<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2 20190208//EN" "http://jats.nlm.nih.gov/publishing/1.2/JATS-journalpublishing1.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article" dtd-version="1.2" xml:lang="en">
    <front>
        <journal-meta>
            <journal-id journal-id-type="pmc">F1000Research</journal-id>
            <journal-title-group>
                <journal-title>F1000Research</journal-title>
            </journal-title-group>
            <issn pub-type="epub">2046-1402</issn>
            <publisher>
                <publisher-name>F1000 Research Limited</publisher-name>
                <publisher-loc>London, UK</publisher-loc>
            </publisher>
        </journal-meta>
        <article-meta>
            <article-id pub-id-type="doi">10.12688/f1000research.180247.1</article-id>
            <article-categories>
                <subj-group subj-group-type="heading">
                    <subject>Research Article</subject>
                </subj-group>
                <subj-group>
                    <subject>Articles</subject>
                </subj-group>
            </article-categories>
            <title-group>
                <article-title>Prediction of Crowd Behavior in Holy Sites: Psychological, Social, and Risk Perception Factors among Pilgrims&#x202f;</article-title>
                <fn-group content-type="pub-status">
                    <fn>
                        <p>[version 1; peer review: 2 approved with reservations]</p>
                    </fn>
                </fn-group>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Alotaibi</surname>
                        <given-names>Motaz</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Formal Analysis</role>
                    <role content-type="http://credit.niso.org/">Funding Acquisition</role>
                    <role content-type="http://credit.niso.org/">Investigation</role>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <role content-type="http://credit.niso.org/">Validation</role>
                    <role content-type="http://credit.niso.org/">Visualization</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Review &amp; Editing</role>
                    <uri content-type="orcid">https://orcid.org/0009-0008-8405-7595</uri>
                    <xref ref-type="aff" rid="a1">1</xref>
                </contrib>
                <contrib contrib-type="author" corresp="yes">
                    <name>
                        <surname>Khatatbeh</surname>
                        <given-names>Yahya</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Conceptualization</role>
                    <role content-type="http://credit.niso.org/">Data Curation</role>
                    <role content-type="http://credit.niso.org/">Formal Analysis</role>
                    <role content-type="http://credit.niso.org/">Software</role>
                    <role content-type="http://credit.niso.org/">Supervision</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Original Draft Preparation</role>
                    <uri content-type="orcid">https://orcid.org/0000-0002-0579-3949</uri>
                    <xref ref-type="corresp" rid="c1">a</xref>
                    <xref ref-type="aff" rid="a1">1</xref>
                </contrib>
                <aff id="a1">
                    <label>1</label>Department of Psychology, College of Social Science, Imam Muhammad Ibn Saud Islamic University Social Science College (IMSIU), Riyadh, Riyadh Province, Saudi Arabia</aff>
            </contrib-group>
            <author-notes>
                <corresp id="c1">
                    <label>a</label>
                    <email xlink:href="mailto:ymkatatbh@imamu.edu.sa">ymkatatbh@imamu.edu.sa</email>
                </corresp>
                <fn fn-type="conflict">
                    <p>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>28</day>
                <month>5</month>
                <year>2026</year>
            </pub-date>
            <pub-date pub-type="collection">
                <year>2026</year>
            </pub-date>
            <volume>15</volume>
            <elocation-id>828</elocation-id>
            <history>
                <date date-type="accepted">
                    <day>23</day>
                    <month>4</month>
                    <year>2026</year>
                </date>
            </history>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2026 Alotaibi M and Khatatbeh Y</copyright-statement>
                <copyright-year>2026</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <self-uri content-type="pdf" xlink:href="https://f1000research.com/articles/15-828/pdf"/>
            <abstract>
                <sec>
                    <title>Background</title>
                    <p>Large religious gatherings, such as the Hajj pilgrimage, include complex psychological and social variables that affect pilgrims&#x2019; risk perceptions and crowd behavior. This study aimed to examine risk perception, psychosocial factors, and crowd behavior among pilgrims during Hajj; investigate the relationships among these variables; and assess their combined predictive contribution to crowd behavior.</p>
                </sec>
                <sec>
                    <title>Methods</title>
                    <p>A descriptive, correlational, and predictive design was used. To ensure diversity in nationality, age, educational level, and economic level, purposive sampling was used to select 407 pilgrims as the sample. Standardized and verified instruments were used to measure risk perception, psychosocial characteristics, and crowd behavior. Descriptive statistics, univariate between-subjects ANOVA tests, Pearson&#x2019;s correlation coefficients, and multiple regression analyses were used.</p>
                </sec>
                <sec>
                    <title>Results</title>
                    <p>Pilgrims&#x2019; risk perception was moderate to high (M&#x00a0;=&#x00a0;71.3/100, SD&#x00a0;=&#x00a0;12.6), whereas psychosocial elements were balanced (M&#x00a0;=&#x00a0;68.5, SD&#x00a0;=&#x00a0;11.4). Crowd behavior was observed at a moderate to high level (M&#x00a0;=&#x00a0;73.9, SD&#x00a0;=&#x00a0;13.7), with predominantly positive cognitive and emotional subdimension scores. Nationality had the greatest impact on all dependent variables (p&#x00a0;&lt;&#x00a0;0.001), while economic level had a limited effect only on psychosocial factors (p&#x00a0;=&#x00a0;0.041); age and education showed no significant effects. Positive correlations were found among risk perception, psychosocial characteristics, and adaptive crowd behavior. Psychosocial factors significantly predicted crowd behavior (&#x03b2;&#x00a0;=&#x00a0;0.391, p&#x00a0;&lt;&#x00a0;0.001) and accounted for the larger share of the variance, while risk perception did not reach significance independently. Both predictors jointly accounted for 18.1% of crowd behavior variance (R
                        <sup>2</sup>&#x00a0;=&#x00a0;0.181, p&#x00a0;&lt;&#x00a0;0.001).</p>
                </sec>
                <sec>
                    <title>Conclusion</title>
                    <p>Risk perception and psychosocial factors influence adaptive crowd behavior during Hajj. Building institutional trust, personal readiness, learning, and spiritual engagement can make crowd behavior safer and more cooperative. Crowd management and risk communication strategies may benefit from the incorporation of psychosocial factors to improve safety and wellbeing during major religious events.</p>
                </sec>
            </abstract>
            <kwd-group kwd-group-type="author">
                <kwd>Crowd behavior</kwd>
                <kwd>risk perception</kwd>
                <kwd>psychological factors</kwd>
                <kwd>social factors</kwd>
                <kwd>Hajj</kwd>
                <kwd>crowd management</kwd>
            </kwd-group>
            <funding-group>
                <award-group id="fund-1">
                    <funding-source>Deanship of Scientific Research at Imam Mohammad Ibn Saud Islamic University (IMSIU)</funding-source>
                    <award-id>(grantnumberIMSIU-DDRSP2601).</award-id>
                </award-group>
                <funding-statement>This work was supported and funded by the Deanship of Scientific Research at Imam Mohammad Ibn Saud Islamic University (IMSIU) (grant number IMSIU-DDRSP2601). </funding-statement>
                <funding-statement>
                    <italic>The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</italic>
                </funding-statement>
            </funding-group>
        </article-meta>
    </front>
    <body>
        <sec id="sec5" sec-type="intro">
            <title>Introduction</title>
            <p>Millions of Muslims worship in Makkah during Hajj, one of the world&#x2019;s most difficult mass gatherings. Psychosocial variables impact the crowd behavior and individual well-being of large religious events, and shared social identity predicts cooperation better than crowd density/location (
                <xref ref-type="bibr" rid="ref5">Alnabulsi &amp; Drury, 2014</xref>). A study on Hajj pilgrims has highlighted the interplay between crowd management, cultural diversity, and psychological readiness (
                <xref ref-type="bibr" rid="ref1">Abd Rahman et al., 2019</xref>). Regardless of their value, mass meetings increase community identification, social cohesiveness, and personal efficacy via emotional synchrony (
                <xref ref-type="bibr" rid="ref17">P&#x00e1;ez et al., 2015</xref>). Regarding Indian pilgrims, there is a prevalence of stress-related psychological challenges during mass gatherings, with a notable proportion of pilgrims requiring social support and clinical intervention (
                <xref ref-type="bibr" rid="ref13">Khan et al., 2016</xref>). The Hajj draws millions of Muslims, and religious identity, emotional synchrony, and community standards influence crowd behavior. Moreover, experience, regulator trust, group identification, and religion impact threat perception (
                <xref ref-type="bibr" rid="ref24">Samarkandi et al., 2025</xref>). Additionally, religious commitment and shared group identity are associated with reduced fear responses in collective settings (
                <xref ref-type="bibr" rid="ref5">Alnabulsi &amp; Drury, 2014</xref>). Indeed, reassurance can quiet crowds, and a closed-knit community based on religion and risk-awareness education makes individuals more disciplined and helpful and less likely to join stampedes and disorder movements. According to social identity theory and identity fusion theory, group engagement fosters loyalty, solidarity, and collaboration (
                <xref ref-type="bibr" rid="ref12">Durkheim, 2016</xref>; 
                <xref ref-type="bibr" rid="ref17">P&#x00e1;ez et al., 2015</xref>; 
                <xref ref-type="bibr" rid="ref27">Swann Jr et al., 2009</xref>; 
                <xref ref-type="bibr" rid="ref27">Wlodarczyk et al., 2020</xref>). 
                <xref ref-type="bibr" rid="ref12">Durkheim&#x2019;s (2016)</xref> collective effervescence defines how the emotional synchrony of rituals binds participants and reinforces symbols and social norms. Other studies also describe that group identity and shared traditions encourage members to follow community norms and expectations, thereby supporting cooperation and social order within collective religious contexts (
                <xref ref-type="bibr" rid="ref11">Drury &amp; Reicher, 2000</xref>). Large meetings boost mental health, social integration, and group performance, despite them also producing congestion or being characterized by limited resources (
                <xref ref-type="bibr" rid="ref27">Wlodarczyk et al., 2020</xref>). These psychosocial benefits may support collective worship in holy locations. In terms of scale, such gatherings can be well illustrated by the 2013 Kumbh Mela in India, which attracted an estimated 61 million participants over its duration and approximately 25 million on its peak day (
                <xref ref-type="bibr" rid="ref13">Khan et al., 2016</xref>). Therefore, the literature indicates that shared social group membership among large religious event participants fosters a sense of security and belonging.</p>
            <p>There are many recent studies which delved into crowd behavior at major religious events, most being descriptive and context-specific. This is despite social identity, spirituality, educational readiness, and prosocial conduct impacting crowd behavior in general instead of just those behaviors in specific contexts. Moreover, few studies have used integrative or predictive models to analyze how these components produce adaptive and non-adaptive crowd behaviors. For example, 
                <xref ref-type="bibr" rid="ref10">Clingingsmith et al. (2009)</xref> evaluated 1,605 Muslim pilgrims and Pakistani religion and culture after the Hajj pilgrimage, showcasing that the experience was characterized by tolerance and disregard for local standards. In this cited study, Turkish clinicians also assessed 294 Hajj pilgrims seeking mental health treatments, along with their demographics and socioeconomics (59% women, 41% men; average age, 53&#x00a0;years). The clinicians used DSM-IV criteria to diagnose depression (26.5%), anxiety disorders (49%), major psychotic illnesses, dementia, or manic episodes (9%), and psychological or pharmacological issues. They also found that 60% of pilgrims sought psychiatric treatment before the Hajj pilgrimage, and 71% had never traveled, heightening isolation and anxiety. 
                <xref ref-type="bibr" rid="ref5">Alnabulsi and Drury (2014)</xref> verified pilgrims&#x2019; safety in relation to the concepts of social identity and crowding; 1,194 international pilgrims were screened at the Mina and Holy Mosque, with results demonstrating that pilgrims&#x2019; safety is affected by crowding, and that pilgrims who perceived the audience as brothers felt safer in large numbers, changing their social identity. That is, strong group identity minimized crowding anxiety, lowering risks amid the pilgrimage while enabling the exchange of identification in smaller groups. 
                <xref ref-type="bibr" rid="ref13">Khan et al. (2016)</xref> examined 136,000 Indian pilgrims with mental illnesses, finding that 182 pilgrims had moderate-to-severe mental difficulties and 22 (12%) were hospitalized, and that pilgrims who were worried engaged with the pilgrimage while receiving help from others. Additionally, they experienced stress and adaptation (45.7%), acute psychosis (9.8%), severe insomnia (7.3%), mood difficulties (5.6%), sleep problems (55%), fear and anxiety (45% and 41%, respectively), and crowd fright (27%). In another research, Hajj and its large crowds were new to most patients and rural residents, with 83% of patients (and 90% of women) being unaware of Hajj&#x2019;s &#x201c;difficulty&#x201d; before arriving, causing concerns (
                <xref ref-type="bibr" rid="ref6">Alnabulsi et al., 2018</xref>). 
                <xref ref-type="bibr" rid="ref6">Alnabulsi et al. (2018)</xref> analyzed collaboration among 1,194 pilgrims by environment (Grand Mosque vs. courtyards), crowd density, and group identification, identifying that although the density outside was larger, pilgrims in the open arena collaborated and helped more than those inside the Grand Mosque. Therefore, community identification predicted collaboration more than crowd density, with the Grand Mosque setting seeming less representative of the social identity than the setting outside the common area. Additionally, 
                <xref ref-type="bibr" rid="ref4">Almehmadi et al. (2021)</xref> studied the health-risk perceptions and preventive health habits of 233 visitors from 28 nationalities, outlining that only 24% of pilgrims used masks, while 94% rated the Hajj pilgrimage as safe, and 88% obtained health advice before attending. The cited study found a mismatch between perceived safety and actual preventive behavior, recommending multilingual pre-travel health education to secure pilgrim safety.</p>
            <p>Importantly, most studies conducted on crowd control during large-scale religious gatherings have concentrated on engineering-based, logistical, and infrastructure-based techniques (
                <xref ref-type="bibr" rid="ref3">N Alhawsawi et al., 2020</xref>). Although they have produced fruitful outcomes, three key gaps remain, as follows: psychological features and risk perception have seldom been examined within a predictive framework, creating an epistemic vacuum; quantitative prediction research within the context of Arab and Muslim Hajj pilgrims is scarce; crowd-control techniques prioritize logistics over psychology. These shortcomings hinder the theoretical and practical knowledge within the context of crowd behavior research and high-density pilgrimage environments (
                <xref ref-type="bibr" rid="ref3">N Alhawsawi et al., 2020</xref>; 
                <xref ref-type="bibr" rid="ref25">Taibah et al., 2018</xref>).</p>
            <p>The present study was designed to address these limitations. Based on social identity theory (
                <xref ref-type="bibr" rid="ref26">Tajfel &amp; Turner, 1979</xref>) and 
                <xref ref-type="bibr" rid="ref12">Durkheim&#x2019;s (2016)</xref> theory of collective effervescence, this study posits that pilgrims&#x2019; shared religious identity, spiritual engagement, and institutional trust function as psychosocial resources that mediate the translation of risk awareness into adaptive crowd behavior. The goals of the study were as described herein: (1) assess the levels of risk perception, psychosocial factors, and crowd behavior among Hajj pilgrims; (2) investigate the bivariate relationships among these variables; (3) evaluate the predictive contribution of risk perception and psychosocial factors to crowd behavior, while accounting for demographic characteristics.</p>
        </sec>
        <sec id="sec6" sec-type="methods">
            <title>Methods</title>
            <sec id="sec7">
                <title>Study design</title>
                <p>A descriptive-analytical design with a predictive focus was deemed appropriate for the study&#x2019;s goal of analyzing psychosocial aspects, risk perception, and pilgrims&#x2019; crowd behavior in holy places. This approach allowed for the study of the phenomenon as it occurred in reality and of the relationships between its variables without researcher intervention.</p>
            </sec>
            <sec id="sec8">
                <title>Participants</title>
                <p>To meet the study goals, all Muslim pilgrims who undertook the Hajj pilgrimage at Mina, Muzdalifah, Arafat, the Jamarat Bridge, and the Grand Mosque in Makkah throughout the study period were included. The group was varied in sex, age, education, country, and Hajj experience. Hajj is a pilgrimage event that attracts international pilgrims, such that its variation allows for studies on pilgrims&#x2019; psychology, sociology, risk perception, and crowd behavior. The pilgrim population&#x2019;s sex, age, education, and culture were represented by 407 male and female pilgrims who partook in the research. The research required people with direct and meaningful Hajj or Umrah experience and who had gone to the holy sites; hence, it utilized purposive sampling. Only those who met the requirements were sampled to ensure data accuracy and relevance. Participants were required to have performed Hajj or Umrah within five years (1442&#x2013;1446 AH) to guarantee that their experiences were current and aligned with the holy site&#x2019;s organizational and crowd management procedures.</p>
                <p>The sample includes foreigners (i.e., Saudi, Arab, and non-Arab pilgrims) to ensure that the data reflects the Hajj and Umrah culture and demography, pilgrims&#x2019; mental, social, and communal traits, and secure the cultural and national variety characteristic of these international pilgrimages&#x2014;hence upholding the validity and applicability of the findings to the wider pilgrim population. Participation in the study was optional. Hajj and Umrah pilgrims from 1442&#x2013;1446 AH took a Google Forms quiz instead of seeing the holy sites. This retroactive online technique was employed for logistical and safety reasons, with the downside being lower external validity, as replies may have been based on recalled experiences. The questionnaire&#x2019;s participant information statement outlined the study&#x2019;s goals, data confidentiality, and scientific use of the responses, and Digital written informed consent was obtained from all participants prior to participation. Participants were required to review the study information and provide their consent electronically before accessing the questionnaire., as voluntary participation was essential for the study&#x2019;s goals. 
                    <xref ref-type="table" rid="T1">
Table 1</xref> shows participants&#x2019; demographic characteristics. Regarding nationality, 76.4% of sample members were non-Saudis, and the most representative age group was 30&#x2013;39&#x00a0;years (44.5%), followed by 20&#x2013;29&#x00a0;years (31.9%), and 40+ years (23.6%). Most of the sample had a bachelor&#x2019;s degree (59.2%), followed by diplomas (24.3%) and postgraduate studies (16.5%). The highest proportion regarding economic level was medium (70.0%), followed by high (18.7%) and low (11.3%). These characteristics show that most of the sample was non-Saudi (76.4%), has 30&#x2013;39&#x00a0;years old, holds a bachelor&#x2019;s degree, and in the middle class. This multinational sample ensures that our study population accurately depicts the heterogeneity of the pilgrim community, supporting cross-national comparisons.</p>
                <table-wrap id="T1" orientation="portrait" position="float">
                    <label>
Table 1. </label>
                    <caption>
                        <title>Participants&#x2019; demographic characteristics (N&#x00a0;=&#x00a0;407).</title>
                    </caption>
                    <table content-type="article-table" frame="hsides">
                        <thead>
                            <tr>
                                <th align="left" colspan="1" rowspan="1" valign="top">Variable</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Category</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Repetition</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Percentage (%)</th>
                            </tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td align="left" colspan="1" rowspan="2" valign="top">
                                    <bold>Nationality</bold>
</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Non-Saudi
</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">311</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">76.4</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Saudi</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">96</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">23.6</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="3" valign="top">
                                    <bold>Age</bold>
</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">20&#x2013;29&#x00a0;years</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">130</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">31.9</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">30&#x2013;39&#x00a0;years</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">181</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">44.5</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">40 +</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">96</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">23.6</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="3" valign="top">
                                    <bold>Educational Level</bold>
</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Diploma</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">99</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">24.3</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Bachelor</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">241</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">59.2</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Postgraduate studies</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">67</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">16.5</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="3" valign="top">
                                    <bold>Economic level</bold>
</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Low</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">46</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">11.3</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Medium</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">285</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">70.0</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">High</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">76</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">18.7</td>
                            </tr>
                        </tbody>
                    </table>
                    <table-wrap-foot>
                        <p>

                            <bold>Note</bold>: Percentages are based on the total sample (N&#x00a0;=&#x00a0;407).</p>
                    </table-wrap-foot>
                </table-wrap>
            </sec>
            <sec id="sec9">
                <title>Measurements</title>
                <p>To achieve the study&#x2019;s objectives, the survey&#x2019;s questionnaire included items on demographic variables (e.g., sex, age, educational level, and economic status) and three other instruments, which are outlined below.</p>
                <p>

                    <bold>

                        <italic toggle="yes">Psychological and Social Factors Scale</italic>
</bold>
                </p>
                <p>A Psychological and Social Factors Scale based on 
                    <xref ref-type="bibr" rid="ref9">Cheng et al. (2019)</xref> was used to assess the psychosocial factors of pilgrimage. The study team translated the English instrument into Arabic and had an independent bilingual expert back-translate to ensure conceptual comparability. The modified scale comprised 19 items on spirituality (6 items), learning (4 items), sharing (3 items), help (3 items), and dissatisfaction/negativity (3 items). Items were responded on a five-point Likert-type scale ranging from 1 (strongly disagree) to 5 (strongly agree), with higher scores implying an increased connection between pilgrims&#x2019; experiences and psychosocial characteristics.</p>
                <p>

                    <italic toggle="yes">Validity and reliability</italic>
                </p>
                <p>In a confirmatory factor analysis, the five-dimensional, 19-item scale model fit the data well. The construct validity of the scale was confirmed through all fit indices being below the statistical thresholds. There was convergence between composite reliability and average variance extracted. The expert review established content validity for this research, with 80%&#x2013;90% rater agreement. Regarding construct validity, Pearson&#x2019;s correlation coefficients between the scores for the subdimensions and overall scale were significant at the 0.01 level. Cronbach&#x2019;s alpha coefficients and split-half reliability scores were over 0.80 for all subdimensions and 0.93 for the total scale, demonstrating the scale&#x2019;s good internal consistency. These data indicate that the scale was reliable and consistent, making it suitable for this study.</p>
                <p>

                    <bold>

                        <italic toggle="yes">Perceived Risk Scale Among Pilgrims</italic>
</bold>
                </p>
                <p>To meet the study&#x2019;s goals, we first reviewed the available scales in the literature on pilgrims&#x2019; risk perception (
                    <xref ref-type="bibr" rid="ref7">Azmi et al., 2021</xref>; 
                    <xref ref-type="bibr" rid="ref9">Cheng et al., 2019</xref>; 
                    <xref ref-type="bibr" rid="ref15">Nautiyal et al., 2025</xref>; 
                    <xref ref-type="bibr" rid="ref26">Sharifi-Tehrani &amp; Esfandiar, 2018</xref>), disease risk perception, risk preventive effectiveness, the health belief model, and general risk perception scales. This led the researchers to develop the Perceived Risk Scale among Pilgrims. This is a comprehensive 23-item instrument created for assessing risk perception among Hajj pilgrims within the context of Arab culture and society, with items being divided into the six subdimensions of perceived probability, severity, anxiety, personal readiness, knowledge of risks, trust in institutions, and community support. Items were responded on a five-point Likert-type scale ranging from 1 (strongly disagree) to 5 (strongly agree), with higher scores implying a higher risk perception among pilgrims
                    <bold>

                        <italic toggle="yes">.</italic>
</bold>
                </p>
                <p>

                    <italic toggle="yes">Validity and reliability</italic>
                </p>
                <p>Expert assessment demonstrated the scale&#x2019;s content validity through an interrater agreement of over 80%, proving the usefulness of the questions for evaluating risk perception among Hajj pilgrims. Pearson&#x2019;s correlation coefficients between the scores for the subdimensions and overall scale were significant at the 0.01 level, confirming its construct validity. Exploratory factor analysis found that the data were suitable (KMO&#x00a0;=&#x00a0;0.91) and Bartlett&#x2019;s test of sphericity was significant. Seven variables explained 68.4% of the variation, showing 0.54&#x2013;0.83 factor loadings. All fit indices in the confirmatory factor analysis were within acceptable limits, verifying the construct validity of the seven-factor model. High internal consistency indicates the scale&#x2019;s dependability. Cronbach&#x2019;s alpha values for the subdimensions were 0.81&#x2013;0.88 and for the whole scale, it was 0.93. The split-half reliability values were also high, with a total scale coefficient of 0.91. These results demonstrated the reliability and internal consistency of the scale, making it suitable for use in this study.</p>
                <p>

                    <bold>

                        <italic toggle="yes">Hajj Crowd Behavior Scale</italic>
</bold>
                </p>
                <p>

                    <xref ref-type="bibr" rid="ref1">Abd Rahman et al. (2019)</xref> developed the Hajj Crowd Behavior Scale, which measures pilgrims&#x2019; cognitive, emotional, and behavioral behaviors at holy sites and was subsequently translated and culturally adapted for the Arab environment. In Arabic, the scale has 52 items divided into the three subdimensions of cognitive (1&#x2013;18), emotional (19&#x2013;35), and behavioral (36&#x2013;52). Items were responded on a five-point Likert-type scale ranging from 1 (strongly disagree) to 5 (strongly agree), with higher scores implying a higher occurrence of crowd behavior. Individual scores for each subdimension were added to obtain a total scale score, which indicated low, moderate, or high crowd behavior.</p>
                <p>

                    <italic toggle="yes">Validity and reliability</italic>
                </p>
                <p>An examination by social psychology and crowd behavior experts confirmed the scale&#x2019;s content validity, with an interrater agreement of 85%, showcasing that the items were culturally acceptable and reflected the three crowd behavior subdimensions. Pearson&#x2019;s correlation coefficients between the scores for the subdimensions and total scale indicated appropriate construct validity and coherence across the scale dimensions, varying from 0.72 to 0.81 (p&#x00a0;&lt;&#x00a0;0.01). Additionally, the scale had high internal consistency, with the Cronbach&#x2019;s alpha for the cognitive, emotional, and behavioral subdimensions being 0.87, 0.89, and 0.84, respectively, and that of the total scale alpha being 0.91. The split-half reliability coefficients, ranging from 0.81 to 0.86 for subscales and 0.88 for the total score, confirmed the instrument&#x2019;s robustness and stability. These results indicated that the Scale is a robust and reliable tool for assessing pilgrimage crowd behavior in field-based research.</p>
            </sec>
            <sec id="sec10">
                <title>Statistical analysis</title>
                <p>
Data management and statistical analyses were performed using IBM SPSS version 26 and AMOS version 22. The initial data screening process assessed data correctness, identified missing values and outliers, and verified distributional assumptions such as normality. Means, standard deviations, frequencies, and percentages were used to describe the sample and key research variables. Reliability and validity assessments were used to investigate the psychometric qualities of the instruments. Cronbach&#x2019;s alpha and split-half reliability coefficients were used to assess the internal consistency of the scales. Construct validity was assessed using exploratory factor analysis with principal component extraction and varimax rotation. Confirmatory factor analysis was performed to test the model&#x2019;s data fit, using standard goodness-of-fit indices, including &#x03c7;2/df, GFI, AGFI, CFI, TLI, RMSEA, and SRMR.</p>
                <p>Pearson&#x2019;s correlation coefficients were used to examine psychosocial characteristics, risk perception, and crowd behavior. The predictive ability of independent factors was assessed using multiple regression analysis, with crowd behavior as the dependent variable. All statistical tests were conducted at a significance level of p&#x00a0;&lt;&#x00a0;0.05 to ensure data interpretation accuracy and rigor.</p>
            </sec>
        </sec>
        <sec id="sec11" sec-type="results">
            <title>Results</title>
            <sec id="sec12">
                <title>Levels of risk awareness, psychosocial factors, and crowd behavior among pilgrims</title>
                <p>
                    <xref ref-type="fig" rid="f1">
Figure 1</xref> shows that pilgrims&#x2019; risk perception was moderate to high, with an average total scale score of 72.862 and a standard deviation (SD) of 18.286. The subdimension of trust in institutions ranked the highest, with an average of 13.877 (SD&#x00a0;=&#x00a0;3.263), indicating pilgrims&#x2019; strong self-reported faith in Hajj organizers; the subdimension of personal readiness followed closely (M&#x00a0;=&#x00a0;13.344, SD&#x00a0;=&#x00a0;3.968), showing that the pilgrims understood the necessity of personal preparation and prevention. Pilgrim anxiety averaged at 9.310 (SD&#x00a0;=&#x00a0;3.199). The perceived probability (M&#x00a0;=&#x00a0;8.037, SD&#x00a0;=&#x00a0;3.343) and severity (M&#x00a0;=&#x00a0;7.956, SD&#x00a0;=&#x00a0;3.424) subdimensions demonstrated balanced risk perception, while knowledge of risks averaged at 9.742 and community support at 10.597, highlighting the significance of knowledge awareness and solidarity in pilgrims&#x2019; safety.</p>
                <fig fig-type="figure" id="f1" orientation="portrait" position="float">
                    <label>
Figure 1. </label>
                    <caption>
                        <title>Comparative visualization of risk perception and psychosocial factors among pilgrims.</title>
                    </caption>
                    <graphic id="gr1" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/198842/e64fd232-0cc6-40c7-8b67-70655f678b82_figure1.gif"/>
                </fig>
                <p>For psychosocial factors, the total score was 64.408 (SD&#x00a0;=&#x00a0;13.205), indicating an acceptable balance of scores for psychosocial factors. The spirituality subdimension showed the highest average scores (M&#x00a0;=&#x00a0;20.383, SD&#x00a0;=&#x00a0;4.876), indicating that the pilgrims drew positive psychological energy from their faith and spirituality. The learning subdimension followed with averages of 13.418 (SD&#x00a0;=&#x00a0;2.890) and 11.091 (SD&#x00a0;=&#x00a0;2.414), depicting that the pilgrims had prior training and experience in behavioral management amid pilgrimages and related rituals. The scores for help (M&#x00a0;=&#x00a0;10.015, SD&#x00a0;=&#x00a0;2.533) and dissatisfaction/negativity (M&#x00a0;=&#x00a0;9.501, SD&#x00a0;=&#x00a0;2.933) were lower, showing individual variances in cooperation and contentment, but within acceptable ranges. The total mean score for crowd behavior during pilgrimage was 213.025 (SD&#x00a0;=&#x00a0;22.866).</p>
            </sec>
            <sec id="sec13">
                <title>Crowd behavior subdimensions among pilgrims</title>
                <p>
                    <xref ref-type="fig" rid="f2">
Figure 2</xref> shows that the cognitive subdimension had the highest mean score (M&#x00a0;=&#x00a0;74.779, SD&#x00a0;=&#x00a0;8.253), reflecting a high awareness and understanding of pilgrimages. The emotional subdimension followed closely (M&#x00a0;=&#x00a0;74.472, SD&#x00a0;=&#x00a0;9.304), indicating a strong emotional engagement during pilgrimage. The behavioral subdimension showed a considerably lower average score (M&#x00a0;=&#x00a0;63.774, SD&#x00a0;=&#x00a0;10.805), suggesting that the transfer of cognitive and emotional feelings into practical behavior may occasionally be influenced by crowds or environmental pressures.</p>
                <fig fig-type="figure" id="f2" orientation="portrait" position="float">
                    <label>
Figure 2. </label>
                    <caption>
                        <title>Mean scores of pilgrims&#x2019; crowd behavior subdimensions.</title>
                    </caption>
                    <graphic id="gr2" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/198842/e64fd232-0cc6-40c7-8b67-70655f678b82_figure2.gif"/>
                </fig>
                <p>These descriptive findings show that pilgrims have moderate-to-high risk awareness and institutional trust, a balanced psychosocial profile with spirituality as the dominant subdimension, and predominantly positive cognitive and emotional crowd behavior. The behavioral subdimension showed somewhat lower scores, likely because of the physical and environmental constraints of high-density pilgrimage settings.</p>
            </sec>
            <sec id="sec14">
                <title>Psychosocial factors and risk perception among pilgrims</title>
                <p>
                    <xref ref-type="table" rid="T2">
Table 2</xref> shows that significant relationships (p&#x00a0;&lt;&#x00a0;0.01) exist between psychosocial characteristics and pilgrims&#x2019; risk perception. Spirituality was moderately correlated with all aspects, including perceived probability (r&#x00a0;=&#x00a0;0.440), dissatisfaction/negativity (r&#x00a0;=&#x00a0;0.555), and risk perception (r&#x00a0;=&#x00a0;0.569), demonstrating how spirituality increases risk awareness.</p>
                <table-wrap id="T2" orientation="portrait" position="float">
                    <label>
Table 2. </label>
                    <caption>
                        <title>Relationship between psychological and social factors and risk perception among pilgrims during their performance at holy sites.</title>
                    </caption>
                    <table content-type="article-table" frame="hsides">
                        <thead>
                            <tr>
                                <th align="left" colspan="1" rowspan="1" valign="top">Variables/subdimensions</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Perceived probability</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Severity</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Anxiety</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Personal readiness</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Knowledge of risks</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Trust in institutions</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Community support</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Overall risk perception score</th>
                            </tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Spirituality</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.440
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.438
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.449
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.420
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.501
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.466
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.429
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.569
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Learning</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.516
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.494
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.462
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.450
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.484
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.493
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.449
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.607
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Sharing</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.259</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.332</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.295</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.348</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.377</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.473
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.411
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.450
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Help</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.445
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.469
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.393
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.385
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.402
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.476
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.403
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.538
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Dissatisfaction/negativity</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.555
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.571
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.550
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.465
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.431
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.405
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.270</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.595
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Psychosocial factor total score</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.532
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.547
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.518
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.494
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.533
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.548
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.469
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.661
                                    <xref ref-type="table-fn" rid="tfn1">**</xref>
                                </td>
                            </tr>
                        </tbody>
                    </table>
                    <table-wrap-foot>
                        <fn-group content-type="footnotes">
                            <fn id="tfn1">
                                <label>**</label>
                                <p>p&#x00a0;&lt;&#x00a0;0.01 indicates statistical significance. Correlation coefficients are based on Pearson&#x2019;s r.</p>
                            </fn>
                        </fn-group>
                    </table-wrap-foot>
                </table-wrap>
                <p>The learning subdimension was one of the most influential, being associated with high values for most subdimensions, including perceived probability (r&#x00a0;=&#x00a0;0.516) and risk perception (r&#x00a0;=&#x00a0;0.607), demonstrating the importance of knowledge and learning in cognition. The sharing subdimension was weaker, revealing some non-significant correlations (e.g., r&#x00a0;=&#x00a0;0.259 with perceived probability) and meaningful associations, such as with trust in institutions (r&#x00a0;=&#x00a0;0.473) and total score (r&#x00a0;=&#x00a0;0.450).</p>
                <p>The help subdimension showed intermediate and significant associations with most subdimensions, including perceived probability (r&#x00a0;=&#x00a0;0.445) and risk perception (r&#x00a0;=&#x00a0;0.538), highlighting the importance of pilgrims&#x2019; mutual support in raising awareness. Dissatisfaction/negativity was evident and scored high for severity (r&#x00a0;=&#x00a0;0.571) and total scores (r&#x00a0;=&#x00a0;0.595), demonstrating that unpleasant experiences may increase risk perception. The scores for psychosocial factors had the highest correlation, ranging from the score for personal readiness (r&#x00a0;=&#x00a0;0.494) to that of risk perception (r&#x00a0;=&#x00a0;0.661), confirming that the total interaction of these subdimensions&#x2019; shapes pilgrims&#x2019; risk awareness more clearly and deeply.</p>
            </sec>
            <sec id="sec15">
                <title>Associations between psychosocial factors and crowd behavior</title>
                <p>As shown in 
                    <xref ref-type="table" rid="T3">
Table 3</xref>, the spirituality subdimension was associated with the scores for behavioral dimension (r&#x00a0;=&#x00a0;0.400) and total crowd behavior (r&#x00a0;=&#x00a0;0.414), whereas the learning subdimension was associated with scores for cognitive behavior (r&#x00a0;=&#x00a0;0.271) and total crowd behavior (r&#x00a0;=&#x00a0;0.399). Psychosocial characteristics and the crowd behavior were marginally linked (r&#x00a0;=&#x00a0;0.423). Regarding crowd behavior, the cognitive subdimension was strongly correlated with emotional (r&#x00a0;=&#x00a0;0.740) and overall crowd behavior (r&#x00a0;=&#x00a0;0.846). The emotional subdimension was substantially correlated with total score (r&#x00a0;=&#x00a0;0.835), whereas the behavioral subdimension was correlated with value (r&#x00a0;=&#x00a0;0.751). These findings confirm the internal coherence of the Hajj Crowd Behavior Scale and the coherent model of crowd behavior.</p>
                <table-wrap id="T3" orientation="portrait" position="float">
                    <label>
Table 3. </label>
                    <caption>
                        <title>Pearson&#x2019;s correlation coefficients between the psychosocial and crowd behavior subdimensions.</title>
                    </caption>
                    <table content-type="article-table" frame="hsides">
                        <thead>
                            <tr>
                                <th align="left" colspan="1" rowspan="1" valign="top">Variables</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Cognitive subdimension</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Emotional subdimension</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Behavioral dimension</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Crowd behavior total score</th>
                            </tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Spirituality</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.287
                                    <xref ref-type="table-fn" rid="tfn2">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.298
                                    <xref ref-type="table-fn" rid="tfn2">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.400
                                    <xref ref-type="table-fn" rid="tfn2">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.414
                                    <xref ref-type="table-fn" rid="tfn2">**</xref>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Learning</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.271
                                    <xref ref-type="table-fn" rid="tfn2">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.311
                                    <xref ref-type="table-fn" rid="tfn2">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.370
                                    <xref ref-type="table-fn" rid="tfn2">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.399
                                    <xref ref-type="table-fn" rid="tfn2">**</xref>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Sharing</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.251
                                    <xref ref-type="table-fn" rid="tfn2">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.238
                                    <xref ref-type="table-fn" rid="tfn2">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.251
                                    <xref ref-type="table-fn" rid="tfn2">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.306
                                    <xref ref-type="table-fn" rid="tfn2">**</xref>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Help</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.292
                                    <xref ref-type="table-fn" rid="tfn2">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.304
                                    <xref ref-type="table-fn" rid="tfn2">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.359
                                    <xref ref-type="table-fn" rid="tfn2">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.399
                                    <xref ref-type="table-fn" rid="tfn2">**</xref>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Dissatisfaction/negativity</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.202
                                    <xref ref-type="table-fn" rid="tfn2">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.027</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.307
                                    <xref ref-type="table-fn" rid="tfn2">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.229
                                    <xref ref-type="table-fn" rid="tfn2">**</xref>
                                </td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Total score of psychosocial factors</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.312
                                    <xref ref-type="table-fn" rid="tfn2">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.286
                                    <xref ref-type="table-fn" rid="tfn2">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.411
                                    <xref ref-type="table-fn" rid="tfn2">**</xref>
                                </td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.423
                                    <xref ref-type="table-fn" rid="tfn2">**</xref>
                                </td>
                            </tr>
                        </tbody>
                    </table>
                    <table-wrap-foot>
                        <fn-group content-type="footnotes">
                            <fn id="tfn2">
                                <label>**</label>
                                <p>p&#x00a0;&lt;&#x00a0;0.01 indicates statistical significance. Correlation coefficients are based on Pearson&#x2019;s r.</p>
                            </fn>
                        </fn-group>
                    </table-wrap-foot>
                </table-wrap>
            </sec>
            <sec id="sec16">
                <title>The relative contribution of risk perception and psychosocial factors in predicting pilgrims&#x2019; crowd behavior</title>
                <p>Based on multiple regression analysis, the suggested model with risk perception and psychosocial variables as predictors was statistically significant (F&#x00a0;=&#x00a0;44.533, p&#x00a0;&lt;&#x00a0;.001). The model explained 18.1% of the crowd behavior variation (R
                    <sup>2</sup>&#x00a0;=&#x00a0;0.181; adjusted R
                    <sup>2</sup>&#x00a0;=&#x00a0;0.177), indicating limited explanatory power. The model&#x2019;s overall correlation coefficient (R&#x00a0;=&#x00a0;0.425) and RMSE (20.749) demonstrated good prediction accuracy. The standardized regression coefficients showed that psychosocial variables significantly predicted crowd behavior (&#x03b2;&#x00a0;=&#x00a0;0.391, p&#x00a0;&lt;&#x00a0;.001). In the model including psychosocial variables, risk perception did not substantially predict crowd behavior (&#x03b2;&#x00a0;=&#x00a0;0.049, p&#x00a0;=&#x00a0;.413). According to 
                    <xref ref-type="table" rid="T4">
Table 4</xref>, psychosocial characteristics significantly predicted crowd behavior (&#x03b2;&#x00a0;=&#x00a0;0.391, p&#x00a0;&lt;&#x00a0;.001), but risk perception did not (&#x03b2;&#x00a0;=&#x00a0;0.049, p&#x00a0;=&#x00a0;0.413). This model suggests that psychosocial dynamics have a more significant effect than risk perception, although the low explained variance (R
                    <sup>2</sup>&#x00a0;=&#x00a0;0.181) suggests caution when generalizing beyond this group. Demographic variables may function as contextual markers reflecting cultural and resource differences rather than as direct behavioral determinants.</p>
                <table-wrap id="T4" orientation="portrait" position="float">
                    <label>
Table 4. </label>
                    <caption>
                        <title>Non-normative and standard regression coefficients for the predictive effects of risk perception and psychosocial factors on crowd behavior.</title>
                    </caption>
                    <table content-type="article-table" frame="hsides">
                        <thead>
                            <tr>
                                <th align="left" colspan="1" rowspan="1" valign="top">Variable</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">B non-standard
</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Standard error</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Beta standard</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">t</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">p</th>
                            </tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">(Intercept)</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">164.944</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">5.233</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">&#x2014;</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">31.522</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">&lt; .001</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Risk awareness</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.061</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.075</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.049</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.820</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.413</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Psychosocial factors</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.677</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.104</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.391</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">6.517</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">&lt; .001</td>
                            </tr>
                        </tbody>
                    </table>
                    <table-wrap-foot>
                        <p>

                            <bold>Note</bold>: &#x03b2;&#x00a0;=&#x00a0;standardized coefficient; B&#x00a0;=&#x00a0;unstandardized coefficient; SE&#x00a0;=&#x00a0;standard error; p&#x00a0;&lt;&#x00a0;0.05 indicates statistical significance.</p>
                    </table-wrap-foot>
                </table-wrap>
            </sec>
            <sec id="sec17">
                <title>Differences in risk perception, psychosocial factors, and crowd behavior by demographic variables</title>
                <p>
                    <xref ref-type="table" rid="T5">
Table 5</xref> shows the results of the intergroup impact analysis of the demographic variables on risk perception, psychosocial factors, and emotional behavior. Regarding nationality, it had a strong significant effect on all dependent variables; significant differences appeared in risk perception (F&#x00a0;=&#x00a0;20.781, p&#x00a0;&lt;&#x00a0;0.001), psychosocial factors (F&#x00a0;=&#x00a0;37.844, p&#x00a0;&lt;&#x00a0;0.001), and crowd behavior (F&#x00a0;=&#x00a0;19.970, p&#x00a0;&lt;&#x00a0;0.001). This suggests that nationality is a crucial variable in explaining the differences between groups. Pertaining to age, there was no significant effect on any of the dependent variables, and the p-values were not significant (all p&#x00a0;&gt;&#x00a0;0.05). Regarding educational level, it did not significantly affect any of the dependent variables, as the F values did not reach statistical significance. Economic level showed a significant effect only on psychosocial factors (F&#x00a0;=&#x00a0;3.215, p&#x00a0;=&#x00a0;0.041), while no effect was observed on risk perception or crowd behavior.</p>
                <table-wrap id="T5" orientation="portrait" position="float">
                    <label>
Table 5. </label>
                    <caption>
                        <title>Between-subjects effects of demographic variables on risk perception, psychosocial factors, and crowd behavior.</title>
                    </caption>
                    <table content-type="article-table" frame="hsides">
                        <thead>
                            <tr>
                                <th align="left" colspan="1" rowspan="1" valign="top">Source</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Dependent variable</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Total boxes 
(Type III SS)</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">df</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Average squares (MS)</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">F</th>
                                <th align="left" colspan="1" rowspan="1" valign="top">Sig</th>
                            </tr>
                        </thead>
                        <tbody>
                            <tr>
                                <td align="left" colspan="1" rowspan="3" valign="top">
                                    <bold>Nationality</bold>
</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Risk perception</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">6656.042</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">1</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">6656.042</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">20.781</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.000</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Psychosocial factors</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">5975.432</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">1</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">5975.432</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">37.844</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.000</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Crowd behavior</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">9969.031</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">1</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">9969.031</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">19.970</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.000</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="3" valign="top">
                                    <bold>Age</bold>
</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Risk perception</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">544.979</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">2</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">272.490</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.851</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.428</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Psychosocial factors</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">760.354</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">2</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">380.177</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">2.408</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.091</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Crowd behavior</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">713.965</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">2</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">356.982</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.715</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.490</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="3" valign="top">
                                    <bold>Educational level</bold>
</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Risk perception</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">1.209</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">2</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.604</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.002</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.998</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Psychosocial factors</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">448.525</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">2</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">224.262</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">1.420</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.243</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Crowd behavior</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">761.674</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">2</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">380.837</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.763</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.467</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="3" valign="top">
                                    <bold>Economic level</bold>
</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Risk perception</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">284.750</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">2</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">142.375</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.445</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.641</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Psychosocial factors</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">1015.254</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">2</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">507.627</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">3.215</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.041</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Crowd behavior</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">2012.463</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">2</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">1006.231</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">2.016</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">0.135</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="3" valign="top">
                                    <bold>Error</bold>
</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">Risk perception</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">127795.224</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">399</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">320.289</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">&#x2014;</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">&#x2014;</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Psychosocial factors</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">63000.633</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">399</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">157.896</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">&#x2014;</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">&#x2014;</td>
                            </tr>
                            <tr>
                                <td align="left" colspan="1" rowspan="1" valign="top">Crowd behavior</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">199179.890</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">399</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">499.198</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">&#x2014;</td>
                                <td align="left" colspan="1" rowspan="1" valign="top">&#x2014;</td>
                            </tr>
                        </tbody>
                    </table>
                    <table-wrap-foot>
                        <p>

                            <bold>Note</bold>: SS&#x00a0;=&#x00a0;sum of squares; df&#x00a0;=&#x00a0;degrees of freedom; MS&#x00a0;=&#x00a0;mean square; p&#x00a0;&lt;&#x00a0;0.05 indicates statistical significance.</p>
                    </table-wrap-foot>
                </table-wrap>
                <p>Accordingly, nationality had the greatest impact on the three dependent variables, whereas economic level had little impact on psychosocial elements, and dimensional difference tests revealed no significant differences by age and education for all dependent variables. However, the psychosocial factor showed significant variations according to economic level (low to medium), with the middle income group showing a higher influence. The other factors showed no significant differences.</p>
            </sec>
        </sec>
        <sec id="sec18" sec-type="discussion">
            <title>Discussion</title>
            <sec id="sec19">
                <title>The first main finding: pilgrims&#x2019; psychosocial factors and risk perception</title>
                <p>Pilgrims evaluated the Hajj pilgrimage&#x2019;s risks as moderate to high in this study. Risk perception was dominated by an influence of trust in institutions and personal readiness, whereas anxiety, perceived probability, and severity matched. Pilgrims tend to be more mentally balanced and spiritual, such that the skillfully organized and spiritually important Hajj may present risks regarded as manageable rather than scary. This finding complements those of previous studies, which found that institutional trust, shared religious identity, and spirituality affect risk evaluations during large religious gatherings. 
                    <xref ref-type="bibr" rid="ref5">Alnabulsi and Drury (2014)</xref> discovered that pilgrims who trusted organizational authorities and strongly identified with the crowd felt safer in large crowds. According to collective pilgrimage studies, a shared spiritual identity and emotional synchrony decrease anxiety and enhance adaptive responses to perceived risk by increasing psychological comfort, social cohesiveness, and emotional stability. 
                    <xref ref-type="bibr" rid="ref24">Samarkandi et al. (2025)</xref> also showed that institutional trust and prior pilgrimage experience moderate pilgrims&#x2019; risk perceptions, resulting in greater readiness and compliance rather than fear-based reactions. These findings differ from those of research that found pilgrims underestimating health risks or weakly translating risk awareness into preventive behaviors. 
                    <xref ref-type="bibr" rid="ref4">Almehmadi et al. (2021)</xref> observed that pilgrims were aware of health hazards, but rarely took precautions, while 
                    <xref ref-type="bibr" rid="ref13">Khan et al. (2016)</xref> discovered that first-time pilgrims, particularly those unaccustomed to large crowds, reported increased tension, anxiety, and adjustment concerns. These differences in evidence may owe to divergences in organizational readiness, health communication tactics, pilgrims&#x2019; experience levels, and data collection scheduling (relative to important global health crises) among these studies.</p>
                <p>These results can be analyzed through the lenses of social identity theory and contemporary crowd psychology. When people see themselves as part of a religious group and trust the legitimate organizational structures, risk perception is controlled by society rather than improved by individuals (
                    <xref ref-type="bibr" rid="ref5">Alnabulsi &amp; Drury, 2014</xref>). Durkheim&#x2019;s collective effervescence theory posits that shared rituals and emotional synchronization offer reassurance, moral regulation, and social order within collective settings. Indeed, spirituality enables individuals to reinterpret peril as a significant and controllable aspect of communal religious experiences, enhancing psychological resilience and fostering balanced crowd behavior in high-density pilgrimage settings (
                    <xref ref-type="bibr" rid="ref5">Alnabulsi &amp; Drury, 2014</xref>; 
                    <xref ref-type="bibr" rid="ref17">P&#x00e1;ez et al., 2015</xref>).</p>
            </sec>
            <sec id="sec20">
                <title>The second main finding: pilgrims&#x2019; crowd behaviors</title>
                <p>The study indicated that pilgrims exhibited stronger cognitive and emotional crowd behavior, but lower behavioral activity. Although pilgrims appear alert, understanding, and emotionally immersed in rites, other aspects of pilgrimages such as congestion, limited mobility, and weariness may also affect them. These findings confirm those of earlier studies indicating that shared religious knowledge and emotional synchrony boost pilgrims&#x2019; communal awareness and emotional coherence, especially in crowds (
                    <xref ref-type="bibr" rid="ref5">Alnabulsi &amp; Drury, 2014</xref>; 
                    <xref ref-type="bibr" rid="ref27">Wlodarczyk et al., 2020</xref>). As described in religious crowd studies, cognitive and emotional convergence precedes behavioral coordination, particularly when the circumstances limit agency; emotional engagement and behavioral cooperation may be higher in less crowded or regulated settings (
                    <xref ref-type="bibr" rid="ref6">Alnabulsi et al., 2018</xref>). This is explained by crowd psychology theories that divide cognition, emotion, and behaviors. Collaboration is based on shared identity and emotions, while external factors influence behavior, entailing that situational restrictions&#x2014;not desire or awareness&#x2014;can explain the gap observed in the current study between cognitive&#x2013;emotional participation and behavioral expression, making environmental and crowd control essential to ensure adaptive crowd behaviors.</p>
            </sec>
            <sec id="sec21">
                <title>The third main finding: pilgrims&#x2019; psychosocial factors, risk perception, and crowd behaviors</title>
                <p>This study discovered substantial positive relationships among psychosocial characteristics, risk perception, and crowd behavior. Spirituality, learning, help, and psychosocial balance affected the crowd cognitive, emotional, and behavioral adaptations. Therefore, specific psychosocial dynamics can increase cognitive, emotional, and behavioral crowd adaptation during religious pilgrimages like the Hajj. These descriptions complement those of prior studies, where a balanced risk perception in a supportive psychological and spirituality context improves adaptive group behavior over fearful or panicky behavior (
                    <xref ref-type="bibr" rid="ref6">Alnabulsi et al., 2018</xref>). In high-density religious meetings, shared identification and emotional synchronization foster collective attentiveness and social norms (
                    <xref ref-type="bibr" rid="ref27">Wlodarczyk et al., 2020</xref>). Health-related risk perception research shows that awareness, trust, and social support are more likely to affect cooperative and preventive behavior than risk awareness alone (
                    <xref ref-type="bibr" rid="ref4">Almehmadi et al., 2021</xref>). This research supports social identity&#x2013;based crowd behavior theories that imply shared identity, emotional cohesiveness, and authoritative legitimacy motivate collective action. These findings support theThe idea that psychological resources modify or mediate risk perception and adaptive behavior is supported, albeit formal mediation analyses are needed in the future to corroborate this influence pathway (
                    <xref ref-type="bibr" rid="ref6">Alnabulsi et al., 2018</xref>; 
                    <xref ref-type="bibr" rid="ref27">Wlodarczyk et al., 2020</xref>).</p>
            </sec>
            <sec id="sec22">
                <title>The fourth main finding: pilgrims&#x2019; psychosocial factors and risk perception prediction</title>
                <p>Psychosocial factors predicted crowd behavior better in the regression analysis. As a bivariate factor, risk perception was strongly correlated with crowd behavior, whereas psychosocial factors minimized its independent contribution, indicating mediation or suppression. The model explained 18.1% of the crowd behavior variance, with a small impact size (R
                    <sup>2</sup>&#x00a0;=&#x00a0;0.181). This difference may owe to factors such as Hajj experience, group dynamics, environment, and situational demands. These data suggest substantial psychosocial pathways, not all collective behavior features. Research has shown that risk awareness alone cannot promote adaptive crowd behavior without trust, collective identity, learning, and social support. Researchers show that psychosocial resources enhance community awareness via risk knowledge, not terror (
                    <xref ref-type="bibr" rid="ref21">Reicher et al., 1995</xref>; 
                    <xref ref-type="bibr" rid="ref27">Wlodarczyk et al., 2020</xref>), while health and disaster psychology research suggests that risk perception drives action indirectly through mediating variables such as institutional trust, perceived efficacy, and social norms (
                    <xref ref-type="bibr" rid="ref27">Wlodarczyk et al., 2020</xref>). Additionally, psychosocial factors may affect risk perception in highly structured religious pilgrimages such as the Hajj, where institutional presence and community connections matter. According to social identity-based and psychosocial crowd behavior theories, community meaning, emotional congruence, and normative expectations influence crowd behavior more than risk assessment, while institutional trust, learning, and solidarity affect adaptive crowd behavior in pilgrimages. These discussions underline how crowd control success requires risk communication and psychological interventions. Since the model in this study explained 18.1% of the variance, future research should uncover additional factors that can influence crowd behaviors (
                    <xref ref-type="bibr" rid="ref2">Alafif et al., 2025</xref>; 
                    <xref ref-type="bibr" rid="ref14">Knoke, 2025</xref>; 
                    <xref ref-type="bibr" rid="ref25">Shah, 2025</xref>).</p>
            </sec>
            <sec id="sec23">
                <title>The fifth main finding: pilgrims&#x2019; demographic factors influencing risk perception, psychosocial factors, and crowd behavior differences</title>
                <p>Nationality was the biggest demographic factor affecting risk perception, psychosocial factors, and crowd behavior. Age and education did not significantly affect any dependent variable, whereas economic level only affected some the psychosocial elements. These results find consonance in prior literature, indicating that age and education serve as background characteristics rather than direct predictors of crowd behavior in highly-regulated religious contexts (
                    <xref ref-type="bibr" rid="ref20">Reicher, 2011</xref>). Standardized rituals, behavioral norms, and robust institutional governance may mitigate age- and educational-related behavioral disparities in large religious pilgrimages and assemblies, such as the Hajj, leading to more uniform behavior. Studies have indicated that nationality, culture, language, and previous exposure to significant religious events influence risk perception and psychological experiences (
                    <xref ref-type="bibr" rid="ref1">Abd Rahman et al., 2019</xref>; 
                    <xref ref-type="bibr" rid="ref13">Khan et al., 2016</xref>), as pilgrims from different nations may have distinct crowd management systems, authority trust, and risk interpretations that may affect their psychological responses and crowd behavior.</p>
                <p>Based on the current findings, economic limitations may influence people&#x2019;s psychosocial factors and cause resource, housing, and comfort inequities that indirectly harm Hajj pilgrims&#x2019; emotional well-being and social experiences. Still, religious affiliation and institutional governance may affect crowd behavior more than economic level. These results support demographic factors as contextual indicators, not causal ones. In highly-salient shared identity settings, such as the Hajj pilgrimage, social identity theory states that group-based norms and meanings matter more than demographics (
                    <xref ref-type="bibr" rid="ref16">Norenzayan &amp; Shariff, 2008</xref>; 
                    <xref ref-type="bibr" rid="ref18">Petrica et al., 2024</xref>). Additionally, effective crowd management should prioritize culturally sensitive communication and psychological interventions that account for national and cultural diversity above age- or education-based distinctions (
                    <xref ref-type="bibr" rid="ref16">Norenzayan &amp; Shariff, 2008</xref>; 
                    <xref ref-type="bibr" rid="ref20">Reicher, 2011</xref>). Many risk psychology and crowd behavior studies also emphasize psychosocial factors over risk perception, corroborating these descriptions findings. Studies on risk psychology and crowd behavior have shown that trust, shared identity, meaning-making, and collective effectiveness influence risk perception and action (
                    <xref ref-type="bibr" rid="ref27">Wlodarczyk et al., 2020</xref>; 
                    <xref ref-type="bibr" rid="ref6">Alnabulsi et al., 2018</xref>). 
                    <xref ref-type="bibr" rid="ref27">Wlodarczyk et al. (2020)</xref> specifically proposed a dynamic risk perception model in which identity processes, perceived control, and the social environment influence behavior more than perceived probability or severity. 
                    <xref ref-type="bibr" rid="ref5">Alnabulsi and Drury (2014)</xref> also demonstrated that social norms, institutional trust, and collective meaning are more reliably associated with adaptive conduct than risk perception alone. Psychosocial resources, thus, transform risk awareness into a coordinated, regulated group effort, fostering cooperation rather than fear or avoidance during religious pilgrimages like Hajj.</p>
                <p>Crowd science and behavior research support these findings. 
                    <xref ref-type="bibr" rid="ref11">Drury and Reicher (2000)</xref> argued that, in dense crowds, collective organization and social regulation govern behavior more than individual cognition. That is, in structured situations such as the Hajj pilgrimage, similar norms, ritualized mobility, and institutional supervision decrease the behavioral relevance of risk assessment discrepancies. This proposal by 
                    <xref ref-type="bibr" rid="ref11">Drury and Reicher&#x2019;s (2000)</xref> is therefore consistent with the current findings that psychosocial factors are more proximally associated with crowd behavior than risk perception. Importantly. research on religion and resiliency also supports this study&#x2019;s emphasis on spirituality. Regarding risk communication, 
                    <xref ref-type="bibr" rid="ref19">Raj (2015)</xref> recommended prioritizing trust, cultural resonance, and shared meaning over technical risk statistics, while 
                    <xref ref-type="bibr" rid="ref25">Taibah et al. (2018)</xref>&#x2014;in their investigation of Hajj pilgrims&#x2019; communication choices&#x2014;described that culturally resonant and spiritually themed communications outperformed technical danger information. This implies that trust building, culturally relevant messaging, and spirituality framing may improve adaptive crowd behavior more than quantitative risk knowledge.</p>
            </sec>
        </sec>
        <sec id="sec24" sec-type="conclusions">
            <title>Conclusions</title>
            <p>This study reports that risk perception and psychosocial variables can affect the crowd behavior of Hajj pilgrims, with factors like trust in institutions, learning experiences, and spiritually based reassurance strongly showing strong effects. As risk perception was associated with crowd behavior but did not significantly predict it when psychosocial factors were included, this study proposes that crowd management strategies may benefit from incorporating psychological, social, and spiritual factors into their design and placing them side-by-side with physical and organizational approaches. In delivering these pieces of evidence, this work provides a context-specific, exploratory, predictive framework grounded in empirical data for studying crowd behavior at large religious gatherings, contributing to the literature on crowd behavior and risk perception. Risk communication tactics that promote trust in institutions, personal readiness, and include culturally and religiously relevant messaging may increase pilgrims&#x2019; compliance with preventive measures and safer crowd behaviors. Regulators and mass event organizers stand to benefit from the guidance presented here, and the discussions deliver a useful framework for predictive and intervention-based crowd safety and well-being models.</p>
            <sec id="sec25">
                <title>Limitations and strengths</title>
                <p>Despite various contributions, this study is not without its methodological limitations. First, the cross-sectional methodology prevented causal inferences between risk perception, psychosocial factors, and crowd behavior. Second, social desirability or response bias may affect self-reported measurements, particularly in religious and highly controlled contexts, such as the Hajj pilgrimage. Third, the sample varied in country and demography, but it may not completely represent pilgrims&#x2019; temporal changes across Hajj seasons or organizational settings.</p>
                <p>Regarding this study&#x2019;s strengths, few empirical investigations have combined risk perception and psychological factors when conducting predictive analyses of crowd behaviors amid the Hajj pilgrimage. The use of valid and culturally tailored assessment tools, along with rigorous multivariate statistical analyses, also increases the dependability and believability of the results, which outline that the incorporation of psychological, social, and spiritual aspects into crowd management intervention designs can lead to more comprehensive strategies. With these qualities, this study advances crowd behavior theory and practice in large religious events.</p>
            </sec>
            <sec id="sec26">
                <title>Recommendations</title>
                <p>Among risk perception factors, trust in institutions showed the highest scores. Therefore, crowd management authorities should make efforts to deliver clear, multilingual safety communication. Digital signs at pilgrimage locations and official cell phone alerts may help spread safety information quickly. Personal readiness ranked second among the risk perception subdimensions, entailing that brief pre-Hajj psychoeducational interventions, such as video-based instructional materials or structured workshops on crowd safety, first aid, and personal protective equipment, may improve readiness and reduce stress. Spirituality was the highest-scoring psychosocial subdimension; therefore, risk communication strategies that ground safety behaviors in the Islamic principle of self-preservation may increase pilgrims&#x2019; compliance with preventive measures. Finally, because learning is an important psychological feature, scalable digital technologies that supply pre-travel risk education in different languages may help the heterogeneous international Hajj community behave more informedly and adaptively.</p>
            </sec>
        </sec>
        <sec id="sec27">
            <title>Ethical considerations</title>
            <p>This study was approved by the Graduate Studies and Scientific Research Committee of the College of Social Sciences, Department of Psychology, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia. Approval Number: [1193]. All procedures performed in this study involving human participants were conducted in accordance with the ethical standards of the institutional research committee and with the principles of the Declaration of Helsinki. Participants were informed about the purpose of the study, their right to withdraw at any time, and the confidentiality of their responses prior to participation.</p>
        </sec>
    </body>
    <back>
        <sec id="sec30" sec-type="data-availability">
            <title>Data availability</title>
            <p>The data supporting the findings of this study are not publicly available due to ethical restrictions related to the privacy and confidentiality of human participants. The study was approved by the Graduate Studies and Scientific Research Committee at Imam Mohammad Ibn Saud Islamic University, which permits data sharing under controlled conditions to protect participant confidentiality.</p>
            <p>Researchers may request access to the data from the corresponding author at 
                <email xlink:href="mailto:ymkatatbh@imamu.edu.sa">ymkatatbh@imamu.edu.sa</email>, providing a brief description of the research purpose.</p>
        </sec>
        <ack>
            <title>Acknowledgements</title>
            <p>We would like to show our deepest appreciation of all study participants for their contributions to this research.</p>
        </ack>
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    </back>
    <sub-article article-type="reviewer-report" id="report491053">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.198842.r491053</article-id>
            <title-group>
                <article-title>Reviewer response for version 1</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Welthagen</surname>
                        <given-names>Lisa Charmaine</given-names>
                    </name>
                    <xref ref-type="aff" rid="r491053a1">1</xref>
                    <role>Referee</role>
                    <uri content-type="orcid">https://orcid.org/0000-0002-2232-0174</uri>
                </contrib>
                <aff id="r491053a1">
                    <label>1</label>Tourism Management, Tshwane University of Technology, Pretoria, Gauteng, South Africa</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>18</day>
                <month>6</month>
                <year>2026</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2026 Welthagen LC</copyright-statement>
                <copyright-year>2026</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport491053" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.180247.1"/>
            <custom-meta-group>
                <custom-meta>
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                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>The topic of study is highly relevant, particularly given the increasing importance of understanding pilgrims' risk perception, psychosocial experiences, and crowd behaviour in large-scale religious gatherings. However, the literature review requires further development to provide a stronger theoretical foundation for the study. Several important theoretical perspectives appear to have been omitted, limiting the study's ability to justify the proposed relationships and provide a more robust basis for discussing and interpreting the results.&#x00a0; For example, a&#x00a0;stronger literature introduction should demonstrate a clear progression from crowd science and psychological theory to risk perception and religious context, culminating in a justified need for an integrated predictive model of crowd behaviour in holy sites.&#x00a0; The introduction should first provide background on religious pilgrimage events, followed by a discussion of crowd dynamics and behaviour in mass gathering contexts. Key foundational contributions to crowd dynamics, including the work of Still, Fruin, and Helbing, should be integrated into the literature to provide a good theoretical foundation for understanding crowd behaviour within the study context. From here, the psychological factors/predictors should be discussed once again, supported by theories (Tajfel &amp; Turner; Drury). Risk perception in mass gatherings should also be discussed in terms of perceived risk. There is confusion later in the discussion of the findings regarding risk perception (Slovic) and risk awareness. Although related, these are two different concepts.</p>
            <p> </p>
            <p> A clear aim of the study should be indicated to highlight the gap in research with distinct alignment of the following: From the article, it seems the following:</p>
            <p> Descriptive: Profile pilgrims and their perceptions</p>
            <p> Correlational: Relationship between risk perception and behaviour</p>
            <p> Predictive: Whether psychological/social factors predict crowd behaviour</p>
            <p> </p>
            <p> </p>
            <p> </p>
            <p> METHODOLOGY</p>
            <p> The following suggestions are made under the methodology section: 
                <list list-type="bullet">
                    <list-item>
                        <p>Demographics Table should not be under participants, but instead under the findings section, as this reflects the findings and interpretation.</p>
                    </list-item>
                    <list-item>
                        <p>Many of the discussions mentioned in the findings section are not discussed or supported in the literature.</p>
                    </list-item>
                    <list-item>
                        <p>The reliability and validity should have their own section of discussion for the overall study</p>
                    </list-item>
                    <list-item>
                        <p>Respondents are for quantitative and participants for qualitative</p>
                    </list-item>
                    <list-item>
                        <p>Table 3 raises concerns and requires clarity- 
                            <bold>What&#x00a0;exactly do the cognitive, emotional, and behavioural dimensions measure?</bold>
                            <bold> </bold>If they are dimensions of 
                            <italic>crowd behaviour</italic>, then the discussion should be framed in terms of relationships with crowd behaviour. If they are dimensions of 
                            <italic>risk perception</italic>
                            <italic>, </italic>the interpretation would be different.</p>
                    </list-item>
                    <list-item>
                        <p>Table 4 heading refers to risk perception, but risk awareness is mentioned as a variable.</p>
                    </list-item>
                    <list-item>
                        <p>agreement of reviewer 1 feedback regarding statistical analysis</p>
                    </list-item>
                </list> </p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>No</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>Partly</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>Partly</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>Yes</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>Partly</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>Partly</p>
            <p>Reviewer Expertise:</p>
            <p>event management, event risk management, wellness, tourism</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above.</p>
        </body>
    </sub-article>
    <sub-article article-type="reviewer-report" id="report489622">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.198842.r489622</article-id>
            <title-group>
                <article-title>Reviewer response for version 1</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Samarkandi</surname>
                        <given-names>Osama A</given-names>
                    </name>
                    <xref ref-type="aff" rid="r489622a1">1</xref>
                    <role>Referee</role>
                    <uri content-type="orcid">https://orcid.org/0000-0003-2698-7176</uri>
                </contrib>
                <aff id="r489622a1">
                    <label>1</label>King Saud University, Riyadh, Riyadh Province, Saudi Arabia</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>13</day>
                <month>6</month>
                <year>2026</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2026 Samarkandi OA</copyright-statement>
                <copyright-year>2026</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport489622" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.180247.1"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>approve-with-reservations</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>Reviewer Report</p>
            <p> This manuscript addresses an important and underexplored topic concerning crowd behavior during Hajj and examines the influence of psychosocial factors and risk perception on adaptive crowd behavior among pilgrims. The study is relevant to mass gathering medicine, crowd management, behavioral science, and pilgrimage safety. The manuscript is generally well organized, the sample size is adequate, and the authors attempt to integrate psychological and social theories into a predictive framework.</p>
            <p> The study has several strengths. It addresses an important operational issue in one of the world's largest recurring mass gatherings, includes a multinational sample of pilgrims, and evaluates psychosocial dimensions that are often neglected in engineering-based crowd management studies. The authors also provide psychometric information regarding the instruments used and attempt to move beyond descriptive analyses by incorporating regression modeling.</p>
            <p> However, several issues should be addressed before the manuscript can be fully endorsed.</p>
            <p> Major Comments 
                <list list-type="order">
                    <list-item>
                        <p>Clarification of the sampling strategy and study population</p>
                    </list-item>
                </list> The manuscript states that purposive sampling was used and that participants completed an online retrospective questionnaire regarding Hajj or Umrah experiences within the previous five years. This approach introduces potential recall bias and selection bias. Participants who are more educated, digitally connected, or psychologically engaged may have been more likely to respond. The authors should discuss these limitations in greater detail and clarify how participants were recruited and whether any attempt was made to compare respondents with the broader pilgrim population. 
                <list list-type="order">
                    <list-item>
                        <p>Limited predictive power of the regression model</p>
                    </list-item>
                </list> The primary regression model explained only 18.1% of the variance in crowd behavior (R&#x00b2; = 0.181). Although statistically significant, this indicates that most determinants of crowd behavior remain unexplained. The discussion should more clearly acknowledge the modest explanatory power of the model and avoid overstating predictive capability. Additional contextual, environmental, organizational, and situational variables are likely important contributors to crowd behavior. 
                <list list-type="order">
                    <list-item>
                        <p>Interpretation of causality</p>
                    </list-item>
                </list> The manuscript repeatedly uses language suggesting influence or prediction. Because the study is cross-sectional and observational, causal interpretations should be avoided. The findings demonstrate associations rather than causal effects. Statements indicating that psychosocial factors "influence" crowd behavior should be softened and framed as associations. 
                <list list-type="order">
                    <list-item>
                        <p>Development of the Perceived Risk Scale</p>
                    </list-item>
                </list> The Perceived Risk Scale among Pilgrims appears to have been developed specifically for this study. While reliability and validity statistics are reported, additional information is needed regarding item development, expert review procedures, pilot testing, factor retention criteria, and the complete factor structure. The manuscript would be strengthened by providing the full instrument as supplementary material. 
                <list list-type="order">
                    <list-item>
                        <p>Nationality effects require deeper exploration</p>
                    </list-item>
                </list> Nationality emerged as the strongest demographic variable across several analyses. However, nationality is treated largely as a binary Saudi versus non-Saudi variable. Given the cultural heterogeneity of Hajj pilgrims, this classification may mask substantial variation between national groups. The authors should discuss this limitation and consider whether broader cultural, linguistic, or regional categories may provide more meaningful interpretation. 
                <list list-type="order">
                    <list-item>
                        <p>Common method bias</p>
                    </list-item>
                </list> All variables were collected using self-report questionnaires administered at a single point in time. This raises the possibility of common method variance inflating observed correlations. The authors should acknowledge this limitation and discuss its potential impact on the findings.</p>
            <p> Minor Comments 
                <list list-type="order">
                    <list-item>
                        <p>The manuscript would benefit from language editing to improve clarity and readability.</p>
                    </list-item>
                    <list-item>
                        <p>Several sections of the Discussion contain repetitive explanations of social identity theory and collective behavior concepts and could be condensed.</p>
                    </list-item>
                    <list-item>
                        <p>The distinction between Hajj and Umrah participants should be clarified, as both groups appear eligible for inclusion.</p>
                    </list-item>
                    <list-item>
                        <p>The rationale for selecting the five-year recall period (1442&#x2013;1446 AH) should be explained.</p>
                    </list-item>
                    <list-item>
                        <p>The manuscript would benefit from reporting effect sizes alongside significance tests for group comparisons.</p>
                    </list-item>
                    <list-item>
                        <p>Figures 1 and 2 are informative but could be improved through clearer labeling and reporting of confidence intervals where appropriate.</p>
                    </list-item>
                    <list-item>
                        <p>Data availability is restricted due to ethical considerations. It would be helpful if the authors specified whether de-identified data or aggregated datasets could be shared for replication purposes under controlled conditions.</p>
                    </list-item>
                </list> Overall Assessment</p>
            <p> This manuscript contributes valuable information regarding psychosocial determinants of crowd behavior during Hajj and provides an interesting framework for integrating psychological, social, and risk perception factors into crowd management research. However, several methodological and interpretive issues require clarification, particularly regarding sampling, causal language, scale development, and model interpretation.</p>
            <p> Approval Status: Approved with Reservations.</p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>Partly</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>Partly</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>No</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>Partly</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>Partly</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>Partly</p>
            <p>Reviewer Expertise:</p>
            <p>Hajj and Mass Gatherings Research; Crowd Behavior and Crowd Safety; Public Health; Risk Perception and Risk Communication; Behavioral and Social Determinants of Health; Emergency Medical Services; Disaster Preparedness and Mass Gathering Management.</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above.</p>
        </body>
    </sub-article>
</article>
