How older adults’ health beliefs affect intention to perform COVID-19 self-examination: A reasoned action approach

IF 1.5 Q3 MANAGEMENT Human systems management Pub Date : 2022-10-14 DOI:10.3233/hsm-220134

Kim Piew Lai, S. Chong, Binshan Lin

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Abstract

BACKGROUND: COVID-19 self-examination is a significant part of the national recovery plan against the virus. Although it is easier to perform COVID-19 self-examination (CSE), only a small percentage of people prefer it. There are no precise statistics on CSE in Malaysia, but informal data from news agencies imply low CSE. Lack of awareness and conflicting information about the reliability of CSE results may have raised concerns about CSE’s efficacy and effectiveness. OBJECTIVE: This study investigates how Malaysian older adults’ health beliefs influence their intention to perform CSE. The study developed a framework combining illness threats (ITH), perceived barriers (PBA), medical motivations (MMO), and control over illness (COI) from the Health Belief Model (HBM) with the Reasoned-Action Approach’s attitude (ATT), perceived control (PCO), and intention (INT). METHODS: Structural Equation Modelling (SEM) analyses were conducted with AMOS 26 software to determine the influence of HBM on older adults’ attitude, perceived control, and intention. The study collected 200 data for the pilot study and 400 data for hypotheses testing. RESULTS: ITH, MMO, and COI have positive effects, whilst PBA affects ATT negatively. ITH and COI positively impact PCO, and PCO has a greater significant effect on INT than ATT. CONCLUSION: Given the HBM’s role in influencing older adults’ intention to perform COVID-19 self-examination, providing different levels of care and emphasising the perception of knowledge of illness are especially beneficial. Several recommendations are made to ensure that CSE remains relevant for older adults’ well-being, although COVID-19’s impact has become more stabilised.

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老年人的健康信念如何影响进行新冠肺炎自我检查的意图：一种合理的行动方法

背景：新冠肺炎自我检查是国家抗击病毒恢复计划的重要组成部分。尽管进行新冠肺炎自我检查（CSE）更容易，但只有一小部分人更喜欢。马来西亚没有关于CSE的准确统计数据，但来自新闻机构的非正式数据表明CSE较低。缺乏对CSE结果可靠性的认识和相互矛盾的信息可能引发了对CSE疗效和有效性的担忧。目的：本研究调查马来西亚老年人的健康信念如何影响他们进行CSE的意愿。该研究开发了一个框架，将健康信念模型中的疾病威胁（ITH）、感知障碍（PBA）、医疗动机（MMO）和疾病控制（COI）与理性行动方法的态度（ATT）、感知控制（PCO）和意图（INT）相结合。方法：使用AMOS 26软件进行结构方程建模（SEM）分析，以确定HBM对老年人态度、感知控制和意图的影响。该研究为试点研究收集了200个数据，为假设测试收集了400个数据。结果：ITH、MMO和COI对ATT有正向影响，PBA对ATT则有负向影响。ITH和COI对PCO有积极影响，PCO对INT的影响比ATT更大。结论：鉴于HBM在影响老年人进行新冠肺炎自我检查的意图方面的作用，提供不同水平的护理和强调对疾病的认知尤其有益。尽管新冠肺炎的影响已变得更加稳定，但仍提出了几项建议，以确保CSE与老年人的福祉保持相关性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Human systems management MANAGEMENT-

CiteScore

3.50

自引率

30.40%

发文量

期刊介绍： Human Systems Management (HSM) is an interdisciplinary, international, refereed journal, offering applicable, scientific insight into reinventing business, civil-society and government organizations, through the sustainable development of high-technology processes and structures. Adhering to the highest civic, ethical and moral ideals, the journal promotes the emerging anthropocentric-sociocentric paradigm of societal human systems, rather than the pervasively mechanistic and organismic or medieval corporatism views of humankind’s recent past. Intentionality and scope Their management autonomy, capability, culture, mastery, processes, purposefulness, skills, structure and technology often determine which human organizations truly are societal systems, while others are not. HSM seeks to help transform human organizations into true societal systems, free of bureaucratic ills, along two essential, inseparable, yet complementary aspects of modern management: a) the management of societal human systems: the mastery, science and technology of management, including self management, striving for strategic, business and functional effectiveness, efficiency and productivity, through high quality and high technology, i.e., the capabilities and competences that only truly societal human systems create and use, and b) the societal human systems management: the enabling of human beings to form creative teams, communities and societies through autonomy, mastery and purposefulness, on both a personal and a collegial level, while catalyzing people’s creative, inventive and innovative potential, as people participate in corporate-, business- and functional-level decisions. Appreciably large is the gulf between the innovative ideas that world-class societal human systems create and use, and what some conventional business journals offer. The latter often pertain to already refuted practices, while outmoded business-school curricula reinforce this problematic situation.