Development and validation of a risk perception scale of medical help-seeking behavior in Chinese adults

Lyu, Xiaokang; Liu, Ying; Yu, Huaran; Mi, Mingdi; Liu, Shang; Zhong, Yifan; Xie, Dong

doi:10.21037/atm-20-1656

Cited by 8 publications

(6 citation statements)

References 33 publications

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“…Referring to Lyu et al [ 54 ], this study used three items to measure participants’ MFRP in the process of using medical resources; participants were asked to recall their last experience of visiting a medical institution (e.g., a hospital). The items were: “During the diagnosis and treatment process, I worried that the hospital would conduct unnecessary tests”; “During the diagnosis and treatment process, I worried that the doctor would give me unnecessary drugs”; and “I worried that I would have to spend too much money during the diagnosis and treatment process.” One factor was extracted from these three items using exploratory factor analysis, which explained 81.32% of the total variation.…”

Section: Methodsmentioning

confidence: 99%

Alienation from medical care policy, medical care avoidance, and the role of sex and risk perception

Xia

Ding

2023

BMC Psychiatry

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Background Medical care avoidance affects individuals’ health status. Previous studies on medical care avoidance have mainly focused on medical costs and people’s satisfaction with medical services. This study investigates whether an individual’s sense of policy alienation toward medical care policy (SPA-M) affects behavioral intention of medical care avoidance, and to what extent an intermediary variable—medical financial risk perception–mediates the relationship between SPA-M and medical care avoidance. Methods A cross-sectional survey was conducted involving 434 people aged 35–59 years from Wuhu, a city in China’s Anhui province. A moderated mediation model was constructed to investigate the research question and sex (biological: male and female) was used as a moderating variable between SPA-M and medical financial risk perception. Results We found that SPA-M significantly impacted medical care avoidance, and that medical financial risk perception played a complete mediating role in this relationship, while sex moderated the relationship between SPA-M and medical financial risk perception. Conclusion This study contributes to the literature by enhancing our understanding of the factors that influence behavioral intention regarding medical care avoidance, deepening our understanding of the role of SPA-M in medical care policy, and expanding the role of sex differences in the analysis of the relationship between SPA-M, medical financial risk perception, and medical care avoidance, offering implications for public and community health.

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Section: Methodsmentioning

confidence: 99%

Alienation from medical care policy, medical care avoidance, and the role of sex and risk perception

Xia

Ding

2023

BMC Psychiatry

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“…The total scores were ranked from high to low, the first 27% were chosen as the highest scoring group, and the last 27% were selected as the lowest scoring group. 38 Independent samples t-tests were used to analyze the empirical data, with the resulting t value being the critical ratio (CR). 39 Items with poor discrimination values (p > 0.05) were removed from the item pool.…”

Section: Methodsmentioning

confidence: 99%

Development and Validation of Peer Relationship Scale for Chinese Community-Dwelling Elderly

Fu¹,

Cheng²,

Liu³

et al. 2021

PRBM

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Introduction This study aimed to develop and psychometrically test the peer relationship scales (PRSs) for the Chinese community-dwelling elderly. Methods Based on the Adams–Blieszner–Ueno integrative conceptual framework, we first drafted item-pool from the literature review, in-depth interviews, and group discussion. After a cross-sectional study in Chongqing, PR, China, we recruited a random sample of 404 community-dwelling individuals aged ≥ 65 years. Subsequently, exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were performed to examine the factor structure of the scales. Cronbach’s alpha coefficient and split-half reliability were used to assess internal consistency. Moreover, test–retest reliability, concurrent validity, and construct validity were all calculated. Results The results supported a two-factor (ie, quantity of intimate peer relationship, the quantity of non-intimate peer relationship) model for PRS-Quantity and a 12-item three-factor (ie, cognitive process, affective process, behavioral process) model for PRS-Quality. The Cronbach’s alpha was 0.870 for PRS-Quantity and 0.851 for PRS-Quality. Both scales showed good test–retest reliability (r = 0.890 for PRS-Quantity, r = 0.889 for PRS-Quality), concurrent validity (r = 0.832 for PRS-Quantity, −0.800 for PRS-Quality), and acceptable construct validity. Discussion Overall, our findings suggested that the PRSs are reliable and valid measurements to evaluate the quantity and quality of peer relationships among Chinese community-dwelling elderly. The scales may serve as attempted tools for researchers and practitioners to access the social health of the elderly and evaluate the effectiveness of related services.

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“…The interview records were analyzed using grounded theory and then developed as six categories, as shown in Table 1. Then, the developed 22 questions, including 20 closed questions and two open questions based on the aforementioned six categories, were selected using three methods for item selection (to eliminate indiscriminative items, to quantify the correlation between the score of each item and the total score to eliminate indiscriminative and low correlation coefficient items, and to further identify the principle component factor structure present in a set of variables by utilizing EFA with varimax rotation and CFA) [18][19][20]. An additional three questions were added due to the suggestions of five experts in different fields, including: (1) "You have found time to exercise to increase your physical fitness"; (2) "You have listened to music to relax"; (3) "You have meditated or sat still."…”

Section: Construction Of Scale •Contentmentioning

confidence: 99%

“…Descriptive statistics were initially used to describe the sociodemographic profiles of all study subjects. CFA and EFA were used to test the applicability of the theoretical model[18][19][20][25][26][27][28].…”

mentioning

confidence: 99%

The Perimenopausal Fatigue Self-Management Scale Is Suitable for Evaluating Perimenopausal Taiwanese Women’s Vulnerability to Fatigue Syndrome

et al. 2021

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The purpose of this study was to test the feasibility of utilizing the established perimenopausal fatigue self-management scale (P-MFSMS) to evaluate perimenopausal Taiwanese women’s vulnerability to fatigue syndrome. A cross-sectional study design was adopted to survey 220 perimenopausal Taiwanese women with a mean age of 51.8 ± 4.64 years and a mean body mass index of 23.07 ± 3.04 kg/m2, 75.9% of whom were married, 52.3% had a college education or above, 80.4% had salaries, 81.3% had small families, and 96.4% were not using hormone therapy. The P-MFSMS consists of 25 questions based on six categories: (1) strive to maintain work energy and efficiency; (2) seek self-help from medical resources (doctor shopping); (3) strive to maintain the normal operation of the family (seeking help and support from family or significant other); (4) make time for activities or exercise in busy life; (5) slow down or adjust lifestyle; (6) frustration. For all of these six categories, the minimum loading of each question on the factor was calculated to be over 0.50, with a Cronbach’s α of 0.78 and a corrected total-item correlation of >0.50. The goodness of fit of the model was determined to be acceptable, with a chi-square/df value of <3.0 (χ2 = 503.45 and df = 260), a root mean square error of approximation (RMSEA) value of 0.065 (<0.08), as well as a Kaiser–Meyer–Olkin (KMO) value of 0.892. The Tucker–Lewis index (TLI = 0.91), Comparative Fit index (CFI = 0.92), and Incremental Fit index (IFI = 0.92) were all >0.90. There was no statistically significant difference in the difficulty between perimenopausal and postmenopausal women utilizing differential item function (DIF) analysis. Taken together, the 25-question P-MFSMS may be a potentially valid and reliable instrument for suitably evaluating perimenopausal Taiwanese women’s vulnerability to fatigue syndrome. Future studies will be conducted to test the effectiveness of the P-MFSMS for evaluating perimenopausal Taiwanese women’s vulnerability to fatigue syndrome in clinical practice.

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Development and validation of a risk perception scale of medical help-seeking behavior in Chinese adults

Cited by 8 publications

References 33 publications

Alienation from medical care policy, medical care avoidance, and the role of sex and risk perception

Alienation from medical care policy, medical care avoidance, and the role of sex and risk perception

Development and Validation of Peer Relationship Scale for Chinese Community-Dwelling Elderly

The Perimenopausal Fatigue Self-Management Scale Is Suitable for Evaluating Perimenopausal Taiwanese Women’s Vulnerability to Fatigue Syndrome

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