Evidence map›Paper›PMID 40391101›Full record

ArticleFrontiers in public health2025

Development and validation of a risk perception scale on acute respiratory infections for caregivers in long-term care facilities.

Zhihao Xie, Jiayi Zhu, Xiaofeng Xie, Lei Huang, Jianhua Ren, Ruben Martin-Payo, Mengying Qiu, Fengying Zhang

Abstract readValidation Study
In one paragraph

Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Zhihao Xie *Nursing Key Laboratory of Sichuan Province, West China School of Nursing, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Jiayi Zhu *Nursing Key Laboratory of Sichuan Province, West China School of Nursing, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Xiaofeng XieNursing Key Laboratory of Sichuan Province, West China School of Nursing, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Lei HuangDepartment of Dermatology and Venerology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Jianhua RenDepartment of Nursing, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China.
Ruben Martin-PayoFaculty of Medicine and Health Sciences, Universidad de Oviedo, Oviedo, Spain.
Mengying QiuSchool of English Studies, Sichuan International Studies University, Chongqing, China.
Fengying ZhangNursing Key Laboratory of Sichuan Province, West China School of Nursing, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Acute respiratory infections (ARIs) represent a significant threat to global public health, particularly among older adults residing in long-term care facilities (LTCFs), where high-density living conditions facilitate the rapid transmission of infections. The perception of risk regarding ARIs among caregivers is critical, as it directly influences their protective behaviors and decision-making during epidemic outbreaks. Despite the importance of this perception, there is currently no validated instrument specifically designed to assess caregivers' risk perception of ARIs within the context of LTCFs. This study aims to address this gap by developing a reliable and accessible scale to measure caregivers' risk perception. Methods: We developed an initial scale through a comprehensive literature review and two rounds of Delphi consultations with 19 experts in related field. A total of 428 participants in LTCFs were surveyed, yielding 343 valid responses and efficiency rate of 80.14%. Following a systematic scale development process that encompassed pretest, item analysis, and exploratory factor analysis (EFA) involving 123 respondents, we refined the scale to its robustness. Confirmatory factor analysis (CFA) was conducted with an additional 220 participants, alongside rigorous tests for reliability, stability, and validity, to evaluate the final scale. Results: The developed scale consists of nine items categorized into three dimensions: severity, controllability, and susceptibility, all of which meet essential criteria for reliability and validity. The overall Cronbach' Discussion: In its current form, this scale serves as a valuable tool for managers and practitioners, enabling them to preliminarily assess caregivers' risk perceptions regarding ARIs in LTCFs. By enhancing our understanding of caregivers' behaviors, this instrument has the potential to inform targeted interventions.

Indexed as

CaregiversLong-Term CareNursing HomesRespiratory Tract InfectionsAcute DiseaseAdultAgedDelphi TechniqueFemaleHumansMaleMiddle AgedReproducibility of ResultsRisk AssessmentSurveys and Questionnairesacute respiratory infectioncaregiverlong-term care facilityrisk perceptionscale development

Identifiers

PMID40391101
PMCPMC12087014

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.