Psychosocial determinants of hand hygiene, facemask wearing, and physical distancing during the COVID-19 pandemic: A systematic review and meta-analysis

Wei LIANG, Yanping DUAN, Feifei LI, Ryan E. RHODES, Xiang WANG, Ishanka Harshani Kusum Peiris DEHIWALA LIYANAGE, Lin ZHOU, Borui SHANG, Yide YANG, Julien S. BAKER, Jiao JIAO, Wei HAN

Research output: Contribution to journalArticlespeer-review

Abstract

Background: Hand hygiene, facemask wearing, and physical distancing play a crucial role in the prevention of the COVID-19 pandemic. Identifying the key psychosocial determinants of these precautionary behaviors contributes to effective intervention and policymaking for COVID-19 and future pandemics.

Purpose: This study aimed to systematically review and meta-analyze available evidence on psychosocial determinants of the general population’s practice of three precautionary behaviors, based on the Risk, Attitudes, Norms, Abilities, and Self-regulation (RANAS) framework.

Methods: Literature was identified by searching seven databases and relevant review papers. Observational and experimental studies targeting the general population (≥18 years) published between January 2020 to September 2021 were included. Pooled effect sizes were calculated with the inverse-variance method using random-effects models.

Results: A total of 51 studies (64 samples) were included in the qualitative synthesis, of which 30 studies (42 samples) were included in the meta-analysis. RANAS-based constructs including knowledge, pros attitudes, and perceived norms were identified as significant determinants of all three behaviors in the meta-analysis. Perceived susceptibility and cons attitudes showed no significant associations with any behaviors. Perceived severity, perceived control, self-efficacy, and behavioral intention were significantly associated with one or two behaviors. Country (western vs. eastern hemispheres) significantly moderated the effects of certain risk and ability factors.

Conclusions: More research is needed with respect to the intention–behavior relationship, self-regulatory and reflexive factors of precautionary behaviors, as well as the exploration of the potential moderating effect of sociodemographic factors. Copyright © 2022 The Author(s).
Original languageEnglish
Pages (from-to)1174-1187
JournalAnnals of Behavioral Medicine
Volume56
Issue number11
Early online dateSep 2022
DOIs
Publication statusPublished - Nov 2022

Citation

Liang, W., Duan, Y., Li, F., Rhodes, R. E., Wang, X., Dehiwala Liyanage, I. H. K. P., . . . Han, W. (2022). Psychosocial determinants of hand hygiene, facemask wearing, and physical distancing during the COVID-19 pandemic: A systematic review and meta-analysis. Annals of Behavioral Medicine, 56(11), 1174–1187. doi: 10.1093/abm/kaac049

Keywords

  • COVID-19
  • Psychosocial determinants
  • Hand hygiene
  • Facemask wearing
  • Physical distancing
  • RANAS model

Fingerprint

Dive into the research topics of 'Psychosocial determinants of hand hygiene, facemask wearing, and physical distancing during the COVID-19 pandemic: A systematic review and meta-analysis'. Together they form a unique fingerprint.