Development and validation of a behavioral index for adaptation to lyme disease

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creativework.keywords - en
Adult
Attitude
Humans
Intention*
Lyme Disease* / epidemiology
Lyme Disease* / prevention & control
Psychological Theory
Quebec / epidemiology
Surveys and Questionnaires
dc.contributor.author
Valois, Pierre
Bouchard, David
Aenishaenslin, Cécile
Talbot, Denis
Bouchard, Catherine
Briand, Sandie
Tessier, Maxime
dc.date.accessioned
2024-04-15T19:18:23Z
dc.date.available
2024-04-15T19:18:23Z
dc.date.issued
2020-09-21
dc.description - en
The objectives of this study were to (1) create an index of Lyme disease prevention behaviors (LDPB), and (2) use the theory of planned behavior (TPB) to explain the decision-making process of people who choose to adopt LDPB. A sample of 1959 adults living in a Lyme disease risk area completed a questionnaire by phone (n = 1003) or on the Web (n = 956). Our findings led to the creation of a Lyme disease prevention index consisting of 10 behaviors, down from the 19 behaviors initially considered for inclusion in the index. Rates of adoption of each behavior varied tremendously, from 4.30 to 83.80%. All variables of the TPB model (attitude, social norms, and perceived control) were significantly associated with intention to adopt preventive behaviors. Intention itself was significantly associated with adoption of LDPB. Likewise, risk perception was positively correlated with the adoption of LDPB. This study led to the creation of a Lyme disease prevention index that can be used by public health agencies, researchers, and professionals to monitor the evolution over time of individuals’ LDPB adoption rates. It also showed the usefulness of the TPB in understanding the adoption of LDPB and how intention to adopt such behaviors is formed.
dc.description.abstract - en
BACKGROUND: Recent evidence suggests that climate change and other factors are leading to the emergence of Lyme disease in the province of Quebec, where it previously did not exist. As risk areas expand further north, the population can adopt specific preventive behaviors to limit chances of infection. The objectives of this study were to (1) create an index of Lyme disease prevention behaviors (LDPB), and (2) use the theory of planned behavior (TPB) to explain the decision-making process of people who choose to adopt LDPB. METHODS: A sample of 1959 adults living in a Lyme disease risk area completed a questionnaire by phone (n = 1003) or on the Web (n = 956). The questionnaire measured whether they did or did not adopt the LDPB proposed by public health officials. It also measured some TPB variables, including their attitude or perceived social norms regarding LDPB. RESULTS: Our findings led to the creation of a Lyme disease prevention index consisting of 10 behaviors, down from the 19 behaviors initially considered for inclusion in the index. Rates of adoption of each behavior varied tremendously, from 4.30 to 83.80%. All variables of the TPB model (attitude, social norms, and perceived control) were significantly associated with intention to adopt preventive behaviors. Intention itself was significantly associated with adoption of LDPB. Likewise, risk perception was positively correlated with the adoption of LDPB. CONCLUSIONS: This study led to the creation of a Lyme disease prevention index that can be used by public health agencies, researchers, and professionals to monitor the evolution over time of individuals’ LDPB adoption rates. It also showed the usefulness of the TPB in understanding the adoption of LDPB and how intention to adopt such behaviors is formed.
dc.identifier.doi
https://doi.org/10.1186/s12889-020-09535-2
dc.identifier.issn
1471-2458
dc.identifier.pubmedID
32958077
dc.identifier.uri
https://open-science.canada.ca/handle/123456789/2332
dc.language.iso
en
dc.publisher
BioMed Central Ltd.
dc.rights - en
Creative Commons Attribution 4.0 International (CC BY 4.0)
dc.rights - fr
Creative Commons Attribution 4.0 International (CC BY 4.0)
dc.rights.openaccesslevel - en
Gold
dc.rights.openaccesslevel - fr
Or
dc.rights.uri - en
https://creativecommons.org/licenses/by/4.0/
dc.rights.uri - fr
https://creativecommons.org/licenses/by/4.0/deed.fr
dc.subject - en
Health
dc.subject - fr
Santé
dc.subject.en - en
Health
dc.subject.fr - fr
Santé
dc.title - en
Development and validation of a behavioral index for adaptation to lyme disease
dc.type - en
Article
dc.type - fr
Article
local.acceptedmanuscript.articlenum
1435
local.article.journaltitle
BMC Public Health
local.article.journalvolume
20
local.pagination
1-12
local.peerreview - en
Yes
local.peerreview - fr
Oui
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