Table 5.
Construct validity of a measure of the willingness to use mHealth tools for pandemic-related screening and tracking based on correlations with preventive behaviors, digital communication with friends and family before and after the spread of COVID-19 in the United States, and willingness to provide biological specimens for COVID-19–related testing (N=2179).
| Behavioral responses to COVID-19 | ra | SE | P value | RMSEAb | CFIc | SRMRd |
| Canceled a doctor appointment | 0.180 | 0.039 | <.001 | 0.009 | 1.000 | 0.006 |
| Worn a face mask | 0.313 | 0.041 | <.001 | <0.001 | 1.000 | 0.002 |
| Visited a doctor or hospital | 0.027 | 0.050 | .60 | 0.022 | 1.000 | 0.013 |
| Canceled or postponed work activities | 0.207 | 0.039 | <.001 | <0.001 | 1.000 | 0.005 |
| Canceled or postponed school activities | 0.111 | 0.044 | .01 | 0.010 | 1.000 | 0.007 |
| Canceled or postponed dentist or other appointments | 0.227 | 0.037 | <.001 | 0.034 | 1.000 | 0.010 |
| Canceled outside housekeepers or caregivers | 0.182 | 0.050 | <.001 | 0.031 | 1.000 | 0.014 |
| Avoided some or all restaurants | 0.330 | 0.038 | <.001 | <0.001 | 1.000 | 0.003 |
| Worked from home | 0.132 | 0.039 | .001 | 0.011 | 1.000 | 0.007 |
| Studied at home | 0.065 | 0.048 | .18 | 0.011 | 1.000 | 0.009 |
| Canceled or postponed pleasure, social, or recreational activities | 0.258 | 0.040 | <.001 | 0.013 | 1.000 | 0.006 |
| Stockpiled food or water | 0.242 | 0.039 | <.001 | 0.017 | 1.000 | 0.007 |
| Avoided public or crowded places | 0.329 | 0.043 | <.001 | <0.001 | 1.000 | 0.005 |
| Prayed | 0.070 | 0.039 | .07 | <0.001 | 1.000 | 0.005 |
| Avoided contact with high-risk people | 0.248 | 0.038 | <.001 | <0.001 | 1.000 | 0.004 |
| Washed or sanitized hands | 0.240 | 0.54 | <.001 | <0.001 | 1.000 | 0.002 |
| Kept a 6-foot distance from those outside my household/your household | 0.282 | 0.050 | <.001 | <0.001 | 1.000 | 0.001 |
| Stayed home because I felt unwell/you felt unwell | 0.207 | 0.050 | <.001 | <0.001 | 1.000 | 0.011 |
| Wiped packages entering my home/your home | 0.297 | 0.036 | <.001 | 0.016 | 1.000 | 0.007 |
| After COVID-19 began spreading in the United States in March 2020: frequency of communications with friends and family by phone, text, email, app, or the internet in the past month | 0.110 | 0.036 | .002 | <0.001 | 1.000 | 0.003 |
| Before COVID-19 began to spread in the United States in March 2020: frequency of communications with friends and family by phone, text, email, app, or the internet in a typical month | 0.040 | 0.035 | .26 | <0.001 | 1.000 | 0.001 |
| Willingness to get tested for COVID-19 infection using a Q-tip to swab your cheek or nose | 0.709 | 0.017 | <.001 | 0.044 | 0.999 | 0.005 |
| Willingness to get tested for immunity or resistance to COVID-19 by drawing a small amount of blood | 0.684 | 0.019 | <.001 | 0.022 | 1.000 | 0.004 |
aStandardized covariance.
bRMSEA: root mean square error of approximation.
cCFI: comparative fit index.
dSRMR: standardized root mean square residual.