Background The Coronavirus Disease 2019 (COVID-19) with its high mortality, stigma and panic has compelled many cities and countries to complete lockdown. The worldwide student group is one of the most affected and vulnerable communities in this situation. Our current study aimed to assess the impact of the behavior change communication among international students in China in current COVID-19 crisis.
Methods In this paper, we have utilized partial least squares-structural equation modeling (PLS-SEM) to understand the health behaviour changes of international students in China in response to novel Coronavirus outbreak. We mainly analyzed the relationship among the three selected latent variables (preventive, supportive and awareness building) based on a survey among the international students (n=467) in China in February 2020. We obtained their valuable responses regarding level of awareness, satisfaction and trust in authorities (i.e., government, local authorities and institutions) during this emergency period.
Results We utilized 22 indicators in the conceptual framework model with the help of Smart PLS 2.0 version software. The lowest average variance extracted (AVE) for all the constructs of our paper exceeded the minimum accepted value of 0.5, representing the adequate convergent validity. Prediction of students’ satisfaction, the key outcome degree of the model, was nearly moderate, with an R2 = 0.507 whereas the prediction of trust in authorities was above substantial, with an R2 = 0.797. Therefore, our PLS-SEM model showed a strong and significant positive association between preventive and supportive measures taken for the study population and gaining trust, awareness and satisfaction in authorities.
Conclusions Integrated partial least squares-structural equation modeling (PLS-SEM) can be a great way to measure the satisfaction and trust level of various population groups over government, local authorities, and institutions in public health emergency like COVID-19 crisis. We believe that our findings are important for travel and global health perspectives. Other countries can learn and take necessary initiatives for their international students and general public to halt this deadly epidemic with gaining their satisfaction and trust as well.

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On 14 Feb, 2021
On 24 Jan, 2021
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On 24 Jan, 2021
On 02 Jan, 2021
On 28 Dec, 2020
On 28 Dec, 2020
On 28 Dec, 2020
On 03 Dec, 2020
On 19 Oct, 2020
Received 19 Oct, 2020
Invitations sent on 12 Oct, 2020
On 11 Oct, 2020
On 10 Oct, 2020
On 10 Oct, 2020
On 06 Oct, 2020
Received 30 Sep, 2020
Received 30 Sep, 2020
On 29 Sep, 2020
On 29 Sep, 2020
On 28 Sep, 2020
Invitations sent on 28 Sep, 2020
On 27 Sep, 2020
On 27 Sep, 2020
Posted 10 Jun, 2020
On 26 Aug, 2020
Received 01 Aug, 2020
On 17 Jul, 2020
Received 08 Jul, 2020
On 22 Jun, 2020
Invitations sent on 14 Jun, 2020
On 07 Jun, 2020
On 06 Jun, 2020
On 06 Jun, 2020
On 06 Jun, 2020
On 14 Feb, 2021
On 24 Jan, 2021
On 24 Jan, 2021
On 24 Jan, 2021
On 02 Jan, 2021
On 28 Dec, 2020
On 28 Dec, 2020
On 28 Dec, 2020
On 03 Dec, 2020
On 19 Oct, 2020
Received 19 Oct, 2020
Invitations sent on 12 Oct, 2020
On 11 Oct, 2020
On 10 Oct, 2020
On 10 Oct, 2020
On 06 Oct, 2020
Received 30 Sep, 2020
Received 30 Sep, 2020
On 29 Sep, 2020
On 29 Sep, 2020
On 28 Sep, 2020
Invitations sent on 28 Sep, 2020
On 27 Sep, 2020
On 27 Sep, 2020
Posted 10 Jun, 2020
On 26 Aug, 2020
Received 01 Aug, 2020
On 17 Jul, 2020
Received 08 Jul, 2020
On 22 Jun, 2020
Invitations sent on 14 Jun, 2020
On 07 Jun, 2020
On 06 Jun, 2020
On 06 Jun, 2020
On 06 Jun, 2020
Background The Coronavirus Disease 2019 (COVID-19) with its high mortality, stigma and panic has compelled many cities and countries to complete lockdown. The worldwide student group is one of the most affected and vulnerable communities in this situation. Our current study aimed to assess the impact of the behavior change communication among international students in China in current COVID-19 crisis.
Methods In this paper, we have utilized partial least squares-structural equation modeling (PLS-SEM) to understand the health behaviour changes of international students in China in response to novel Coronavirus outbreak. We mainly analyzed the relationship among the three selected latent variables (preventive, supportive and awareness building) based on a survey among the international students (n=467) in China in February 2020. We obtained their valuable responses regarding level of awareness, satisfaction and trust in authorities (i.e., government, local authorities and institutions) during this emergency period.
Results We utilized 22 indicators in the conceptual framework model with the help of Smart PLS 2.0 version software. The lowest average variance extracted (AVE) for all the constructs of our paper exceeded the minimum accepted value of 0.5, representing the adequate convergent validity. Prediction of students’ satisfaction, the key outcome degree of the model, was nearly moderate, with an R2 = 0.507 whereas the prediction of trust in authorities was above substantial, with an R2 = 0.797. Therefore, our PLS-SEM model showed a strong and significant positive association between preventive and supportive measures taken for the study population and gaining trust, awareness and satisfaction in authorities.
Conclusions Integrated partial least squares-structural equation modeling (PLS-SEM) can be a great way to measure the satisfaction and trust level of various population groups over government, local authorities, and institutions in public health emergency like COVID-19 crisis. We believe that our findings are important for travel and global health perspectives. Other countries can learn and take necessary initiatives for their international students and general public to halt this deadly epidemic with gaining their satisfaction and trust as well.

Figure 1

Figure 2
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