Lee Wee Kyung, Shin Sung Rae
Department of Nursing, Sahmyook University, Seoul, South Korea.
J Multidiscip Healthc. 2024 Feb 1;17:445-460. doi: 10.2147/JMDH.S446006. eCollection 2024.
Emerging Infectious Diseases are one of the world's leading causes of death, and preventive measures must be implemented to minimize human casualties. Research on preventive behavior relies on the preventive behavior scale and it has an impact on the findings.
This study aimed to develop an Emerging Infectious Diseases Preventive Health Behavior (EID-PHB) Scale and verify the validity and reliability of the complex models.
Initial items were generated through a literature review and interviews, based on the proposed conceptual framework of transmission-based precautions. 14 experts reviewed the preliminary items for content validity and 20 adults for face validity. Data were collected online by a research company from April 28 to May 3, 2023. A total of 533 participants completed the survey, and subjects were assigned through simple random sampling. The first sample (n = 330) was used for item analysis and Exploratory Factor Analysis (EFA), and the second sample (n = 203) was used for Confirmatory Factor Analysis (CFA), convergent validity, discriminant validity, criterion validity, and reliability. The test-retest reliability was assessed in 34 adults.
The final instrument derived six components (droplet, contact, airborne, bloodborne, environmental prevention, and psychological coping), nine indicators, and 34 items. The CFA indicated that all the complex models had a good fit and the integrated factors were confirmed through validity tests. The Cronbach's alpha for the 34 items was 0.92, and the criterion validity was verified (r = 0.85, < 0.001).
The EID-PHB is a valid and reliable tool that can be used to determine preventive behaviors against emerging infectious diseases. This tool is expected to provide a conceptual framework for future research, contribute to the clinical practice and education, and establish strategies and policies for improving individual and public health.
新发传染病是全球主要死因之一，必须采取预防措施以尽量减少人员伤亡。对预防行为的研究依赖于预防行为量表，且该量表会对研究结果产生影响。
本研究旨在开发一种新发传染病预防健康行为（EID-PHB）量表，并验证复杂模型的有效性和可靠性。
基于提出的基于传播的预防措施概念框架，通过文献综述和访谈生成初始项目。14名专家对初步项目进行内容效度审查，20名成年人进行表面效度审查。2023年4月28日至5月3日，一家研究公司通过在线方式收集数据。共有533名参与者完成了调查，通过简单随机抽样分配受试者。第一个样本（n = 330）用于项目分析和探索性因子分析（EFA），第二个样本（n = 203）用于验证性因子分析（CFA）、收敛效度、区分效度、效标效度和信度。在34名成年人中评估重测信度。
最终工具得出六个分量表（飞沫、接触、空气传播、血液传播、环境预防和心理应对）、九个指标和34个项目。CFA表明所有复杂模型拟合良好，综合因子通过效度检验得到确认。34个项目的Cronbach's alpha为0.92，效标效度得到验证（r = 0.85，<0.001）。
EID-PHB是一种有效且可靠的工具，可用于确定针对新发传染病的预防行为。该工具有望为未来研究提供概念框架，有助于临床实践和教育，并制定改善个人和公众健康的策略和政策。
