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A Cross-Sectional Study Using Health Behavior Theory to Predict Rapid Compliance With Campus Emergency Notifications Among College Students

Published online by Cambridge University Press:  07 February 2020

Christopher J. Rogers Open the ORCID record for Christopher J. Rogers [Opens in a new window] ,
Myriam Forster ,
Kaitlin Bahr  and
Stephanie M. Benjamin
Christopher J. Rogers*
Affiliation:
Department of Preventive Medicine, University of Southern California, Los Angeles, California
Myriam Forster
Affiliation:
Department of Health Sciences, California State University Northridge, Northridge, California
Kaitlin Bahr
Affiliation:
Department of Health Sciences, California State University Northridge, Northridge, California
Stephanie M. Benjamin
Affiliation:
Department of Health Sciences, California State University Northridge, Northridge, California
*
Correspondence and reprint requests to Christopher J. Rogers, Department of Preventive Medicine, University of Southern California, Keck School, 2001 N Soto Street, Los AngelesCA90089 (e-mail: rogerscj@usc.edu).
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Abstract

Objective:

Compliance with college emergency notifications can minimize injury; however, time is often wasted in alert verification. Building on prior research, this study assesses using health-behavior theory to predict rapid compliance to emergency notifications across a range of scenarios and within a diverse college population.

Methods:

Cross-sectional, student data were collected in 2017-2018 (n = 1529). The Theory of Planned Behavior and Protection Motivation Theory were used to explain intention to comply with emergency notifications in scenarios: robbery, shooter, fire, chemical spill, protest, health emergency, and air quality. Regression models assessed associations between constructs and intention to rapidly comply with each notification.

Results:

The most consistent predictors of rapid compliance were attitudes and subjective norms (adjusted odds ratio [AOR]: 1.057-1.118; 95% CI: 1.009-1.168). Scenarios prone to rapid developments such as robbery, shooter, and fire were associated with increased perceived threat and response efficacy (AOR: 1.024-1.082; 95% CI: 1.003-1.132) Slower developing situations such as air quality and health hazards were associated with increased perceived control (AOR: 1.027-1.073; 95% CI: 1.031-1.117).

Conclusions:

This study identified attitude and subjective norms as consistent predictors of rapid compliance and improves understanding of additional constructs across scenarios. Campuses may benefit from leveraging concepts from health-behavior theory to provide targeted intervention focusing on factors associated with rapid compliance.

Keywords

compliancecollegeemergency notification systemhealth behavior theory
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 15 , Issue 2 , April 2021 , pp. 198 - 207
Copyright
Copyright © 2020 Society for Disaster Medicine and Public Health, Inc.

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