The process by which perceived autonomy support predicts motivation, intention, and behavior for seasonal influenza prevention in Hong Kong older adults

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...

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Main Authors: Pak-Kwong Chung, Chun-Qing Zhang, Jing-Dong Liu, Derwin King-Chung Chan, Gangyan Si, Martin S. Hagger
Format: Article
Language:English
Published: BMC 2017-07-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-017-4608-x
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author Pak-Kwong Chung
Chun-Qing Zhang
Jing-Dong Liu
Derwin King-Chung Chan
Gangyan Si
Martin S. Hagger
author_facet Pak-Kwong Chung
Chun-Qing Zhang
Jing-Dong Liu
Derwin King-Chung Chan
Gangyan Si
Martin S. Hagger
author_sort Pak-Kwong Chung
collection DOAJ
description 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.
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spelling doaj.art-80e49bb2ba854431904b0fbdd24833c32022-12-21T18:43:37ZengBMCBMC Public Health1471-24582017-07-011811910.1186/s12889-017-4608-xThe process by which perceived autonomy support predicts motivation, intention, and behavior for seasonal influenza prevention in Hong Kong older adultsPak-Kwong Chung0Chun-Qing Zhang1Jing-Dong Liu2Derwin King-Chung Chan3Gangyan Si4Martin S. Hagger5Department of Physical Education, Hong Kong Baptist UniversityDepartment of Physical Education, Hong Kong Baptist UniversityDepartment of Physical Education, Hong Kong Baptist UniversityInstitute of Human Performance, University of Hong KongSport Psychology Center, Hong Kong Sports InstituteDepartment of Physical Education, Hong Kong Baptist UniversityAbstract 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.http://link.springer.com/article/10.1186/s12889-017-4608-xElderlyFacemask wearingInfectionInfectious diseasesSelf-determination theoryTheory of planned behavior
spellingShingle Pak-Kwong Chung
Chun-Qing Zhang
Jing-Dong Liu
Derwin King-Chung Chan
Gangyan Si
Martin S. Hagger
The process by which perceived autonomy support predicts motivation, intention, and behavior for seasonal influenza prevention in Hong Kong older adults
BMC Public Health
Elderly
Facemask wearing
Infection
Infectious diseases
Self-determination theory
Theory of planned behavior
title The process by which perceived autonomy support predicts motivation, intention, and behavior for seasonal influenza prevention in Hong Kong older adults
title_full The process by which perceived autonomy support predicts motivation, intention, and behavior for seasonal influenza prevention in Hong Kong older adults
title_fullStr The process by which perceived autonomy support predicts motivation, intention, and behavior for seasonal influenza prevention in Hong Kong older adults
title_full_unstemmed The process by which perceived autonomy support predicts motivation, intention, and behavior for seasonal influenza prevention in Hong Kong older adults
title_short The process by which perceived autonomy support predicts motivation, intention, and behavior for seasonal influenza prevention in Hong Kong older adults
title_sort process by which perceived autonomy support predicts motivation intention and behavior for seasonal influenza prevention in hong kong older adults
topic Elderly
Facemask wearing
Infection
Infectious diseases
Self-determination theory
Theory of planned behavior
url http://link.springer.com/article/10.1186/s12889-017-4608-x
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