Engagement in Social Distancing: An Empirical Test of Media, Intra-Family and Doctor-Patient Communication During the COVID-19 Pandemic

ABSTRACT Based on the theory of planned behavior (TPB), this study investigated how media presentations, intra-family communication, and doctor-patient communication influence compliance with social distancing orders during the initial COVID-19 outbreak. Results from an online survey in China suggested that media risk communication, intra-family communication, and doctor-patient communication enhanced respondents’ intention for social distancing via the mediations of positive attitudes, subjective norms, and perceived behavioral control. Additionally, trust in government, information verification, and active media engagement can improve the outcome of risk communication. This study underscores the value of TPB framework in fostering health promotion. By analyzing the interplay between psychological constructs and communication channels, this research contributes to a nuanced understanding of compliance behavior amid pandemics, facilitating informed policy-making and promoting public cooperation. Ultimately, these insights illuminate pathways to cultivate informed decision-making and responsible actions during health crises.