventivebehaviorsagainstcovid19duringramadanaphenomenologyofindonesianadults
AT luthviaannisa facilitatorsandbarriersofpreventivebehaviorsagainstcovid19duringramadanaphenomenologyofindonesianadults
AT mohamadsaifudinhakim facilitatorsandbarriersofpreventivebehaviorsagainstcovid19duringramadanaphenomenologyofindonesianadults
AT meidasofyana facilitatorsandbarriersofpreventivebehaviorsagainstcovid19duringramadanaphenomenologyofindonesianadults
AT fatwasaritetradewi facilitatorsandbarriersofpreventivebehaviorsagainstcovid19duringramadanaphenomenologyofindonesianadults