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Showing posts from June, 2021

Behavior Remains the Barrier to Defeating COVID-19

  This week, the White House announced that the United States will not  meet the target of vaccinating 70% of American adults by July 4th. Back in April, many people here in Denver were driving a hundred miles to get their vaccine doses in rural areas the minute they became available. What gives? As usual , human behavior rather than medical expertise is the limiting factor in addressing health challenges. A recent national survey identified four main reasons that people weren't yet vaccinated. Together they add up to around 35% of adults, or about the number who haven't yet gotten a COVID-19 vaccine. 1. Watchful Waiting (about 8%) - these people aren't yet convinced that the vaccines are efficacious or safe. An often-cited argument that might tell you someone is in this group is the fact that the vaccine hasn't yet been FDA-approved, but is still in an "emergency authorization" phase. That's of course true. Normally, the FDA approval process involves mu

Is Motivation Still the Mechanism? Revisiting an Earlier Theory

In several previous studies on HIV prevention and HIV medication adherence , I used a model in which various Intuitive-level experiences have their effect on behavior by way of a mediating variable called "motivation." The title of one of my previous papers, " motivation as a mechanism ," explains the way that I was thinking about this relationship between Intuitive-level variables 4 or 5 years ago. A student recently asked me whether I meant intrinsic or extrinsic motivation when I included the variable in my model. That question got me thinking again about the whole concept of motivation, and whether it really plays a role in determining people's behavior. Motivation can be defined as "reasons for acting in a particular way," as a "desire to do something," or as "willingness to do something." My own use of the term has been most similar to the last of these definitions, "willingness," because I understand "reasons