Sharing positive behavior change made during COVID-19 lockdown: A mixed-methods coproduction study

Lynn Williams*, Bradley MacDonald, Lesley Rollins, Xanne Janssen, Leanne Fleming, Madeleine Grealy, Alison Kirk, David Young, Paul Flowers

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

Objective: The negative consequences of coronavirus disease 2019 (COVID-19) national lockdowns have been well documented, including the worsening of mental health for many and the amplification of preexisting inequalities. As a counterpoint, the current study uses a mixed-methods coproduction approach to share psychosocial insights into the adoption of positive changes made during national lockdown in Scotland. This study examines the psychosocial patterning of positive behavior changes and the psychosocial processes by which positive change was realized and shared these insights with partner organizations. Method: A sequential mixed-methods design included an online survey (N = 2,445) assessing positive changes in sleep and physical activity patterns and the role of sociodemographics, mood, social support, coping, and resilience using multivariate logistic regression analysis. Interviews were performed with a purposive diverse subsample of people self-reporting high levels of positive change (n = 48) and used thematic analysis. Results: The survey identified that positive behavior change was significantly patterned by age, gender, and vulnerability to COVID-19. Higher levels of positive reframing and active coping in relation to stress were associated with higher levels of positive behavior change. Higher symptoms of depression, planning, and self-distraction were associated with less positive behavior change. Thematic analysis showed the centrality of perceptions of time, opportunities to self-reflect and engage with the natural world, access support in diverse ways, actively build routine, and purposefully build self-efficacy and a sense of control were key to initiating positive change. Conclusions: The current study yields insights into achieving positive behavior change at a time of international crisis.
Original languageEnglish
Pages (from-to)655-665
Number of pages11
JournalHealth Psychology
Issue number10
Publication statusPublished - 1 Oct 2021

Keywords / Materials (for Non-textual outputs)

  • behavior change
  • coproduction
  • Covid-19
  • mixed methods
  • salutogenic


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