Clean and Contain: Initial Development of a Measure of Infection Prevention Behaviors During the COVID-19 Pandemic.

BACKGROUND: The Centers for Disease Control and Prevention (CDC) offer behavioral guidance to prevent the spread of infectious diseases like COVID-19. Cleaning (e.g., cleaning surfaces, washing and sanitizing hands) and containing (e.g., covering coughs, keeping distance from others, especially sick people) behaviors are recommended. PURPOSE: To develop the Clean and Contain Measure, a brief measure of compliance with CDC recommendations for prevention of infectious disease, and validate the measure in individuals experiencing the COVID-19 pandemic. METHODS: Participants were recruited from Amazon Mechanical Turk and social media. RESULTS: In Study 1 (N = 97), exploratory factor analysis revealed two scales: (a) five items assessing cleaning behaviors and (b) four items assessing containing behaviors. Simple structure was obtained and alpha coefficients for both scales were >.83. In Studies 2 (N = 204) and 3 (N = 527), confirmatory factor analysis verified the identical factor structure found in Study 1. All loadings were statistically significant at p < .001. Alpha coefficients for both scales were >.84 for Studies 2 and 3. CONCLUSIONS: Our measure is a reliable and valid indicator of compliance with cleaning and containing health behaviors that help to prevent the spread of diseases like COVID-19. Future research should replicate construct validity in more diverse samples and continue to refine items, examine construct validity, including predictive and discriminant validity, and improve the measure for future use. With continued use and refinement, this measure could allow health officials and researchers to accurately assess compliance with important infection prevention behavior guidelines.

Distant from others, but close to home: The relationship between home attachment and mental health during COVID-19.

The COVID-19 pandemic has had significant consequences for Americans' daily lives. Many people are spending more time in their homes due to work from home arrangements, stay at home orders, and closures of businesses and public gathering spaces. In this study, we explored how one's attachment to their home may help to buffer their mental health during this stressful time. Data were collected from a three-wave, longitudinal sampling (n=289) surveyed at baseline, two, and four weeks after. We found a clear relationship between an individual's attachment to home and positive mental health. Across all three waves, home attachment was negatively associated with symptoms of depression, anxiety, and stress. Furthermore, participants' home attachment at baseline was predictive of subsequent mental health two weeks after, which suggests that one's relationship to their home was particularly important during the initial onset of the national response to the outbreak. Predictors of home attachment included conscientiousness, agreeableness, and restorative ambience. Over the course of the study, kinship ambience also emerged as a predictor of home attachment. In the midst of increased mental health concerns and limited resources due to COVID-19, the home may buffer some individuals from depressive and anxiety-related symptoms by functioning as a source of refuge, security, and stability.