Impact of the bidirectional relationship between communication and cognitive efficacy on orthopedic patient adherence behavior

Table 3 Results of the measurement model for the all constructs

Construct	Item	Convergent validity		Internal consistency reliability		Discriminant validity
Construct	Item	SFL^a	AVE^b	CR^c	Cronbach’s alpha	FL criterion^d
‘Rule of thumb’		> 0.7	> 0.5	> 0.7	> 0.7	Squared root of the AVE > LVC^e
Healthcare structure (HS)	HS1	0.84^***	0.75	0.92	0.92	Yes
	HS2	0.88^***
	HS3	0.89^***
	HS4	0.86^***
Physician-patient communication (PPC)	PPC1	0.83^***	0.75	0.94	0.94	Yes
	PPC2	0.88^***
	PPC3	0.89^***
	PPC4	0.86^***
	PPC5	0.87^***
Cognitive efficacy (CE)	CE1	0.88^***	0.82	0.93	0.93	Yes
	CE2	0.89^***
	CE3	0.93^***
Adherence behavior (AB)	AB1	0.85^***	0.76	0.86	0.86	Yes
Adherence behavior (AB)	AB2	0.89^***	0.76	0.86	0.86	Yes
Healthcare outcome (HO)	HO1	0.91^***	0.81	0.94	0.94	Yes
	HO2	0.92^***
	HO3	0.92^***
	HO4	0.85^***

^***p < 0.001
^aSFL Standardized factor loadings, ^bAVE Average variance extracted, ^cCR Composite reliability, ^dFL criterion Fornell and Larcker criterion, ^eLVC Latent variable correlations

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