scholarly journals Construct validity and differential item functioning of the PHQ-9 among health care workers: Rasch Analysis approach

2020 ◽  
Author(s):  
Surin Jiraniramai ◽  
Tinakon Wongpakaran ◽  
Chaisiri Angkurawaranon ◽  
Wichuda Jiraporncharoen ◽  
Nahathai Wongpakaran
Keyword(s):  
Health Care ◽  
Psychometric Properties ◽  
Differential Item Functioning ◽  
Health Care Workers ◽  
Rating Scale ◽  
Psychometric Property ◽  
Rasch Measurement ◽  
Self Report ◽  
Item Functioning ◽  
Care Workers

Abstract Background The Patient Health Questionnaire (PHQ-9) is a widely used self-report questionnaire to screen depression. Its psychometric property has been tested in many populations including health care workers. We used Rasch measurement theory to examine the psychometric properties of PHQ-9 regarding item difficulty, item fit and the differences between subgroups of respondents classified by sex, age, education and alcohol user status, based on the same overall location of participants.Methods In total, 3,204 health care workers of Maharaj Nakorn Chiang Mai Hospital participated and were administered the PHQ-9. Rating scale Rasch measurement modeling was used to examine the psychometric properties of the PHQ-9.Results The data fitted well to the Rasch model and no violations of the assumption of unidimensionality were observed. All 9 items could form a unidimensional construct of overall depressive severity. Suicidal ideation was the least endorsed while sleep problem was the most. No disordered category and threshold of the rating response were observed. No locally dependent items were observed. No items were found to show differential item functioning across age, sex, education and alcohol consumption. The item-person Wright map showed that the PHQ-9 did not target well with the sample, and a wide gap suggesting few or no items exist to differentiate participants at a certain ability level among the PHQ-9 items.Conclusion The PHQ-9 can be used as a screening questionnaire for major depressive disorder as its psychometric property was verified based on Rasch measurement model. The findings are generally consistent with related studies in other populations. However, the PHQ-9 may be unsuitable for assessing depressive symptoms among health care workers who have low levels of depression.

scholarly journals Vaccination Behaviour Influences Self-Report of Influenza Vaccination Status: A Cross-Sectional Study among Health Care Workers

PLoS ONE ◽  
2012 ◽  
Vol 7 (7) ◽  
pp. e39496 ◽  
Author(s):  
Anna Llupià ◽  
Alberto L. García-Basteiro ◽  
Guillermo Mena ◽  
José Ríos ◽  
Joaquim Puig ◽  
...  
Keyword(s):  
Health Care ◽  
Influenza Vaccination ◽  
Health Care Workers ◽  
Cross Sectional Study ◽  
Vaccination Status ◽  
Self Report ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Workers

scholarly journals Risk Perception and Emotion Reaction of Chinese Health Care Workers Varied During COVID-19: A Repeated Cross-Sectional Research

2021 ◽  
Vol 66 ◽  
Author(s):  
Yin Qianlan ◽  
Liu Ying ◽  
Chen Aibin ◽  
Song Xiangrui ◽  
Cai Wenpeng ◽  
...  
Keyword(s):  
Health Care ◽  
Risk Perception ◽  
Health Care Workers ◽  
Rating Scale ◽  
Negative Emotion ◽  
Negative Emotions ◽  
Cross Sectional ◽  
Demographic Questionnaire ◽  
Care Workers ◽  
Group Information

Objectives: To examine risk perception and negative emotions during two periods of the COVID-19 and provide plausible intervention points for the psychological aid under a stressful condition.Methods: The current study adopted the repeated cross-sectional research and was participated by a cohort of Chinese HCWs who were assigned to work at the current disease resistance line. The between-group information about gender, profession, and location was collected in the demographic questionnaire. Risk perception questionnaire was adapted for COVID-19 to assess risk perception and the Chinese version of emotional self-rating scale (PANAS) was used to evaluate HCWs’ negative emotions.Results: Findings revealed the risk perception and negative emotions of HCWs varied in different gender, profession, location, as well as different periods of COVID-19. Over the different periods, the predominated negative emotion expressed by HCWs varied, but negative emotion was consistently associated with risk perception and could be a significant indicator of risk perception.Conclusion: The significance of this research lies in its examination of risk perception and negative emotions of HCWs confronting the COVID-19 during two periods of the pandemic, which underscored the importance of monitoring the risk perception and negative emotions of HCWs to ensure safety and prevent the return of the pandemics.

scholarly journals Relationship Between Acute Stress Responses and Quality of Life in Chinese Health Care Workers During the COVID-19 Outbreak

2021 ◽  
Vol 12 ◽  
Author(s):  
Lan Zhang ◽  
Rongjian Ji ◽  
Yanbo Ji ◽  
Min Liu ◽  
Renxiu Wang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Health Care ◽  
Health Care Workers ◽  
Stress Responses ◽  
Perceived Risk ◽  
Acute Stress ◽  
Self Report ◽  
Care Workers

This study aimed to determine the relationship between acute stress and quality of life and explore their influencing factors on health care workers. A descriptive cross-sectional study was conducted, and a sample of 525 health care workers was recruited from 15 hospitals through a convenient sampling method. Participants completed an online self-report questionnaire to assess their acute stress and quality of life. Descriptive and multiple linear regression statistics were used for this analysis. The results regarding acute stress responses varied significantly among the differences in marital status, physical activity, work status, perceived risk of contracting COVID-19, and the expected duration of the pandemic. Moreover, a younger age, lack of physical activity, being a front-line medical staff, and higher acute stress scores indicated a worse quality of life. Healthcare workers’ acute stress was negatively correlated with their quality of life. Therefore, the authorities should pay special attention to health care workers’ mental health and provide them with timely protection during the pandemic.

scholarly journals Increased Prevalence of Face Mask—Induced Itch in Health Care Workers

Biology ◽  
2020 ◽  
Vol 9 (12) ◽  
pp. 451
Author(s):  
Piotr K. Krajewski ◽  
Łukasz Matusiak ◽  
Marta Szepietowska ◽  
Rafał Białynicki-Birula ◽  
Jacek C. Szepietowski
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Rating Scale ◽  
Face Mask ◽  
Numeric Rating Scale ◽  
Internet Survey ◽  
Survey Study ◽  
Worst Case ◽  
Care Workers ◽  
Itch Sensation

Background: Face mask use has increased significantly due to the COVID-19 pandemic. Health care workers (HCW) wear masks for prolonged periods and are prone to adverse effects. Very little is known about face-mask-associated itch. Methods: This Internet survey study investigated the prevalence, intensity and clinical characteristics of itch related to the use of face masks by HCW during the COVID-19 pandemic. The results were subsequently compared to the students’ group. Results: A total of 1156 HCW completed the survey. Among them, 31.6% (365) reported suffering from itch associated with face mask use. Itch was more frequent among females. Moreover, subjects who reported sensitive skin, atopic predispositions and facial dermatoses tended to report itch more frequently. The worst case of itch in the seven days prior to the study, assessed with the numeric rating scale (NRS), was 4.6 ± 2.0 points. Itch prevalence increased along with the duration of face mask use, being 34.6% among those who wore masks for more than 4 h. HCW reported itch significantly more frequently than students. Conclusions: Face-mask-associated itch is a frequent problem among HCW in the COVID-19 pandemic. Itch sensation may cause scratching, which may decrease necessary protection during the pandemic.

The Impact of Education on Depression Assessment: Differential Item Functioning Analysis

Assessment ◽  
2020 ◽  
pp. 107319112097135
Author(s):  
Bayley J. Taple ◽  
Robert Chapman ◽  
Benjamin D. Schalet ◽  
Rylee Brower ◽  
James W. Griffith
Keyword(s):  
Health Care ◽  
Depressive Symptoms ◽  
Differential Item Functioning ◽  
Self Report ◽  
Health Concern ◽  
Level Of Education ◽  
Item Functioning ◽  
Patient Reported ◽  
Depression Assessment ◽  
The Impact

A person’s level of education can affect their access to health care, and their health outcomes. Increasing rates of depression are another looming public health concern. Therefore, vulnerability is compounded for individuals who have a lower level of education and depression. Assessment of depressive symptoms is integral to many domains of health care including primary care and mental health specialty care. This investigation examined the degree to which education influences the psychometric properties of self-report items that measure depressive symptoms. This study was a secondary data analysis derived from three large internet panel studies. Together, the studies included the Beck Depression Inventory–II, the Center for Epidemiologic Studies Depression Scale, the Patient Health Questionnaire, and the Patient Reported Outcomes Measurement Information System measures of depression. Using a differential item functioning (DIF) approach, we found evidence of DIF such that some items on each of the questionnaires were flagged for DIF with effect sizes ranging from McFadden’s Pseudo R2 = .005 to .022. For example, results included several double-barreled questions flagged for DIF. Overall, questionnaires assessing depression vary in level of complexity, which interacts with the respondent’s level of education. Measurement of depression should include consideration of possible educational disparities, to identify people who may struggle with a written questionnaire, or may be subject to subtle psychometric biases associated with education.

scholarly journals Preventing and Addressing the Stress Reactions of Health Care Workers Caring for Patients With COVID-19: Development of a Digital Platform (Be + Against COVID)

10.2196/21692 ◽  
2020 ◽  
Vol 8 (10) ◽  
pp. e21692 ◽  
Author(s):  
José Joaquín Mira ◽  
María Asunción Vicente ◽  
Adriana Lopez-Pineda ◽  
Irene Carrillo ◽  
Mercedes Guilabert ◽  
...  
Keyword(s):  
Health Care ◽  
Latin American ◽  
Health Care Workers ◽  
Acute Stress ◽  
Self Report ◽  
Health Concern ◽  
Stress Reactions ◽  
Digital Platform ◽  
Care Workers ◽  
Support Resources

Background COVID-19 became a major public health concern in March 2020. Due to the high rate of hospitalizations for COVID-19 in a short time, health care workers and other involved staff are subjected to a large workload and high emotional distress. Objective The objective of this study is to develop a digital tool to provide support resources that might prevent and consider acute stress reactions in health care workers and other support staff due to the COVID-19 pandemic. Methods The contents of the digital platform were created through an evidence-based review and consensus conference. The website was built using the Google Blogger tool. The Android version of the app was developed in the Java and XML languages using Android Studio version 3.6, and the iOS version was developed in the Swift language using Xcode version 11.5. The app was evaluated externally by the Andalusian Agency for Healthcare Quality. Results We detected the needs and pressing situations of frontline health care workers, and then, we proposed a serial of recommendations and support resources to address them. These resources were redesigned using the feedback received. A website in three different languages (Spanish, English, and Portuguese) and a mobile app were developed with these contents, and the AppSaludable Quality Seal was granted to the app. A specific self-report scale to measure acute stress and additional tools were included to support the health care workforce. This instrument has been used in several Latin American countries and has been adapted considering cultural differences. The resources section of the website was the most visited with 18,516 out of 68,913 (26.9%) visits, and the “Self-Report Acute Stress Scale” was the most visited resource with 6468 out of 18,516 (34.9%) visits. Conclusions The Be + against COVID platform (website and app) was developed and launched to offer a pool of recommendations and support resources, which were specifically designed to protect the psychological well-being and the work morale of health care workers. This is an original initiative different from the usual psychological assistance hotlines.

scholarly journals Tobacco Use among Health Care Workers in Southwestern Saudi Arabia

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Ahmed A. Mahfouz ◽  
Abdullah S. Shatoor ◽  
Badr R. Al-Ghamdi ◽  
Mervat A. Hassanein ◽  
Shamsun Nahar ◽  
...  
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Tobacco Use ◽  
Health Care Workers ◽  
Significant Risk ◽  
Public Health Problem ◽  
Self Report ◽  
Binary Logistic Regression Analysis ◽  
Parental History ◽  
Care Workers

The present study targeted health care workers (HCWs) in Governmental Hospitals and Primary Health Care Centers in Abha City, southwestern Saudi Arabia. An anonymous self-report questionnaire was used to assess tobacco use and the reasons for smoking. The present study included 736 HCWs. The overall prevalence of tobacco use amounted to 26.3% (14.8% current and 11.5% former users). In a binary logistic regression analysis, males were found significantly more prone to smoke compared to females (aOR = 3.081, 95% CI: 2.004–4.739). Similarly, parental history of tobacco use was found to be a significant risk factor (aOR = 1.540, 95% CI: 1.040–2.278). Among current users, 89.9% were interested in quitting and 66.1% tried before to quit. The prevalence of smoking among HCWs in the present study, besides being a public health problem, represents a potential barrier in involving this group as a first line for tobacco control. There is a need for a national intervention programme in the country in a tailored manner for HCWs to control tobacco use parallel to the running national program for public. These interventions should begin early in basic medical education and to be applied continually during one’s medical career.

scholarly journals Preventing and Addressing the Stress Reactions of Health Care Workers Caring for Patients With COVID-19: Development of a Digital Platform (Be + Against COVID) (Preprint)

2020 ◽  
Author(s):  
José Joaquín Mira ◽  
María Asunción Vicente ◽  
Adriana Lopez-Pineda ◽  
Irene Carrillo ◽  
Mercedes Guilabert ◽  
...  
Keyword(s):  
Health Care ◽  
Latin American ◽  
Health Care Workers ◽  
Acute Stress ◽  
Self Report ◽  
Health Concern ◽  
Stress Reactions ◽  
Digital Platform ◽  
Care Workers ◽  
Support Resources

BACKGROUND COVID-19 became a major public health concern in March 2020. Due to the high rate of hospitalizations for COVID-19 in a short time, health care workers and other involved staff are subjected to a large workload and high emotional distress. OBJECTIVE The objective of this study is to develop a digital tool to provide support resources that might prevent and consider acute stress reactions in health care workers and other support staff due to the COVID-19 pandemic. METHODS The contents of the digital platform were created through an evidence-based review and consensus conference. The website was built using the Google Blogger tool. The Android version of the app was developed in the Java and XML languages using Android Studio version 3.6, and the iOS version was developed in the Swift language using Xcode version 11.5. The app was evaluated externally by the Andalusian Agency for Healthcare Quality. RESULTS We detected the needs and pressing situations of frontline health care workers, and then, we proposed a serial of recommendations and support resources to address them. These resources were redesigned using the feedback received. A website in three different languages (Spanish, English, and Portuguese) and a mobile app were developed with these contents, and the AppSaludable Quality Seal was granted to the app. A specific self-report scale to measure acute stress and additional tools were included to support the health care workforce. This instrument has been used in several Latin American countries and has been adapted considering cultural differences. The resources section of the website was the most visited with 18,516 out of 68,913 (26.9%) visits, and the “Self-Report Acute Stress Scale” was the most visited resource with 6468 out of 18,516 (34.9%) visits. CONCLUSIONS The <i>Be + against COVID</i> platform (website and app) was developed and launched to offer a pool of recommendations and support resources, which were specifically designed to protect the psychological well-being and the work morale of health care workers. This is an original initiative different from the usual psychological assistance hotlines.

scholarly journals Risk perception and Emotion evaluation of Health care workers varied during different periods of COVID-19: a repeated cross-sectional research

2020 ◽  
Author(s):  
Qianlan Yin ◽  
Tianya Hou ◽  
Ying Liu ◽  
Aibin Chen ◽  
Xiangrui Song ◽  
...  
Keyword(s):  
Health Care ◽  
Risk Perception ◽  
Health Care Workers ◽  
Risk Perceptions ◽  
Rating Scale ◽  
Negative Emotion ◽  
Negative Emotions ◽  
Cross Sectional ◽  
Care Workers ◽  
High Level

Abstract Background Health care workers (HCWs) on the front line of the COVID-19 were facing greater risks than usual, and their perception of these risks could also be an important part of their anti-epidemic work. This study aimed to examine risk perception and negative emotions of during two periods of the COVID-19 and emphasized emotional intervention management of HCWs impacting the risk perceptions and self-protection and would provide plausible intervention points for the psychological aid under a stressful condition.Methods The current study was adapted a repeated cross-sectional research participated by 504 Chinese HCWs who were assigned to work at the current disease resistance line. The demographic information about gender, profession, and location were collected in the demographic questionnaire. Risk perception questionnaire was adapted for COVID-19 to assess risk perception and the Chinese version of emotional self-rating scale (PANAS) was used to evaluate HCWs’ negative emotions.Results Findings revealed the risk perception and negative emotions of HCWs varied in different gender, profession and the location, as well as in different periods of COVID-19. Besides, the levels of tension, fear, worry and risk perception were higher during Period 1 than they were during Periods 2 of COVID-19. Over the different periods, the predominated negative emotions of HCWs presented varied, but the positive relations to risk perception were consisted and could be a significant predictor of risk perception. Worry was found to be closely related to and a significant predictor of high-level risk perception in the period 1; whereas in the period 2 the predictive type of negative emotion was tension.Conclusion The significance of this research lies in its examination of risk perception and negative emotions of HCWs combating the COVID-19 during two periods of the pandemic. The findings showed both risk perception and negative emotions of HCWs were affected by the COVID-19 and underscored the importance of negative emotions as a significant factor for risk perception of Chinese HCWs enduring the great challenge of pandemic. To ensure safety and prevent the return of the pandemics, it would be better to monitor the risk perception and negative emotions of HCWs and emphasize the risk protection behaviors.

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