Fear control and danger control amid COVID-19 dental crisis: Application of the Extended Parallel Process Model

PLoS One. 2020 Aug 13;15(8):e0237490. doi: 10.1371/journal.pone.0237490. eCollection 2020.

Abstract

Objectives: There is high risk of contamination with COVID-19 virus during routine dental procedures and infection control is crucial. The aim of this study was to determine the factors associated with Covid-19 preventive behaviors among oral health care providers using an extended parallel process model (EPPM).

Methods: In a cross-sectional study, short text message invite surveys were sent to 870 oral health care providers in west part of Iran. Data were collected through validated self-report EPPM questionnaires. Descriptive statistics, Chi-square and Fishers exact tests were used for data analysis.

Results: In total, 300 completed questionnaires were received and the mean age of respondents was 29.89 ± 11.17 years (range: 20-75 years). Among the study population, 284 (94.67%) perceived the threat of infection highly. Washing hands frequently with water and soap and use of hand sanitizer was reported by 93.33%, of participants. Age (P = 0.010), sex (P = 0.002) and occupation field (P = 0.010) were significantly associated with danger control responses. Data identified that those oral health care providers that were on the danger control response adopted preventive behaviors more strictly than those on fear control response.

Conclusion: The results of this study showed how degrees of perceived threat and perceived efficacy influenced oral health providers' willingness to perform recommended health behaviors. These findings can assist public health agencies in developing educational programs specifically designed for promoting preventive behaviors among oral health providers in pandemic situations.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Betacoronavirus*
  • COVID-19
  • Coronavirus Infections / prevention & control*
  • Coronavirus Infections / virology
  • Cross-Sectional Studies
  • Dental Care*
  • Dental Hygienists / psychology
  • Dentists / psychology*
  • Fear / psychology*
  • Female
  • Hand Disinfection
  • Health Behavior*
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Iran
  • Male
  • Middle Aged
  • Models, Psychological*
  • Pandemics / prevention & control*
  • Pneumonia, Viral / prevention & control*
  • Pneumonia, Viral / virology
  • SARS-CoV-2
  • Self Report
  • Young Adult

Grants and funding

The authors who received an award: Saeid Bashirian Grant numbers awarded to author: IR.UMSHA.REC.1398.1094. The full name of funder: the Vice Chancellor For research and technology from the Hamadan University of Medical Sciences. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.