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. 2022 Oct 31:11:332.
doi: 10.4103/jehp.jehp_1720_21. eCollection 2022.

Factors associated with preventive behaviors of COVID-19 among children with congenital heart disease: Application of protection motivation theory

Zohreh Sadat Navabi  1 , Alireza Ahmadi  1 , Mohammad Reza Sabri  1 , Fahimeh Bagheri Kholenjani  2 , Mehdi Ghaderian  1 , Bahar Dehghan  1 , Chehreh Mahdavi  1
Affiliations

Factors associated with preventive behaviors of COVID-19 among children with congenital heart disease: Application of protection motivation theory

Zohreh Sadat Navabi et al. J Educ Health Promot. .

Abstract

Background: Congenital heart disease (CHD) is one of the underlying medical conditions that put children at increased risk for coronavirus. This study aimed to predict preventive behaviors of COVID-19 among children with CHD based on the protection motivation theory (PMT).

Materials and methods: This cross-sectional study was conducted from March 2021 to April 2021, on 240 children 3-7 years with CHD whose data had been registered in Persian Registry of Cardiovascular Disease/CHD (PROVE/CHD) System in Isfahan, Iran. The research variables were measured using an online researcher-made questionnaire that was based on PMT constructs. The collected data were analyzed using statistical tests (e.g., Pearson correlation coefficient and linear regression analysis).

Results: From a total of 240 participants (mean age of 4.81 ± 1.50) in the present study, 122 (50.8%) were girls. The most common types of CHD among children participating in this study were related to atrial septal defect (ASD) (29.2%, n = 70) and ventricular septal defect (VSD) (26.7%, n = 64), respectively. Protective behaviors showed a significant correlation with all constructs of PMT. The PMT constructs explained 41.0% of the variances in protective behavior, in which the perceived reward (β = 0.325) and perceived self-efficacy (β = 0.192) was the most important, respectively.

Conclusion: The results of this study showed well the effectiveness of PMT on the preventive behaviors of COVID-19 in children with CHD. This theory can be used to teach preventive behaviors of COVID-19 to children with CHD in education programs.

Keywords: Behavior; COVID-19; child; congenital; heart defects.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
The framework of the protection motivation theory
See this image and copyright information in PMC

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