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The reflective measurement model of adherence to non-pharmaceutical interventions (NPIs) in accordance with normalization process theory (NPT) in coherent and convenient social subgroups: PLS-SEM analysis.
- Source :
- European Journal of Public Health; Oct2024, Vol. 34 Issue 5, p902-907, 6p
- Publication Year :
- 2024
-
Abstract
- Background Non-pharmaceutical interventions (NPIs) decrease COVID-19 transmission. Reliability and validity of adherence to NPIs in accordance with normalization process theory (NPT) in coherent and convenient social subgroups using reflective measurement model assessment has not been evaluated. Methods In February 2021, a sample of medical students and people with substance use disorders in treatment as coherent (based on continuous probability distribution) vs. convenient groups (based on convenience, not equal probability) composed of travellers and COVID-19 suspected persons from Split-Dalmatia County (SDC) (n = 656) in the Mediterranean completed self-administered surveys. Partial least squares structural equation modelling (PLS-SEM) was used to measure reflective model assessment of adherence to NPIs according to NPT. Results PLS-SEM reflective model assessment provided two-group specific factors in inverse relationships which determined adherence to NPIs with excellent goodness-of-fit [ χ <superscript>2</superscript> = 1.292, df = 1; P = 0.297, CFI = 1, TLI = 0.997, RMSEA = 0.011 (90% CI 0–0.105), RMSEA P = 0.604, SRMR = 0.008, Hoelter CN (α = 0.05) = 2322.757]. Significant negative factors covariance estimate (−0.716) revealed an inverse relationship between first (adherence to NPIs and internal locus of control (LoC) (0.640)) and second factor; young adulthood age (≤25) and highest level of education (1362). As the first factor increased the second tended to decrease. LoC is expected potential mechanism by which sex (ML<subscript>sex</subscript> = −0.017, SE = 0.007, P < 0.016) and belonging to coherent subgroups (ML<subscript>group</subscript> = −0.008, SE = 0.003, P = 0.015) can produce indirect effect of adherence to NPIs. Conclusions Coherent subgroups had a more pronounced tendency toward integration of NPIs in everyday life. Group factors that facilitate the normalization were higher educated younger adults with a tendency toward external LoC. [ABSTRACT FROM AUTHOR]
- Subjects :
- PATIENT compliance
STATISTICAL models
MULTITRAIT multimethod techniques
CROSS-sectional method
SUBSTANCE abuse
LOCUS of control
CRONBACH'S alpha
DATA analysis
STATISTICAL sampling
QUESTIONNAIRES
RESEARCH evaluation
KRUSKAL-Wallis Test
REFLECTION (Philosophy)
SOCIAL groups
STRUCTURAL equation modeling
CHI-squared test
AGE distribution
DESCRIPTIVE statistics
MEDICAL students
ODDS ratio
CONCEPTUAL structures
STATISTICS
CONFIDENCE intervals
DATA analysis software
COVID-19
EDUCATIONAL attainment
Subjects
Details
- Language :
- English
- ISSN :
- 11011262
- Volume :
- 34
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- European Journal of Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 180016885
- Full Text :
- https://doi.org/10.1093/eurpub/ckae085