PMID- 36312626
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20221102
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 14
IP  - 9
DP  - 2022 Sep
TI  - The Mediating Role of Resilience and Electronic Health Literacy in the 
      Relationship Between Pandemic Fatigue and Adherence to Preventive Behaviours 
      Against COVID-19.
PG  - e29553
LID - 10.7759/cureus.29553 [doi]
LID - e29553
AB  - INTRODUCTION: There is emerging literature on the decline in adherence to 
      preventive measures against the COVID-19 pandemic, a phenomenon of pandemic 
      fatigue (PF). However, academics and policymakers have debated its existence and 
      consequences. We conducted this study to explore this phenomenon, its existence, 
      determinants, and relation to adherence to COVID-19 preventive measures, and the 
      mediating role of resilience, fear of COVID-19, and electronic health literacy 
      about COVID-19 in this relationship. METHODS: This cross-sectional online study 
      was conducted from April to June 2021 using a convenience sample of 650 Saudi 
      adults from all regions of Saudi Arabia using a reliable questionnaire. A 
      structural equation model (SEM) was used for mediation analysis. RESULTS: The 
      results revealed a moderate level of PF among Saudi adults. Younger patients 
      experienced more PF. Fear of COVID-19 had a non-significant (p=0.127) effect on 
      PF. SEM analysis revealed that both resilience and electronic health literacy 
      significantly (p=0.000) mediated the relationship between PF and adherence to 
      preventive measures, and acted as protective factors. In conclusion, there is 
      evidence that PF exists and negatively affects adherence to preventive measures. 
      CONCLUSION: Policymakers should apply evidence-based programs to increase public 
      resilience, particularly targeting young adults, as the results of the current 
      study shed light on its protective mediating role against PF. Increasing 
      electronic health literacy is an effective strategy for preventing PF through an 
      increase in the perceived effectiveness of preventive measures.
CI  - Copyright (c) 2022, Hassanien et al.
FAU - Hassanien, Noha S
AU  - Hassanien NS
AD  - Biostatistics, Alexandria University, Alexandria, EGY.
FAU - Adawi, Abdu M
AU  - Adawi AM
AD  - Preventive Medicine, Ministry of Health Saudi Arabia, Riyadh, SAU.
FAU - Alzahrani, Turki A
AU  - Alzahrani TA
AD  - Preventive Medicine, Ministry of Health Saudi Arabia, King Abdulaziz Hospital, 
      Taif, SAU.
FAU - Adawi, Essa A
AU  - Adawi EA
AD  - Surgery, Jazan University, Jazan, SAU.
LA  - eng
PT  - Journal Article
DEP - 20220925
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC9595032
OTO - NOTNLM
OT  - covid-19
OT  - health literacy
OT  - pandemic fatigue
OT  - resilience
OT  - structural equation model
COIS- The authors have declared that no competing interests exist.
EDAT- 2022/11/01 06:00
MHDA- 2022/11/01 06:01
PMCR- 2022/09/25
CRDT- 2022/10/31 04:42
PHST- 2022/09/25 00:00 [accepted]
PHST- 2022/10/31 04:42 [entrez]
PHST- 2022/11/01 06:00 [pubmed]
PHST- 2022/11/01 06:01 [medline]
PHST- 2022/09/25 00:00 [pmc-release]
AID - 10.7759/cureus.29553 [doi]
PST - epublish
SO  - Cureus. 2022 Sep 25;14(9):e29553. doi: 10.7759/cureus.29553. eCollection 2022 
      Sep.