Department of Public Health, Faculty of Medicine, Sakarya University, Sakarya, Turkey
Department of Psychiatry, Faculty of Medicine, Sakarya University, Sakarya, Turkey
Turk J Med Sci. 2021 Jun 28;51(3):898-911. doi: 10.3906/sag-2005-243.
BACKGROUND/AIM: During the intense periods of the COVID-19 pandemic, legal measures were taken for its containment. However, since legal precautions cannot be implemented continuously, hand washing, mask usage and obeying social distance rules are important in combating the pandemic. Complying with these rules is mostly individual decisions. The behavior of individuals has a prominent place in the course of the pandemic. In this study, we aimed to develop a scale which could measure compliance with outbreak measures.
This study was conducted in two stages after evaluation of the content validity of the item pool formed by the research group by experts. For construct validity, the scale subdimensions were determined in 250 people between the ages of 18-70 years at the first stage and the definitive version of the 20-item scale was constructed. In the second stage, exploratory factor analysis was repeated in a group of 484 people, and confirmatory factor analysis was performed. Cronbach’s alpha coefficients, Spearman-Brown coefficients, test-retest methods were used to determine reliability.
The variance explanation of the scale consisting of 20 items and two subdimensions in the explanatory factor analysis is 63.434% (n = 484). Confirmatory factor analysis resulted in CMIN/DF = 3.540, RMR = 0.043, NFI Delta 1 = 0.928, TLI rho 2 = 0.939, CFI = 0.947, RMSEA = 0.072, SRMR = 0.0368. Cronbach’s alpha value of the scale is 0.95; and the Spearman Brown coefficient equal length analysis resulted in 0.928. The temporal consistency of the scale was evaluated with the test-retest method (P = 0.893). The structure, content validity, temporal consistency, item discrimination, and internal consistency were evaluated and found to have acceptable valid, reliable properties.
The outbreak prevention recommendation compliance scale is a valid and reliable tool with which compliance with the prevention plans can be evaluated.
背景/目的：在 COVID-19 大流行的紧张时期，采取了法律措施加以控制。然而，由于法律预防措施不能持续实施，因此洗手、戴口罩和遵守社交距离规则对于抗击大流行非常重要。遵守这些规则主要是个人决定。个人行为在大流行过程中占有突出地位。在这项研究中，我们旨在开发一种可以衡量对疫情防控措施的遵守情况的量表。
在专家组评估研究小组形成的项目池的内容有效性后，该研究分两个阶段进行。为了构建有效性，在第一阶段，在 18-70 岁的 250 人之间确定了量表的子维度，并构建了 20 项量表的确定版本。在第二阶段，对 484 人进行了探索性因子分析，并进行了验证性因子分析。使用 Cronbach 阿尔法系数、Spearman-Brown 系数、测试-重测方法来确定可靠性。
包含 20 个项目和两个子维度的量表在解释性因素分析中的方差解释率为 63.434%（n=484）。验证性因子分析得出的 CMIN/DF 为 3.540、RMR 为 0.043、NFI Delta 1 为 0.928、TLI rho 2 为 0.939、CFI 为 0.947、RMSEA 为 0.072、SRMR 为 0.0368。量表的 Cronbach 阿尔法值为 0.95；等长分析的 Spearman-Brown 系数为 0.928。使用测试-重测法评估了量表的时间一致性（P=0.893）。通过评估结构、内容有效性、时间一致性、项目区分度和内部一致性，发现其具有可接受的有效、可靠特性。
疫情防控建议遵守量表是一种有效可靠的工具，可用于评估对防控计划的遵守情况。
