This study aimed to develop and validate a new scale to measure health problem prevention and control strategies employed by medical rescuers fighting epidemics. In Study I, a qualitative study, focus group discussion, and expert panel review were conducted to generate items that capture components of prevention and control strategies. In Study II, exploratory factor analysis was used to examine the scale’s structure. In Study III, the scale’s validity and reliability were assessed via confirmatory factor analysis, average variance extracted, composite reliability, and Cronbach’s α. Data analysis was performed using Nvivo 12.0, SPSS 25.0, and Amos 23.0. The final scale was divided into three subscales (comprising 5 factors and 18 items on the Before Medical Rescue subscale, 6 factors and 28 items on the During Medical Rescue subscale, and 4 factors and 14 items on the After Medical Rescue subscale). The scale has excellent validity and reliability and can be used to measure the health problem prevention and control strategies of medical rescuers fighting epidemics.
BagozziR. P. (1981). Evaluating structural equation models with unobservable variables and measurement error - a comment. Journal of Marketing Research, 18(3), 375–381. https://doi.org/10.2307/3150979
2.
Bryant-DavisT.UllmanS.TsongY.AndersonG.CountsP.TillmanS.BhangC.GrayA. (2015). Healing pathways: Longitudinal effects of religious coping and social support on PTSD symptoms in African American sexual assault survivors. Journal of Trauma & Dissociation: The Official Journal of the International Society for the Study of Dissociation (ISSD), 16(1), 114–128. https://doi.org/10.1080/15299732.2014.969468
3.
CarmassiC.FoghiC.Dell’OsteV.CordoneA.BertelloniC. A.BuiE.Dell’OssoL. (2020). PTSD symptoms in healthcare workers facing the three coronavirus outbreaks: What can we expect after the COVID-19 pandemic. Psychiatry Research, 292, 113312. https://doi.org/10.1016/j.psychres.2020.113312
4.
ChangD.XuH. W.RebazaA.SharmaL.Dela CruzC. S. (2020). Protecting health-care workers from subclinical coronavirus infection. The Lancet Respiratory Medicine, 8(3), E13. https://doi.org/10.1016/S2213-2600(20)30066-7
5.
ConybeareD.BeharE.SolomonA.NewmanM. G.BorkovecT. D. (2012). The PTSD checklist-civilian version: Reliability, validity, and factor structure in a nonclinical sample. Journal of Clinical Psychology, 68(6), 699–713. https://doi.org/10.1002/jclp.21845
6.
DeVellisR. F. (2017). Scale development: Theory and applications (4th ed.). Sage Publication.
7.
EdwardK. L.WelchT. (2011). The extension of Colaizzi’s method of phenomenological enquiry. Contemporary Nurse, 39(2), 163–171. https://doi.org/10.5172/conu.2011.163
8.
GiordanoF.ScarlataE.BaroniM.GentileE.PuntilloF.BrienzaN.GesualdoL. (2020). Receptive music therapy to reduce stress and improve wellbeing in Italian clinical staff involved in COVID-19 pandemic: A preliminary study. The Arts in Psychotherapy, 70, 101688. https://doi.org/10.1016/j.aip.2020.101688
9.
HooperD.CouglanJ.MullenM. R. (2008). Structural equation modelling: Guidelines for determining model fit. Electronic Journal of Business Research Methods, 6(1), 53–60.
10.
HowardM. C. (2016). A Review of exploratory factor analysis decisions and overview of current practices: What we are doing and how can we improve?International Journal of Human-Computer Interaction, 32(1), 51–62. https://doi.org/10.1080/10447318.2015.1087664
11.
JenkinsonC.LayteR.JenkinsonD.LawrenceK.PetersenS.PaiceC.StradlingJ. (1997). A shorter form health survey: Can the SF-12 replicate results from the SF-36 in longitudinal studies?Journal of Public Health Medicine, 19(2), 179–186. https://doi.org/10.1093/oxfordjournals.Pubmed.a024606
12.
KaradasA.DuranS. (2022). The effect of social support on work stress in health workers during the pandemic: The mediation role of resilience. Journal of Community Psychology, 50(3), 1640–1649. https://doi.org/10.1002/jcop.22742
13.
KilmarxP. H.ClarkeK. R.DietzP. M.HamelM. J.HusainF.McFaddenJ. D.ParkB. J.SugermanD. E.BreseeJ. S.MerminJ.McAuleyJ.JambaiA.Centers for Disease Control and Prevention CDC. (2014). Ebola virus disease in health care workers — Sierra Leone, 2014. MMWR. Morbidity and Mortality Weekly Report, 63(49), 1168–1171. https://doi.org/10.2307/24856235
14.
KlopH. T.NasoriM.KlingeT. W.HoopmanR.de VosM. A.du PerronC.van ZuylenL.SteegersM.Ten TusscherB. L.AbbinkF. C. H.Onwuteaka-PhilipsenB. D.PasmanH. R. W. (2021). Family support on intensive care units during the COVID-19 pandemic: A qualitative evaluation study into experiences of relatives. BMC Health Services Research, 21(1), 1060. https://doi.org/10.1186/s12913-021-07095-8
15.
KroenkeK.SpitzerR. L.WilliamsJ. B. W. (2002). The PHQ-15: Validity of a new measure for evaluating the severity of somatic symptoms. Psychosomatic Medicine, 64(2), 258–266. https://doi.org/10.1097/00006842-200203000-00008
16.
KuikenT.FouchierR. A.SchuttenM.RimmelzwaanG. F.van AmerongenG.van RielD.LamanJ. D.de JongT.van DoornumG.LimW.LingA. E.ChanP. K.TamJ. S.ZambonM. C.GopalR.DrostenC.van der WerfS.EscriouN.ManuguerraJ.OsterhausA. D. (2003). Newly discovered coronavirus as the primary cause of severe acute respiratory syndrome. Lancet (London, England), 362(9380), 263–270. https://doi.org/10.1016/S0140-6736(03)13967-0
17.
LiX.LiS.XiangM.FangY.QianK.XuJ.LiJ.ZhangZ.WangB. (2020). The prevalence and risk factors of PTSD symptoms among medical assistance workers during the COVID-19 pandemic. Journal of Psychosomatic Research, 139, 110270. https://doi.org/10.1016/j.jpsychores.2020.110270
18.
LiuL.ZhangB.YangZ.TangL.GuiL. (2019). Investigation on medical workers’ core response competences in epidemics of infectious diseases. Journal of Nursing Science, 34(5), 75–77. https://doi.org/10.1186/s40880-019-0415-3
19.
LiuQ.LuoD.HaaseJ. E.GuoQ.WangX. Q.LiuS.XiaL.LiuZ.YangJ.YangB. X. (2020). The experiences of health-care providers during the COVID-19 crisis in China: A qualitative study. Lancet Global Health, 8(6), e790–e798. https://doi.org/10.1016/S2214-109X(20)30204-7
20.
LiuS.YangL. L.ZhangC. X.XiangY. T.LiuZ. C.HuS. H.ZhangB. (2020). Online mental health services in China during the COVID-19 outbreak. The Lancet Psychiatry, 7(4), E17–E18. https://doi.org/10.1016/S2215-0366(20)30077-8
21.
LiuT.SuX.LiN. N.SunJ.MaG. S.ZhuW. L. (2021). Development and validation of a food and nutrition literacy questionnaire for Chinese school-age children. PLoS One, 16(1), Article e0244197. https://doi.org/10.1371/journal.pone.0244197
22.
LochA. P.FinchT.FonsiM.SoárezP. C. d. (2020). Cross-cultural adaptation of the NoMAD questionnaire to Brazilian Portuguese. Revista da Associação Médica Brasileira, 66(10), 1383–1390. https://doi.org/10.1590/1806-9282.66.10.1383
23.
LuuT. T. (2022). Family support and posttraumatic growth among tourism workers during the COVID-19 shutdown: The role of positive stress mindset. Tourism Management, 88, 104399. https://doi.org/10.1016/j.tourman.2021.104399
24.
OlayaB.Perez-MorenoM.Bueno-NotivolJ.Gracia-GarciaP.LasherasI.SantabarbaraJ. (2021). Prevalence of depression among healthcare workers during the COVID-19 outbreak: A systematic review and meta-analysis. Journal of Clinical Medicine, 10(15), 3406. https://doi.org/10.3390/jcm10153406
25.
RenM. M.SunX. J.FengD. J. (2021). A qualitative study on the prevention and control strategies for the health issues of emergency medical rescuers against major epidemics. Chinese Journal of Disaster Medicine, 9(10), 1285–1290. https://doi.org/10.13919/j.issn.2095-6274.2021.10.006
26.
SunZ. Y.YuC.ZhouY.LiuZ. M. (2021). Psychological interventions for healthcare providers with PTSD in life-threatening pandemic: Systematic review and meta-analysis. Frontiers in Psychiatry, 12, 697783. https://doi.org/10.3389/fpsyt.2021.697783
27.
TanakaS. (2021). Economic impacts of SARS/MERS/COVID-19 in Asian countries. Asian Economic Policy Review, 17(1), 41–61. https://doi.org/10.1111/aepr.12363
28.
ZijlemaW. L.StolkR. P.LöweB.RiefW.WhiteP. D.RosmalenJ. G. M. (2013). How to assess common somatic symptoms in large-scale studies: A systematic review of questionnaires. Journal of Psychosomatic Research, 74(6), 459–468. https://doi.org/10.1016/j.jpsychores.2013.03.093
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