SACM - United States of America

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    Exploring influencing factors on the adoption of nonpharmaceutical interventions during pandemics: COVID-19 as an example
    (University of Louisville, 2024-05) Alobaydullah, Ahmed; LaJoie, Andrew
    Background: Pandemics are associated with loss of life, hospitalizations, and disruption to people’s social and economic lives. As the 2019 pandemic illustrates, COVID-19 can be prevented by pharmaceutical and non-pharmaceutical interventions (NPIs). Recommended measures such as wearing a mask, washing hands, social distancing, and self-quarantine have been proven to curb the spread of the coronavirus. Identifying the factors associated with adherence to NPIs is the first step in understanding which levers of change to pull when designing health promotion interventions such as health communication campaigns. This dissertation explores these factors and proposes a health communication framework during pandemics. Research Questions: This dissertation has three research questions: 1) What demographic, personal-cognitive, and socio-environmental factors influenced the adoption of non-pharmaceutical interventions during pandemics among health care university students? 2) Which psychological, cognitive, or socio-environmental factors are more predictive of adherence to COVID-19 NPIs among the Saudi population? 3) What risk communication framework best suits public health messaging and communication to promote adopting non-pharmaceutical interventions during a pandemic? Methods: In the first manuscript, a systematic review was conducted to identify demographic, personal-cognitive, and socio-environmental factors influencing the adoption of non-pharmaceutical interventions during a pandemic among health care university students. In the second manuscript, a quantitative non-experimental survey research design study was conducted, where a Social Cognitive Theory-guided survey was used to measure adherence to non-pharmaceutical interventions and explore the personal cognitive and socio-environmental influencing factors. The third manuscript uses a grounded theory technique to explore the relevant literature on NPIs communication and develops a conceptual framework to assist the health communicator during pandemics. Results: In manuscript 1, the systematic review identified 18 articles for full-text review. The results yielded 18 demographic factors associated with NPIs practice factors, of which being older, female, observing others practice NPIs, and having higher risk perception levels were influencing factors. Additionally, cues to action, source of information, anger, confusion, and positive attitude, perceived stress, susceptibility, benefits, barriers, and severity influenced NPIs adherence. In manuscript 2, NPIs were strongly correlated with normative beliefs and negatively correlated with self-efficacy. The hierarchical multiple regression model revealed that socio-environmental factors explained a significant proportion of variance in NPIs (52%). In manuscript 3, the Pandemic Behavioral Prevention Framework was developed based on components adopted from the CDC’s Crisis and Emergency Risk Communication Model, The Social Amplification of Risk Perception Framework, and The Social Cognitive Theory. Conclusion: The dissertation’s manuscripts found that demographic factors such as age and gender, personal cognitive factors such as risk perception, and socioenvironmental factors like social norms are influential when deciding to practice NPIs. These factors can be the basis of any health promotion intervention to promote NPIs in future pandemics. Also, we developed the Pandemic Behavioral Prevention Framework to utilize the currently used models of communication, risk, and behavior in shaping effective NPIs communication during pandemics.
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    AN ASSESSMENT OF THE IMPACT OF COVID-19 PANDEMIC ON CONSUMER BEHAVIOR AND RETAILERS' BUSINESS MODEL IN THE KINGDOM OF SAUDI ARABIA
    (University of Central Florida, 2023) Alfardan, Bader; O'Neal,Thomas
    This study aims to explore the impact of COVID-19 on consumer buying behavior and shifts in retail business models within the Kingdom of Saudi Arabia, in response to the challenges introduced by the pandemic. The study had several objectives, including examining the global impact of the pandemic on retail consumers, analyzing variations in the effect on luxury and essential products, investigating the strategies employed by physical store retailers to address the consequences of COVID-19, and providing recommendations for retailers to operate sustainably in the future. To achieve these objectives, the study utilized a mixed-methods approach, integrating quantitative and qualitative research. Data was collected from 180 consumer respondents via a quantitative survey questionnaire and from eight retailers through one-on-one interviews. Reliability analysis was conducted using Cronbach's Alpha. Subsequently, the data was evaluated through frequency and cross-tabulation methods, while interview transcripts served to corroborate and contrast the quantitative findings. The study revealed that the COVID19 pandemic significantly altered consumer shopping patterns. There was a heightened demand for groceries, essentials, health and hygiene products, while non-essentials and luxury items experienced reduced demand. Consumers showed a preference for online retail platforms over traditional brick-and-mortar stores. Based on these findings, Saudi Arabian retailers are advised to exploit a hybrid model, blending online and physical stores in the post-COVID period, and to establish multiple online sales touchpoints. Luxury retailers, in particular, are encouraged to diversify their portfolio range to include value-for-money options, leverage social media marketing to promote their offerings, and improve consumer perceptions around online purchasing, specifically in the areas of delivery and return policies.
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