The impact of the COVID-19 pandemic on the mental health of healthcare workers: study protocol for the COVID-19 HEalth caRe wOrkErS (HEROES) study.

Journal: Social psychiatry and psychiatric epidemiology

Volume: 57

Issue: 3

Year of Publication: 2022

Affiliated Institutions:  Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA. franco.mascayano@nyspi.columbia.edu. Department of Clinical, Neuro- and Developmental Psychology, Vrije Universiteit, Amsterdam, The Netherlands. Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA. School of Public Health, Faculty of Medicine, Universidad de Chile, Santiago, Chile. Institute for Development Research Advocacy and Applied Care, Beirut, Lebanon. Department of Mental Health, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. Department of Psychiatry, University College Hospital, Ibadan, Nigeria. Consultora Salud Global, Chuquisaca, Bolivia. Division of Epidemiology and Biostatistics, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa. Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Mexico City, Mexico. Department of Psychology, Koc University, Istanbul, Turkey. Department of Psychiatry, Clinical Psychology and Mental Health, La Paz University Hospital, Madrid, Spain. Social and Community Academic Unit, Universidad de Chubut, Chubut, Argentina. Instituto de Psicología de la Salud, Facultad de Psicología, Universidad de la República, Montevideo, Uruguay. Department of Epidemiology and Public Health, Sciensano, Brussels, Belgium. University of Applied Sciences Emden/Leer, Emden, Germany. Dirección de Salud Mental, Ministerio de Salud, Lima, Perú. Pan-American Health Organization, Washington, DC, USA. Department of Psychiatry, Universidad Autónoma de Madrid (UAM), Madrid, Spain. Center for Science and Society, Columbia University, New York, NY, USA. University of El Bosque, Bogota, Colombia. Psychiatry Department A, Razi Hospital, Tunis, Tunisia. School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce, Puerto Rico. Instituto Altos Estudios Dr Arnoldo Gabaldon, Caracas, Venezuela. Taub Institute for Research on Alzheimer's Disease and the Aging Brain, The Gertrude H. Sergievsky Center, Vagelos College of Physicians and Surgeons, Columbia University, New York, Brazil. Department of Family Medicine, Faculdade Santa Marcelina, São Paulo, Brazil. Department of Biostatistics, Mailman School of Public Health, Columbia University, New York, NY, USA.

Abstract summary 

Preliminary country-specific reports suggest that the COVID-19 pandemic has a negative impact on the mental health of the healthcare workforce. In this paper, we summarize the protocol of the COVID-19 HEalth caRe wOrkErS (HEROES) study, an ongoing, global initiative, aimed to describe and track longitudinal trajectories of mental health symptoms and disorders among health care workers at different phases of the pandemic across a wide range of countries in Latin America, Europe, Africa, Middle-East, and Asia.Participants from various settings, including primary care clinics, hospitals, nursing homes, and mental health facilities, are being enrolled. In 26 countries, we are using a similar study design with harmonized measures to capture data on COVID-19 related exposures and variables of interest during two years of follow-up. Exposures include potential stressors related to working in healthcare during the COVID-19 pandemic, as well as sociodemographic and clinical factors. Primary outcomes of interest include mental health variables such as psychological distress, depressive symptoms, and posttraumatic stress disorders. Other domains of interest include potentially mediating or moderating influences such as workplace conditions, trust in the government, and the country's income level.As of August 2021, ~ 34,000 health workers have been recruited. A general characterization of the recruited samples by sociodemographic and workplace variables is presented. Most participating countries have identified several health facilities where they can identify denominators and attain acceptable response rates. Of the 26 countries, 22 are collecting data and 2 plan to start shortly.This is one of the most extensive global studies on the mental health of healthcare workers during the COVID-19 pandemic, including a variety of countries with diverse economic realities and different levels of severity of pandemic and management. Moreover, unlike most previous studies, we included workers (clinical and non-clinical staff) in a wide range of settings.

Authors & Co-authors:  Mascayano Franco F van der Ven Els E Moro Maria Francesca MF Schilling Sara S Alarcón Sebastián S Al Barathie Josleen J Alnasser Lubna L Asaoka Hiroki H Ayinde Olatunde O Balalian Arin A AA Basagoitia Armando A Brittain Kirsty K Dohrenwend Bruce B Durand-Arias Sol S Eskin Mehmet M Fernández-Jiménez Eduardo E Freytes Frey Marcela Inés MI Giménez Luis L Gisle Lydia L Hoek Hans W HW Jaldo Rodrigo Ezequiel RE Lindert Jutta J Maldonado Humberto H Martínez-Alés Gonzalo G Martínez-Viciana Carmen C Mediavilla Roberto R McCormack Clare C Myer Landon L Narvaez Javier J Nishi Daisuke D Ouali Uta U Puac-Polanco Victor V Ramírez Jorge J Restrepo-Henao Alexandra A Rivera-Segarra Eliut E Rodríguez Ana M AM Saab Dahlia D Seblova Dominika D Tenorio Correia da Silva Andrea A Valeri Linda L Alvarado Rubén R Susser Ezra E

Study Outcome 

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Statistics
Citations :  Sachs JD, Karim SA, Aknin L, Allen J, Brosbøl K, Barron GC, Daszak P, Espinosa MF, Gaspar V, Gaviria A, Haines A. Lancet COVID-19 Commission Statement on the occasion of the 75th session of the UN General Assembly. The Lancet. 2020;396(10257):1102–1124. doi: 10.1016/S0140-6736(20)31927-9.
Authors :  43
Identifiers
Doi : 10.1007/s00127-021-02211-9
SSN : 1433-9285
Study Population
Male,Female
Mesh Terms
COVID-19
Other Terms
COVID-19;Cohort study;Global collaboration;LMICs;Mental health
Study Design
Longitudinal Study,Cross Sectional Study
Study Approach
Country of Study
Publication Country
Germany