Feasibility, Utility, and Limitations of a Rapid Community Behavioral Diagnosis for Social Distancing During the 2020 Coronavirus Pandemic

Am J Health Promot. 2021 Jan;35(1):77-83. doi: 10.1177/0890117120932460. Epub 2020 Jun 18.

Abstract

Purpose: To evaluate the feasibility, utility, and limitations of a rapid community behavioral diagnosis (RCBD) for social distancing behaviors to prevent coronavirus transmission during a global coronavirus pandemic.

Design: Using social media for recruitment, we partnered with a local community task force to administer a brief online survey.

Setting: Residential urban community.

Sample: Eighty-four community members, the majority of whom were white, female, college educated completed the survey.

Measures: Theory of planned behavior constructs: behavioral intentions, attitudes, perceived norms, and perceived behavioral control for 3 social distancing behaviors: maintaining a 6-foot distance, avoiding places people congregate, and staying home as much as possible.

Analysis: Path analyses were conducted to understand significant determinants of intentions for each behavior to guide the development of locally tailored health promotion messages.

Results: The RCBD was implemented, and results were communicated to the community within 1 week. Intentions were high across the 3 behaviors but lowest for staying home as much as possible. Younger participants had lower intentions of maintaining a 6-foot distance than older participants. For each behavior, specific recommendations for health promotion messaging emerged based on how attitudes, norms, and perceived behavioral control related to intentions.

Conclusion: In a situation where local community action is paramount for reducing coronavirus transmission, this RCBD process is feasible and useful for informing local health promotion.

Keywords: COVID-19; SARS-coV-2; community; coronavirus; prevention; social distancing.

MeSH terms

  • COVID-19 / epidemiology
  • COVID-19 / prevention & control
  • COVID-19 / psychology
  • Coronavirus Infections / prevention & control*
  • Coronavirus Infections / psychology*
  • Feasibility Studies
  • Female
  • Guideline Adherence*
  • Health Promotion / organization & administration*
  • Humans
  • Male
  • Ohio / epidemiology
  • Pandemics / prevention & control*
  • Physical Distancing*
  • Social Isolation / psychology*
  • Surveys and Questionnaires