scholarly journals Health Literacy Regarding Infectious Disease Predicts COVID-19 Preventive Behaviors: A Pathway Analysis

2021 ◽  
pp. 101053952110139
Author(s):  
Hui Wang ◽  
Pak Leng Cheong ◽  
JianWei Wu ◽  
Iat Kio Van

Health literacy has been identified as one vital determinant of public health and healthy behaviors, but very few studies regarding infectious disease prevention have been found. This descriptive cross-sectional study aimed to validate the pathway of infectious disease-specific health literacy (IDSHL), COVID-19 (coronavirus disease 2019) preventive behaviors, and their determinants. A sample of 1459 casino workers in Macao was eligible for analysis. The concept model was verified with a comparative fit index of 0.937 and goodness-of-fit index of 0.971. Government responses was a significant determinant of situational factors (helpfulness of health information, resource accessibility, and organizational training adequacy), while situational factors showed a direct effect on COVID-19 preventive behaviors. Education and organization training adequacy was the strongest influencing factor of IDSHL, which should be a key target of intervention programs for COVID-19.

2017 ◽  
Vol 25 (3) ◽  
pp. E162-E172
Author(s):  
Neda Mirbagher Ajorpaz ◽  
Mansoureh Zagheri Tafreshi ◽  
Jamileh Mohtashami ◽  
Farid Zayeri ◽  
Zahra Rahemi

The clinical competence of nursing students in operating room (OR) is an important issue in nursing education. The purpose of this study was to evaluate the psychometric properties of the Persian Perceived Perioperative Competence Scale–Revised (PPCS-R) instrument. This cross-sectional study was conducted across 12 universities in Iran. The psychometric properties and factor structure of the PPCS-R for OR students was examined. Based on the results of factor analysis, seven items were removed from the original version of the scale. The fitness indices of the Persian scale include comparative fit index (CFI) 5 .90, goodness-of-fit-index (GFI) 5 .86, adjusted goodness-of-fit index (AGFI) 5 .90, normed fit index (NFI) 5 .84, and root mean square error of approximation (RMSEA) 5 .04. High validity and reliability indicated the scale’s value for measuring perceived perioperative competence of Iranian OR students.


BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e034757
Author(s):  
Asuka Kato ◽  
Yuko Fujimaki ◽  
Shin Fujimori ◽  
Akihiro Isogawa ◽  
Yukiko Onishi ◽  
...  

ObjectivesSelf-stigma is associated with lower patient activation levels for self-care in persons with type 2 diabetes mellitus (T2DM). However, the causal pathway linking self-stigma with patient activation for self-care has not been shown. In order to determine how self-stigma affects patient activation for self-care, we tested a two-path hypothetical model both directly and as mediated by self-esteem and self-efficacy.DesignA cross-sectional study.SettingTwo university hospitals, one general hospital and one clinic in Japan.ParticipantsT2DM outpatients receiving treatment (n=209) completed a self-administered questionnaire comprising the Self-Stigma Scale, Patient Activation Measure, Rosenberg Self-Esteem Scale, General Self-Efficacy Scale, Patient Health Questionnaire, haemoglobin A1c test, age, sex and body mass index.Primary and secondary outcome measuresSelf-stigma levels were measured by using the Self-Stigma Scale. Patient activation levels were measured by the Patient Activation Measure.ResultsPath analysis showed a strong relationship between self-stigma and patient activation (χ2=27.55, p=0.120; goodness-of-fit index=0.97; adjusted goodness-of-fit index=0.94; comparative fit index=0.98; root mean square error of approximation=0.04). Self-stigma had a direct effect on patient activation (β=−0.20; p=0.002). Indirectly, self-stigma affected patient activation along two paths (β=0.31; p<0.001) by reducing self-esteem (β=−0.22; p<0.001) and self-efficacy (β=−0.36; p<0.001).ConclusionsDue to the cross-sectional design of the study, longitudinal changes between all the variables cannot be established. However, the findings indicate that self-stigma affected patient activation for self-care, both directly and as mediated by self-esteem and self-efficacy. Interventions that increase self-esteem and self-efficacy may decrease self-stigma in patients with T2DM, thus increasing patient activation for self-care.


Author(s):  
Tan T. Nguyen ◽  
Nga T. Le ◽  
Minh H. Nguyen ◽  
Linh V. Pham ◽  
Binh N. Do ◽  
...  

People with pre-existing health conditions (PEHC) are vulnerable to viral infection while health literacy (HL) and preventive behaviors (PB) have been shown to benefit people during the COVID-19 pandemic. The aim of this study was to examine the association between PEHC and suspected COVID-19 symptoms (S-COVID-19-S), and to investigate the modification effect of HL and PB. A cross-sectional study was conducted on 8291 participants visiting outpatient departments at 18 hospitals and health centers across Vietnam from 14 February to 31 May 2020. Data were collected regarding participant’s characteristics, HL, PB, PEHC, and S-COVID-19-S. Regression models were used for analyzing the associations. Results showed that people with PEHC had a 3.38 times higher likelihood of having S-COVID-19-S (odds ratio, OR, 3.38; 95% confidence interval, 95% CI, 3.01, 3.79; p < 0.001). In comparison to participants without PEHC and with the lowest HL score, those with PEHC and one HL score increment had a 7% lower likelihood of having S-COVID-19-S (OR, 0.93; 95% CI, 0.92, 0.94; p < 0.001). In comparison to participants without PEHC and not adhering to mask wearing, those with PEHC and adhering to mask wearing had a 77% lower likelihood of having S-COVID-19-S (OR, 0.23; 95% CI, 0.16, 0.32; p < 0.001). Higher HL and adherence to mask wearing can protect people from having S-COVID-19-S, especially in those with PEHC.


Healthcare ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 89
Author(s):  
Mohamed Sherif Sirajudeen ◽  
Md. Dilshad Manzar ◽  
Mazen Alqahtani ◽  
Msaad Alzhrani ◽  
Abdulrhman Albougami ◽  
...  

Background: Various studies have shown that insomnia is associated with computer use. The Athens Insomnia Scale (AIS) is an 8-item tool that has been widely used for screening insomnia. No studies have investigated the psychometric validity of AIS in occupational computer users. Objective: the current research aimed to test the psychometric properties of the AIS among occupational computer users. Materials and Methods: a sample of four hundred and twenty-four occupational computer users (age: 20–65 years and body mass index: 21.6 ± 3.5 kg/m2) completed an AIS and a socio-demographic questionnaire in this cross-sectional study. Results: a confirmatory factor analysis demonstrated that the three-factor model had an adequate fit (the goodness of fit index (0.95), incremental fit index (0.90) and χ2/df (2.61)). Evidence was found for configural, scalar and metric invariance of the 3-factor model across gender groups. A moderate level of internal consistency was implied by a Cronbach’s alpha of 0.66. Conclusion: the findings of the present research support the validity of AIS for screening insomnia, as demonstrated by the scale’s psychometric properties; its internal consistency, internal homogeneity, item discrimination, and factorial validity.


2017 ◽  
Vol 22 (1) ◽  
pp. 97-107 ◽  
Author(s):  
Meryem Ozturk Haney

This study aimed to assess the validity and reliability of the Turkish version of the Health Literacy for School-Aged Children (HLSAC-T) scale. This study was a cross-sectional and methodological design. The sample consisted of 563 sixth and ninth grade students in Izmir, Turkey. Data were collected with the socio-demographic characteristics questionnaire, HLSAC-T, and Turkish version of the Adolescent Lifestyle Profile. Cronbach’s α for the scale was .77 and item-total correlations were between .49 and .61 ( p < .001). The model fit indices were determined to be the root mean square error of approximation at .035, the goodness of fit index at .99, and the comparative fit index at .99. The concordance validity and convergent validity were supported and the discriminant validity suggested that the scale successfully discriminated students who cared about healthy lifestyle from the students who did not. The HLSAC-T showed an adequate reliability and validity for determining the subjective health literacy of Turkish school-aged children. The results showed promise that the scale could be translated into other languages.


2021 ◽  
Vol 6 (1) ◽  
pp. 31
Author(s):  
Huong Thi Thu NGUYEN ◽  
Kazuyo KITAOKA ◽  
Khue Minh PHAM ◽  
Ngoc Thi Minh NGUYEN ◽  
Tran Bao NGUYEN ◽  
...  

Back ground and Purpose: Burnout is a state of emotional, physical, and mental exhaustion caused by excessive and prolonged stress. The purpose of this study is to validate the Vietnamese version of Maslach Burnout Inventory-General Survey (MBI-GS) for burnout measuring in Vietnam. Methods: using cross-sectional study, factorial validity of MBI-GS was tested by exploratory factor analysis then accompanied by confirmatory factor analysis. Pearson’s correlation is used to check criterion-related validity. Results: the model of three factors structure without item 8 and 9 was suggested as the best fit model with chi-square (X2 = 285.13, P < .0001), root mean square error of approximation (RMSEA = 0.07), comparative fit index (CFI = 0.92), goodness of fit index (GFI = 0.91). Conclusions: The construct validity of Vietnamese version of Maslach Burnout Inventory-General Survey is acceptable for use in future investigations regarding burnout.


BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e044312
Author(s):  
Fabiane Raquel Motter ◽  
Nathalia Margarida Cantuaria ◽  
Luciane Cruz Lopes

BackgroundDeprescribing is the planned and supervised process of dose reduction or stopping of medication that might be causing harm, or no longer be of benefit. It is an activity that should be a normal part of care/the prescribing cycle. Although now broadly recognised, there are still challenges in its effective implementation.ObjectivesTo develop and validate an instrument to measure Brazilian healthcare professionals’ knowledge, attitudes and practices towards deprescribing.MethodsThis study will include the following steps: (1) development of the preliminary instrument; (2) content validation; (3) pilot study; (4) evaluation of psychometric characteristics. After the elaboration of items of the instrument through the literature review, we will use a hybrid Delphi method to develop and establish the content validity of the instrument. Further, a pilot survey will be performed with 30 healthcare professionals. Finally, for the evaluation of psychometric characteristics, a cross-sectional study will be accomplished with a representative sample of different healthcare professionals from different Brazilian states using respondent-driven sampling. Exploratory factor analysis and confirmatory factor analysis will be performed. For assessing the model fit, we will use the ratio of χ2 and df (χ2/df), comparative fit index, the goodness of fit index and root mean square error of approximation. In addition, the reliability of the instrument will be estimated by test–retest reproducibility and Cronbach’s alpha coefficient (α).Ethics and disseminationThe Ethics Committee for Research at the University of Sorocaba (ethics approval number: 3.848.916) approved the study. Study findings will be circulated to healthcare professionals and scientists in the field through publication in peer-reviewed journals and conference presentations.


BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e036702
Author(s):  
Li Ran ◽  
Xuyu Chen ◽  
Shuzhen Peng ◽  
Feng Zheng ◽  
Xiaodong Tan ◽  
...  

ObjectivesAlthough China has done a lot in strengthening the primary healthcare system, the high turnover intention is still a social problem to be reckoned with. The objective of this study is to explore the mediating effect of satisfaction between job burnout and turnover intention.DesignCross-sectional study.MethodsA cross-sectional study was conducted to make sense of the job burnout, satisfaction and turnover intention among primary healthcare workers in central China. Structural equation modelling (SEM) was performed to study the mediating effect of satisfaction between job burnout and turnover intention with maximum likelihood estimation. The mediation effect test was carried out by using the bootstrap method.ResultsSEM showed that job burnout was positively related to the turnover intention with the standard path coefficient of 0.845 (C.R.=34.055, p<0.001). The partial mediating effect of satisfaction was 0.047, making up 5.32% of the total effect. The goodness-of-fit was acceptable (Goodness of Fit Index=0.947, Comparative Fit Index=0.975, root mean square error of approximation=0.067, Non-Normed Fit Index=0.971, Incremental Fit Index=0.975). Age, education level, monthly income, hire form and night shift were also found significantly correlated with turnover intention, and no difference was found between physicians and nurses.ConclusionsThe turnover intention is significantly affected by job burnout, satisfaction and demographical characteristics including age, education level, monthly income, hire form and night shift. Satisfaction can be regarded as a mediator between job burnout and turnover intention. Relative measures can be taken to promote enthusiasm and satisfaction thus decreasing the turnover rate.


Author(s):  
Tuyen Van Duong ◽  
Thao T. P. Nguyen ◽  
Khue M. Pham ◽  
Kien T. Nguyen ◽  
Manh H. Giap ◽  
...  

Background: Health literacy (HL) is an important factor in improving health inequalities in poor and marginalized groups. Assessing comprehensive HL is critical. In this study, we validated the use of a comprehensive short-form HL survey tool (HLS-SF12) and examined the determinants of HL among people in rural areas. Methods: A cross-sectional study was conducted in July 2019 on 440 people residing in mountainous areas in Vietnam. Health literacy was measured using the HLS-SF12. Personal characteristics were also collected. We analyzed data using confirmatory factor analysis, internal consistency analysis, and regression analysis. Results: The questionnaire demonstrated a good construct validity with satisfactory goodness-of-fit indices and item-scale convergent validity. The tool was reliable and homogeneous with Cronbach’s alpha = 0.79, with no floor/ceiling effects. People who were married had lower HL (regression coefficient B = −3.12; 95% confidence interval (CI) = −5.69, −0.56; p = 0.017) compared with those who never married. Higher education attainment (B = 3.41 to 10.44; p < 0.001), a better ability to pay for medication (B = 4.17 to 9.89; p < 0.001), and a tendency to view health-related TV/radio more often (B = 5.23 to 6.15; p < 0.001) were associated with higher HL. Conclusions: The HLS-SF12 is a valid survey tool for the evaluation of HL in rural populations. A number of personal characteristics were strongly associated with HL.


2012 ◽  
Vol 52 (5) ◽  
pp. 280
Author(s):  
Masruli Masruli ◽  
Hari Basuki

Background Child care practices are important for growthand development, and are influenced by cultural determinants.Indicators of infant care practices have not been determined forthe Minangkabau ethnic group.Objective To determine indicators of infant care among aMinangkabau ethnic community.Methods A cross􀁈sectional study was done in Solok, WestSumatera, a region populated by largely Minangkabau ethnicgroups. Infant feeding care (IFC), infant health care (IHC), infantclean care (ICC), and infant psychosocial stimulation care (IPSe)were the components of infant care used as indicators. Data onthese four components were obtained through interviews withparents and direct observation. A score was assigned to eachcomponent. We used the confirmatory factors analysis (CFA)method to determine whether the indicators were valid in thestudied population.Results We enrolled 417 infants in the study, v.ith a mean age of8.7 months, and 51.6% were female. IFC scores were fairin 72.7%,high in 20.4%, and low in 6.7%. IHC scores were poor in 25.7%,fair in 58.8%, and good in 15.5%. ICC scores were poor in 0.7%,fair in 42.2%, and good in 58.1 %. IPSC scores were poor in 10.6%,fair in 84.9%, and high in 4.5%. On CFA, ICC contributed least tothe indicator model (A: 0.17). ICC and IPSC had fair contributionsto the model (A: 0.5 and 0.47, respectively). Goodness of fit of themodel was good (P>0.05). Root mean square error approximationwas <0.08 and goodness of fit index was >0.9.Conclusions Infant clean care was the most significant contributorto the infant care practice indicator in the Minangkabau ethniccommunity. Similar studies need to be done in other Indonesianethnic groups. [Paediatr Indones. 2012;52:280,3].


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