Clinical trial NCT04367337: Health Behavior Change During COVID-19 Pandemic
Official title: Health Behavior Change During COVID-19 Pandemic: the Focus on Handwashing
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Health Behavior
Keywords: General population
Adult
Handwashing
Social cognition
Anxiety
COVID-19
Lead sponsor: University of Social Sciences and Humanities, Warsaw
Sponsor class: OTHER
First posted: 2020-04-29
Enrollment: 6079
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: ECOLOGIC_OR_COMMUNITY
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Adults in 14 countries are recruited using the snowballing method. Data are collected using an online platform (software: Qualtricts).

Brief summary: This study aims at investigating handwashing behavior during COVID-19 pandemic. It was hypothesized that social-cognitive and emotional predictors as well as COVID-19 morbidity and mortality rates within the country would be associated with handwashing behavior in the general population of adults in 14 countries.

Detailed description: This observational study aims at testing the adherence to handwashing guidelines (the World Health Organization, WHO, 2020) at two measurement points, spanning 1 month. Adults from the general population in 14 countries (Poland, Australia, Canada, China, France, Gambia, Germany, Israel, Italy, Malaysia, Portugal, Romania, Singapore, Switzerland) will provide self-report data on handwashing behavior and its social-cognitive predictors (perceived effectiveness of handwashing, risk perception, outcome expectancy, self-efficacy, intention, planning, and action control), anxiety, as well as COVID-19 morbidity and mortality rates within the country.

Eligibility criteria: Inclusion Criteria:

* adults (from general population) who provided informed consent to participate

Exclusion Criteria:

* younger than \<18 years old

Primary outcomes:
measure: Handwashing adherence
timeFrame: 1 month
measure: Frequency of handwashing
timeFrame: 1 month
Secondary outcomes:
measure: Self-efficacy
timeFrame: 1 month
measure: Risk perception
timeFrame: 1 month
measure: Outcome expectancy
timeFrame: 1 month
measure: Intention
timeFrame: 1 month
measure: Planning
timeFrame: 1 month
measure: Action control
timeFrame: 1 month
measure: Perceived effectiveness of hand hygiene
timeFrame: 1 month
measure: Anxiety
timeFrame: 1 month
measure: Country-level COVID-19 morbidity and mortality rates
timeFrame: 60 days
Other outcomes:
Locations:
city: Melbourne
country: Australia
facility: the University of Melbourne
city: Fredericton
country: Canada
facility: University of New Brunswick
city: Beijing
country: China
facility: Peking University
city: Bordeaux
country: France
facility: University of Bordeaux
city: Fajara
country: Gambia
facility: London School of Hygiene and Tropical Medicine (in collaboration with MRC Unit The Gambia at LSHTM)
city: Berlin
country: Germany
facility: Freie Universität Berlin
city: Ramat Gan
country: Israel
facility: Bar-Ilan University
city: Padova
country: Italy
facility: University of Padova
city: Serdang
country: Malaysia
facility: Perdana University
city: Wroclaw
country: Poland
facility: SWPS University of Social Sciences and Humanities
state: Lower Silezia
city: Lisbon
country: Portugal
facility: University of Lisbon
city: Cluj-Napoca
country: Romania
facility: Babes-Bolyai Unversity
city: Singapore
country: Singapore
facility: Nanyang Technological University
city: Zürich
country: Switzerland
facility: University of Zurich
Study officials:
affiliation: SWPS University of Social Sciences and Humanities
name: Aleksandra Luszczynska, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: World Health Organization. Coronavirus disease (COVID-19) advice for the public. 2020. https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public
citation: Centers for Disease Control and Prevention. When and how to wash your hands. 2020. https://www.cdc.gov/handwashing/when-how-handwashing.html
citation: Reyes Fernandez B, Knoll N, Hamilton K, Schwarzer R. Social-cognitive antecedents of hand washing: Action control bridges the planning-behaviour gap. Psychol Health. 2016 Aug;31(8):993-1004. doi: 10.1080/08870446.2016.1174236. Epub 2016 Apr 26.
citation: Schwarzer R, Lippke S, Luszczynska A. Mechanisms of health behavior change in persons with chronic illness or disability: the Health Action Process Approach (HAPA). Rehabil Psychol. 2011 Aug;56(3):161-70. doi: 10.1037/a0024509.
citation: Ruiter RAC, Abraham C, Kok G. Scary warnings and rational precautions: A review of the psychology of fear appeals. Psychol Health. 2011;11(1): 613-630. doi: 10.1080/08870440108405863
citation: Luszczynska A, Szczuka Z, Abraham C, Baban A, Brooks S, Cipolletta S, Danso E, Dombrowski SU, Gan Y, Gaspar T, de Matos MG, Griva K, Jongenelis MI, Keller J, Knoll N, Ma J, Miah MAA, Morgan K, Peraud W, Quintard B, Shah V, Schenkel K, Scholz U, Schwarzer R, Siwa M, Taut D, Tomaino SCM, Vilchinsky N, Wolf H. The Interplay Between Strictness of Policies and Individuals' Self-Regulatory Efforts: Associations with Handwashing During the COVID-19 Pandemic. Ann Behav Med. 2022 Apr 2;56(4):368-380. doi: 10.1093/abm/kaab102.
citation: Szczuka Z, Abraham C, Baban A, Brooks S, Cipolletta S, Danso E, Dombrowski SU, Gan Y, Gaspar T, de Matos MG, Griva K, Jongenelis M, Keller J, Knoll N, Ma J, Miah MAA, Morgan K, Peraud W, Quintard B, Shah V, Schenkel K, Scholz U, Schwarzer R, Siwa M, Szymanski K, Taut D, Tomaino SCM, Vilchinsky N, Wolf H, Luszczynska A. The trajectory of COVID-19 pandemic and handwashing adherence: findings from 14 countries. BMC Public Health. 2021 Oct 5;21(1):1791. doi: 10.1186/s12889-021-11822-5.