Claire Sadeghzadeh, Brett Sheppard, Juliana de Groot, Molly De Marco
{"title":"Evaluating the Benefits of a SNAP-Ed-Funded Community Garden Intervention Using Ripple Effect Mapping.","authors":"Claire Sadeghzadeh, Brett Sheppard, Juliana de Groot, Molly De Marco","doi":"10.1177/10901981211058075","DOIUrl":"https://doi.org/10.1177/10901981211058075","url":null,"abstract":"<p><p>In North Carolina, rural communities experience high rates of chronic illness due to health inequities exacerbated by the decline of major industries. Community gardens increase access to fresh produce and opportunities for physical activity and may offer additional benefits. These benefits can be difficult to measure as they are often unplanned or unintended. This article describes how we utilized Ripple Effect Mapping (REM), a participatory approach for evaluating complex interventions, to understand the impact of a SNAP-Ed-funded program. We purposively selected six community gardens to participate in 2-hour, facilitated REM sessions. On average, 15 people participated in each session. Participants developed a map of benefits using Appreciative Inquiry, mind mapping, and consensus-building methods. The map organized benefits across three levels: first ripple (individual), second ripple (interpersonal), and third ripple (community). In addition, participants coded benefits using the Community Capitals Framework. After the sessions, the research team extracted identified impacts into a matrix, aligned them with the SNAP-Ed Evaluation Framework, and developed digitized maps. These data corroborated findings from previous evaluations and offered insight into community-identified benefits not previously documented, including other types of capital generated by community gardens in rural communities. In addition, REM was an effective approach to measure and report several SNAP-Ed evaluation indicators, including LT11: Unexpected Benefits. Ultimately, the research team found REM to be an effective community-engaged method for understanding a complex intervention's benefits while centering participant community voices and transferring ownership of the data to community partners, a key principle in equitable evaluation.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"141-149"},"PeriodicalIF":4.2,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39770065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Evelyn Vázquez, Julie Chobdee, Niloufar Nasrollahzadeh, Ann Cheney
{"title":"Personal Freedom and Social Responsibility in Slowing the Spread of COVID-19: A Rapid Qualitative Study.","authors":"Evelyn Vázquez, Julie Chobdee, Niloufar Nasrollahzadeh, Ann Cheney","doi":"10.1177/10901981211033241","DOIUrl":"https://doi.org/10.1177/10901981211033241","url":null,"abstract":"<p><p>This rapid qualitative exploratory study focused on perceptions of adopting risk-reduction measures, such as face masks, on campuses within institutions of higher education in the United States. It was intended to identify safety measures to reduce virus spread and develop community-informed public health messaging to promote COVID-19 risk-reduction strategies within campus communities. This study was approved by the institutional review board where the study took place. A total of 113 stakeholders, including students, staff, and faculty attended one of nine focus groups. We use the socioecological model to illustrate the use of COVID-19 public health measures in private and public spaces and how macro-level processes, specifically sociocultural values of personal freedom and social responsibility shape the meaning and interpretation of COVID-19 public health measures. A rapid qualitative data analysis was conducted. This analysis was characterized by three steps: (1) transcription of the interviews, (2) completion of a summary template per focus group analysis (data reduction strategy), and (3) matrix analyses involving a cross-case analysis of the nine focus groups conducted. Based on study findings, we offer community-centered recommendations for safe and healthy reopening of large public research institutions. This article contributes to the foundation of scientific literature that qualitatively describes evidence-based strategies for safe reopening of places of education and employment in the COVID-19 pandemic.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"26-34"},"PeriodicalIF":4.2,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8381218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39330452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Akilah Dulin, Rachel Mealy, Shannon Whittaker, Michelle Cardel, Jeremy Wang, Patricia M Risica, Kim Gans
{"title":"Identifying Barriers to and Facilitators of Using a Mobile Fruit and Vegetable Market Intervention Delivered to Low-Income Housing Sites: A Concept Mapping Study.","authors":"Akilah Dulin, Rachel Mealy, Shannon Whittaker, Michelle Cardel, Jeremy Wang, Patricia M Risica, Kim Gans","doi":"10.1177/1090198121998287","DOIUrl":"https://doi.org/10.1177/1090198121998287","url":null,"abstract":"<p><strong>Background: </strong>Mobile fruit and vegetable (F&V) markets may be a promising strategy to improve F&V intake among low-income and racial/ethnic minority groups. However, challenges remain in terms of maximizing the reach and utilization of such markets. Therefore, this study identifies perceived barriers to and facilitators of utilizing a mobile F&V market among residents who lived in low-income housing that received the markets. Specifically, this article reports the results of the follow-up acceptability study of the \"Live Well, Viva Bien\" (LWVB) intervention.</p><p><strong>Method: </strong>We conducted concept mapping with residents in housing communities that received the Fresh to You (FTY) markets. Participants generated, sorted, and rated statements concerning barriers to and facilitators of market use. We compared the rating data by residents' level of market utilization and created a map representing how statements clustered into conceptual themes.</p><p><strong>Results: </strong>We retained 66 unique participant-generated statements. Eight thematic clusters emerged; four pertained to barriers: financial/promotion, produce-related, scheduling/knowledge, and logistic/awareness barriers, and four related to facilitators: produce/staffing, promotion, accessibility, and multilevel market facilitators. There was a strong correlation in ratings between participants who more frequently versus less frequently shopped at the markets (<i>r</i> = 0.94).</p><p><strong>Conclusions: </strong>Participants identified financial barriers, market promotion, ease of market accessibility, produce variety and quality, and staffing as key factors influencing FTY market use. This study highlights the importance of identifying the perceived barriers to and facilitators of mobile F&V market use among target populations to inform future efforts to scale up such approaches.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"159-168"},"PeriodicalIF":4.2,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1090198121998287","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25486342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ariane S Massie, Heather Johnston, Daniel Sibley, Brad A Meisner
{"title":"Factors Associated With the Intention to Begin Physical Activity Among Inactive Middle-Aged and Older Adults.","authors":"Ariane S Massie, Heather Johnston, Daniel Sibley, Brad A Meisner","doi":"10.1177/10901981211030867","DOIUrl":"https://doi.org/10.1177/10901981211030867","url":null,"abstract":"<p><p>Factors that affect physical activity (PA) behavior change are well established. Behavioral intention is a strong psychological predictor of behavior; however, there is less research on the factors that affect the <i>intention</i> to increase PA participation specifically, especially among adults in mid and later life who are inactive. Using data from the Canadian Community Health Survey, which was informed by the transtheoretical model (TTM), this study investigated the relationships between a range of demographic and biopsychosocial factors with the intention to become physically active among 1,159 inactive adults aged 40 years and older. Comparisons were made between participants reporting the intention to begin PA in the next 30 days (TTM Preparation; <i>n</i> = 610), 6 months (TTM Contemplation; <i>n</i> = 216), or not at all (TTM Precontemplation; <i>n</i> = 333). First, multinomial logistic regression identified age, sex, ethnicity, education, restriction of activities, self-perceived health, and community belonging as factors significantly associated with 30-day PA intention, while age and ethnicity were significantly associated with 6-month PA intention, compared with those reporting no intention. Second, binary logistic regression revealed that education was the only factor that differentially associated with intention timeframe as participants with lower levels of education were less likely to report PA intention in 30 days compared with 6 months. Findings demonstrate key demographic, biopsychosocial, and temporal factors that warrant consideration for tailored PA promotion programs that aim to effectively address the constraints and barriers that negatively influence PA intention among middle-aged and older adults.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"97-106"},"PeriodicalIF":4.2,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8892067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39331532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"\"I Can't Go Far\": Perceptions and Experiences of Heart Failure Patients Regarding Physical Activity: A Qualitative Study Using Semistructured Face-to-Face Interviews.","authors":"Elodie Charuel, Martial Bernard, Hélène Vaillant Roussel, Benoit Cambon, Thibault Ménini, Elodie Lafarge, Frédéric Dutheil, Philippe Vorilhon","doi":"10.1177/10901981211053247","DOIUrl":"https://doi.org/10.1177/10901981211053247","url":null,"abstract":"<p><strong>Background: </strong>Participation in regular physical activity (RPA) is beneficial to the quality of life and life expectancy of patients with chronic heart failure (CHF). However, it is inadequate in many patients.</p><p><strong>Aims: </strong>To determine the factors that influence the practice of RPA in patients with CHF managed in general practice.</p><p><strong>Method: </strong>This was a qualitative study using semistructured, individual face-to-face interviews. Patients with CHF (New York Heart Association Stages 1-3) capable of participating in RPA were enrolled by their general practitioner. A longitudinal and transversal inductive thematic analysis was performed by two researchers.</p><p><strong>Results: </strong>Five themes emerged from the 19 interviews that were conducted. Poor knowledge of the disease and the benefits of participating in RPA, as well as the lack of motivation or enjoyment, in particular due to the absence of previous participation, were considered significant obstacles. Fear associated with CHF or other comorbidities was also an obstacle. Attendance at a rehabilitation center, family and social circles, and having a pet all appeared to be beneficial. Family and friends were important for motivating the patient to participate in an activity but could also be an obstacle when they were overprotective.</p><p><strong>Conclusion: </strong>This study helps highlight the difficulties for patients with CHF associated with participation in RPA. Despite the obstacles, there are enabling factors on which the general practitioner may rely to motivate their patients.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"78-86"},"PeriodicalIF":4.2,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39857400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mitchell Crozier, Niko S Wasenius, Kathryn M Denize, Danilo F da Silva, Taniya S Nagpal, Kristi B Adamo
{"title":"Evaluation of Afterschool Activity Programs' (ASAP) Effect on Children's Physical Activity, Physical Health, and Fundamental Movement Skills.","authors":"Mitchell Crozier, Niko S Wasenius, Kathryn M Denize, Danilo F da Silva, Taniya S Nagpal, Kristi B Adamo","doi":"10.1177/10901981211033234","DOIUrl":"https://doi.org/10.1177/10901981211033234","url":null,"abstract":"<p><strong>Background: </strong>Physical literacy-focused afterschool activity programs (ASAPs) can be an effective strategy to improve children's health-related parameters. We sought to compare physical activity, body composition, aerobic capacity, and fundamental movement skills between physical literacy-focused ASAP and a standard recreational ASAP.</p><p><strong>Method: </strong>A pre-post (6 months) comparison study was conducted in 5- to 12-year-old children in a physical literacy-focused ASAP (physical literacy group, <i>n</i> = 14) and children attending a standard recreational ASAP (comparison group, <i>n</i> = 15). Physical activity guideline adherence was assessed using accelerometry, body composition was analyzed using bioelectrical impedance, aerobic capacity was estimated using the Progressive Aerobic Cardiovascular Endurance Run test, and fundamental movement skills were evaluated using the Test of Gross Motor Development-2.</p><p><strong>Results: </strong>There were no significant differences between groups at baseline. After 6 months, the physical literacy group exhibited a significant improvement in their total raw score for the Test of Gross Motor Development-2 (<i>p</i> = .016), which was likely due to improvements in object control skills (<i>p</i> = .024). The comparison group significantly increased body mass index (<i>p</i> = .001) and body fat (<i>p</i> = .009) over time. No significant between-group differences were found; however, there was a trend for improved aerobic capacity in the physical literacy group (<i>d</i> = 0.58).</p><p><strong>Conclusions: </strong>Engagement in the physical literacy-focused ASAP contributed to an attenuated increase in adiposity and an improvement in object control skills.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"87-96"},"PeriodicalIF":4.2,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9d/b0/10.1177_10901981211033234.PMC8892040.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39508011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pilot Wellness Program With Adapted Social-Emotional Learning and COVID-19 Curriculum for Refugee Youth.","authors":"Julia Rosenberg, Patricia McDonough Ryan, Caroline O'Brien, Fereshteh Ganjavi, Mona Sharifi","doi":"10.1177/10901981211048830","DOIUrl":"https://doi.org/10.1177/10901981211048830","url":null,"abstract":"<p><p>Refugee children are less likely than their non-refugee peers to receive timely diagnoses and treatment for mental and/or behavioral health problems, despite facing multiple risk factors including potential exposure to trauma during premigration, migration, and postmigration experiences. Social-Emotional Learning offers preventive mental health education for children through well-established, evidenced-based curricula. Although there are clear benefits of Social-Emotional Learning curricula, which can help children achieve long-term success emotionally and academically, Social-Emotional Learning curricula are not easily accessible for refugee children, often because of language and socioeconomic barriers. In this pilot study, we evaluated the feasibility and acceptability of an adapted Social-Emotional Learning program that included culturally specific, multilingual, trauma-informed wellness, and physical education during the COVID-19 pandemic: EMPOWER (Emotions Program Outside the Clinic With Wellness Education for Refugees). We used the Intervention Mapping framework which guided the (1) planning, (2) program development, and (3) mixed-method evaluation of the feasibility and acceptability of the EMPOWER pilot. We found that this adaptation was well-received by Afghan refugee families and that COVID-19 safety measures were well-understood after participation. Challenges emerged around videoconferencing connectivity and around finding a common language for discussing emotions. Future iterations of the program and evaluations will require continued partnerships with community members and organizations. As we continue and expand EMPOWER, we aim to evaluate short-term improvement in Social-Emotional Learning competence as well as long-term mental and behavioral health outcomes for children and their families.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"17-25"},"PeriodicalIF":4.2,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39501736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elizabeth L Adams, Hollie A Raynor, Laura M Thornton, Suzanne E Mazzeo, Melanie K Bean
{"title":"Nutrient Intake During School Lunch in Title I Elementary Schools With Universal Free Meals.","authors":"Elizabeth L Adams, Hollie A Raynor, Laura M Thornton, Suzanne E Mazzeo, Melanie K Bean","doi":"10.1177/10901981211011936","DOIUrl":"https://doi.org/10.1177/10901981211011936","url":null,"abstract":"<p><strong>Background: </strong>The National School Lunch Program (NSLP) provides >30 million meals to children daily; however, the specific nutrient composition of NSLP-selected and consumed meals for students from lower income and racial/ethnic minoritized backgrounds is unknown.</p><p><strong>Aims: </strong>To quantify the nutrients in school lunch selection and consumption among students participating in the NSLP and compare these values to nutrient recommendations.</p><p><strong>Method: </strong>Students (1st-5th graders; 98.6% from racial/ethnic minoritized backgrounds; 92.5% NSLP participation) from six Title I elementary schools serving universal free meals participated. Digital images of students' lunch meal selection and consumption were obtained (<i>n</i> = 1,102 image pairs). Plate waste analyses quantified portions consumed. Nutrient composition of students' lunch selection and consumption were calculated and compared with the 2010 Healthy Hunger-Free Kids Act and 2009 Institute of Medicine recommendations.</p><p><strong>Results: </strong>Most lunches selected (59%-97%) met recommendations for all nutrients except for total calories (23%), vitamin C (46%), and dietary fiber (48%). Based on lunch consumption, most students' lunches met recommendations for sodium (98%), protein (55%), calories from fat (82%), and saturated fat (89%); however, few met recommendations for total calories (5%), calcium (8%), iron (11%), vitamin A (18%), vitamin C (16%), and fiber (7%).</p><p><strong>Discussion: </strong>Meals selected met most nutrient recommendations for the majority of children; yet overall consumption patterns reflect suboptimal nutrient intake.</p><p><strong>Conclusion: </strong>Meals served under the NSLP policy mandates align with recommended nutrient patterns, highlighting the importance of maintaining these standards. Strategies to optimize children's intake of nutrient-rich portions of these meals are needed to optimize policy impact.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"118-127"},"PeriodicalIF":4.2,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10901981211011936","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38927281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cristina Álvarez-Sánchez, Héctor Guillén, Isobel R Contento, Pamela Koch, Florence L Théodore
{"title":"Soda Consumption Among Mexican Construction Workers in the Context of the Sugar-Sweetened Beverage Tax.","authors":"Cristina Álvarez-Sánchez, Héctor Guillén, Isobel R Contento, Pamela Koch, Florence L Théodore","doi":"10.1177/10901981211050031","DOIUrl":"https://doi.org/10.1177/10901981211050031","url":null,"abstract":"<p><p>This study explored the psychosocial determinants of consumption of soda and other taxed sugar-sweetened beverages (SSBs) in Mexican construction workers (CWs) and whether consumption changed as a result of the 2014 SSB tax. We conducted a qualitative case study involving in-depth interviews and focus groups (FGs) with 30 Mexican CWs; supplemented with descriptions of the food and beverages consumed during lunch breaks. We used NVivo 10 to classify information according to the analysis categories, primarily informed by the Reasoned Action Approach (RAA). CWs reported not having changed their consumption of soda and other taxed SSBs as a result of the SSB tax, despite the price increase and \"knowing\" the potential negative consequences of soda drinking. The most important determinants of soda consumption are a deep-seated social norm of soda drinking and use of soda drinking as part of their professional identity; their likeness for soda; a wide availability of soda in their environments; and a low perceived behavioral control (because they thought themselves as addicted to it). Participants indicated that the best way for them not to consume soda would be if it were not available. These findings lend support for the tight regulation of the availability of SSBs. To have a meaningful impact on these consumers, the SSB tax may need to be much higher. Policy-level interventions should be coupled with interventions at the individual and community levels that aim at denormalizing soda consumption, create new meanings in relation to water consumption, and develop behavioral control to decrease soda consumption.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"107-117"},"PeriodicalIF":4.2,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39570313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elizabeth J King, Laura Rozek, Ann Chih Lin, Allen Hicken, Pauline Jones, Ekaterina Aleksandrova, Peter Meylakhs, Kowit Nambunmee, Twila Tardif
{"title":"Health Behaviors During the COVID-19 Epidemic: Perspectives From Studying International Coping and Compliance.","authors":"Elizabeth J King, Laura Rozek, Ann Chih Lin, Allen Hicken, Pauline Jones, Ekaterina Aleksandrova, Peter Meylakhs, Kowit Nambunmee, Twila Tardif","doi":"10.1177/10901981211060327","DOIUrl":"https://doi.org/10.1177/10901981211060327","url":null,"abstract":"<p><p>Control of the COVID-19 pandemic requires significant changes in people's health behaviors. We offer this multidisciplinary perspective on the extent of compliance with social distancing recommendations and on coping with these measures around the globe in the first months of the pandemic. We present descriptive data from our survey of 17,650 respondents across 18 countries and territories in June 2020. The majority of respondents worried about contracting the virus. Nearly all engaged in at least some preventive behaviors, particularly handwashing, mask wearing, and avoiding social events. Most reported that it would be difficult to continue these behaviors for more than a few months, and about half reported feeling more anxious since the start of the pandemic. Commonly reported coping behaviors included news consumption, watching television, and sleeping. Our cross-national study highlights areas for developing and implementing health behavior interventions in the global fight to stop the spread of COVID-19.</p>","PeriodicalId":520637,"journal":{"name":"Health education & behavior : the official publication of the Society for Public Health Education","volume":" ","pages":"5-10"},"PeriodicalIF":4.2,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39770062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}