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- Title
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.
- Authors
Pavic, Magda Pletikosa; Pranic, Shelly Melissa; Mastelic, Tonci; Kljucevic, Zeljko; Gotovac, Majda; Savicevic, Anamarija Jurcev; Kozina, Tonci; Kozina, Slavica
- 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 2 = 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 (MLsex = −0.017, SE = 0.007, P < 0.016) and belonging to coherent subgroups (MLgroup = −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.
- Subjects
MEDITERRANEAN Region; CROATIA; 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
- Publication
European Journal of Public Health, 2024, Vol 34, Issue 5, p902
- ISSN
1101-1262
- Publication type
Academic Journal
- DOI
10.1093/eurpub/ckae085