Wei Wei, Tian Min, Liu Yubei, Xie Longsheng, Mao Xianjun, Jianlan Ren, Chen Yanhua, Hu Weili
Center of Infectious Diseases, West China Hospital, Sichuan University, Chengdu, China.
West China School of Nursing, Sichuan University, Chengdu, China.
BMC Public Health. 2025 Apr 11;25(1):1361. doi: 10.1186/s12889-025-22532-7.
Major emerging infectious diseases (MEIDs) have been considered as a pressing challenge to global public health. The world will face ongoing and increasing challenges posed by these diseases in the future. However, efficient emergency preparedness among the public could greatly reduce the risk of the spread of MEIDs. There is a scarcity of studies that evaluate the emergency preparedness of the public during MEIDs, which makes it difficult to clarify the emergency preparedness of the public during MEIDs. This study aims to validate the public's emergency preparedness questionnaire for MEIDs to assess the emergency preparedness of public during the outbreak of MEIDs.
The questionnaire was constructed through a literature review, the Delphi method, and the analytic hierarchy process. From March to July 2023, experts were invited to conduct the content validity of the questionnaire, and then a cross-sectional survey online and in person was conducted to evaluate the validity and reliability of the questionnaire. Internal consistency, split-half reliability and test-retest reliability were used to test the reliability. Exploratory factor analysis was used to measure the construct validity.
The final questionnaire is composed of 48 items and five factors (cooperating with prevention and control work, preparing knowledge and coping strategies, securing supplies and equipment, preparing economic resources, and maintaining physical and mental health), and adopted the 5-point scoring method. The cumulative contribution of variance was 50.864%. The internal consistency, split-half reliability and test-retest reliability of the questionnaire were 0.953, 0.834 and 0.900, respectively.
The developed questionnaire exhibits strong reliability and validity for assessing public emergency preparedness during major emerging infectious diseases (MEIDs). Based on these findings, we recommend enhancing public education, implementing supportive policies, fostering community engagement, improving resource accessibility, and providing health support to better prepare the public for future outbreaks, thereby strengthening global public health security.
重大新发传染病(MEIDs)被视为对全球公共卫生的紧迫挑战。未来,世界将面临这些疾病带来的持续且不断增加的挑战。然而,公众的有效应急准备可大幅降低重大新发传染病传播的风险。目前缺乏评估公众在重大新发传染病期间应急准备情况的研究,这使得难以阐明公众在重大新发传染病期间的应急准备状况。本研究旨在验证用于重大新发传染病的公众应急准备调查问卷,以评估在重大新发传染病暴发期间公众的应急准备情况。
通过文献综述、德尔菲法和层次分析法构建问卷。2023年3月至7月,邀请专家对问卷进行内容效度评估,然后进行线上和线下横断面调查,以评估问卷的效度和信度。采用内部一致性、分半信度和重测信度来检验信度。采用探索性因子分析来测量结构效度。
最终问卷由48个条目和五个因子(配合防控工作、准备知识与应对策略、保障物资与设备、准备经济资源以及保持身心健康)组成,采用5分制评分法。方差累积贡献率为50.864%。问卷的内部一致性、分半信度和重测信度分别为0.953、0.834和0.900。
所开发的问卷在评估重大新发传染病期间公众应急准备情况方面具有较强的信度和效度。基于这些发现,我们建议加强公众教育、实施支持性政策、促进社区参与、提高资源可及性并提供健康支持,以便更好地让公众为未来的疫情暴发做好准备,从而加强全球公共卫生安全。