% IMPORTANT: The following is UTF-8 encoded. This means that in the presence
% of non-ASCII characters, it will not work with BibTeX 0.99 or older.
% Instead, you should use an up-to-date BibTeX implementation like “bibtex8” or
% “biber”.
@ARTICLE{Reinhardt:186393,
author = {A. Reinhardt and W. Weber$^*$ and C. Rossmann},
title = {{D}rivers of young adults' voluntary compliance with
{COVID}-19 protective measures: results from a multi-method
study.},
journal = {BMC public health},
volume = {22},
number = {1},
issn = {1471-2458},
address = {London},
publisher = {BioMed Central},
reportid = {DKFZ-2022-03160},
pages = {2401},
year = {2022},
abstract = {With the easing of governmental COVID-19 restrictions,
promoting voluntary public compliance with protective
measures becomes essential for the pandemic evolution. A
highly relevant target group for such health promotion are
adolescents and young adults since they showed a strong
decline in compliance throughout the pandemic. Building on
an extended version of the Theory of Planned Behavior, this
article investigates drivers of young people's intentions to
engage in voluntary COVID-19 measures in phases of
re-opening.We conducted a sequential multi-method study
among 14- to 29-year-olds in Germany: (1) a
semi-standardized online survey (N = 88) to examine
underlying beliefs and (2) a standardized online survey (N =
979) to identify influencing factors of compliance. The
pre-study addressed the respondents' perceptions about
wearing a mask, social distancing, and avoiding crowded
locations (open-ended questions). Responses for all
protective measures were aggregated to identify general
behavioral, normative, and control beliefs about COVID-19
protective measures. In order to gain generalizable insights
into the factors determining voluntary compliance intentions
in younger adults, we conceptualized the model constructs in
the subsequent standardized online survey as formative
measures based on their underlying beliefs. PLS-SEM was used
to examine the effects of attitudes, subjective norms,
perceived behavioral control, risk perceptions, and
knowledge on young people's intentions to comply (main
study). Furthermore, a multi-group analysis was conducted to
investigate differences between compliers and
non-compliers.The pre-study revealed that young people's
instrumental attitudes not only cover reasons of protection
but also aspects of self-presentation (e.g., being a role
model). The main study showed that besides knowledge and
perceived severity of illness, instrumental attitude is the
strongest predictor of intention to comply. The influence is
even stronger in the group of non-compliers.This article
highlights the importance of theory-based campaign planning
and provides practical guidance to health communicators on
how to increase voluntary compliance with COVID-19
protective measures in adolescents and young adults. The
findings demonstrate the great potential of combining the
Theory of Planned Behavior with risk perception and
knowledge to gain deeper insights into the feelings and
thoughts of younger target groups during a health crisis.},
keywords = {Adolescents (Other) / COVID-19 (Other) / Theory of planned
behavior (Other)},
cin = {M100},
ddc = {610},
cid = {I:(DE-He78)M100-20160331},
pnm = {316 - Infektionen, Entzündung und Krebs (POF4-316)},
pid = {G:(DE-HGF)POF4-316},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:36544123},
doi = {10.1186/s12889-022-14752-y},
url = {https://inrepo02.dkfz.de/record/186393},
}