Hope and Fear in the Midst of Coronavirus: What Accounts for COVID-19 Preparedness?

Objective: The present study asks the question: What variables accounted for people's tendencies to take steps to prepare for COVID-19 during the earliest stage of the pandemic? Data collection took place from March 6 to 11, 2020. In particular, the study examines variables that have been shown to predict health behavior in previous research outside the context of the present pandemic, including hope, optimism, perceived risk, fear, and mental health variables. Method: Participants (222 adults in 39 U.S. states) were recruited via Amazon Mechanical Turk. Online surveys included the Adult Hope Scale (AHS), Life Orientation Test (LOT-R), Health Anxiety Inventory (HAI), Depression, Anxiety, and Stress Scale (DASS-21), Impact of Events Scale (IES-R), and Positive and Negative Affect Schedule (PANAS). Also included were items inquiring about COVID-19 perceived mortality risk, fear/anxiety, and preparedness. Results and Conclusion: Participants were asked to imagine that COVID-19 had different hypothetical levels of mortality risk, ranging from 1 to 10 percent mortality (at the time of data collection, the WHO estimated actual mortality of the disease at approximately 3 percent). For each level, participants rated the degree to which they would be willing to take steps to prepare and protect themselves from the disease on a 7-point scale. Nearly 49 percent of participants said they would be relatively unlikely (i.e., provided a rating below the midpoint of the scale) to take steps to protect themselves if the mortality rate were at the 3 percent level. Stepwise multiple regression including the aforementioned predictors showed that three variables accounted for unique variance in participants' levels of current preparedness: COVID-19 fear/anxiety, posttraumatic stress (as measured by the IES-R), and hope. Implications of these results are briefly discussed in the context of raising preparedness given that future public health crises are likely inevitable.