Effects of Internet Hospital Consultations on Psychological Burdens and Disease Knowledge During the Early Outbreak of COVID-19 in China: Cross-Sectional Survey Study

Background Coronavirus disease (COVID-19) has become a global threat to human health. Internet hospitals have emerged as a critical technology to bring epidemic-related web-based services and medical support to the public. However, only a few very recent scientific literature reports have explored the effects of internet hospitals on psychological burden and disease knowledge in major public health emergencies such as the COVID-19 pandemic. Objective The aim of this study was to explore the role of internet hospitals in relieving psychological burden and increasing disease knowledge during the early outbreak of the COVID-19 pandemic. Methods This survey was conducted from January 26 to February 1, 2020, during the early outbreak of COVID-19 in China. The platform used for the consultation was the WeChat public account of our hospital. To participate in the study, the patient was required to answer a list of questions to exclude the possibility of COVID-19 infection and confirm their willingness to participate voluntarily. Next, the participant was directed to complete the self-report questionnaire. After the internet consultation, the participant was directed to complete the self-report questionnaire again. The questionnaire included sections on general information, the General Health Questionnaire-28 (GHQ-28), and the participant’s worries, disease knowledge, and need for hospital treatment. Results The total number of internet consultations was 4120. The consultation topics mainly included respiratory symptoms such as cough, expectoration, and fever (2489/4120, 60.4%) and disease knowledge, anxiety, and fear (1023/4120, 24.8%). A total of 1530 people filled out the questionnaires before and after the internet consultation. Of these people, 1398/1530 (91.4%) experienced psychological stress before the internet consultation, which significantly decreased after consultation (260/1530, 17.0%) (χ21=1704.8, P<.001). There was no significant difference in the number of people who expressed concern about the COVID-19 pandemic before and after the internet consultation (χ21=0.7, P=.43). However, the degree of concern after the internet consultation was significantly alleviated (t2699=90.638, P<.001). The main worries before and after consultation were the dangers posed by the disease and the risk of infection of family members. The scores of the self-assessment risk after the internet consultation were significantly lower than those before consultation (t3058=95.694, P<.001). After the consultation, the participants’ knowledge of the symptoms, transmission routes, and preventive measures of COVID-19 was significantly higher than before the consultation (t3058=–106.105, –80.456, and –152.605, respectively; all P<.001). The hospital treatment need score after the internet consultation decreased from 3.3 (SD 1.2) to 1.6 (SD 0.8), and the difference was statistically significant (t3058=45.765, P<.001). Conclusions During the early outbreak of COVID-19, internet hospitals could help relieve psychological burdens and increase disease awareness through timely and rapid spread of knowledge regarding COVID-19 prevention and control. Internet hospitals should be an important aspect of a new medical model in public health emergency systems.

Download Full-text

Effects of Internet Hospital Consultations on Psychological Burdens and Disease Knowledge During the Early Outbreak of COVID-19 in China: Cross-Sectional Survey Study (Preprint)

10.2196/preprints.19551 ◽

2020 ◽

Author(s):

Lin Li ◽

Gang Liu ◽

Weiguo Xu ◽

Yun Zhang ◽

Mei He

Keyword(s):

Public Health ◽

The Self ◽

Self Report ◽

Survey Study ◽

Hospital Treatment ◽

The Internet ◽

Psychological Burden ◽

Disease Knowledge ◽

Significant Difference ◽

Before And After

BACKGROUND Coronavirus disease (COVID-19) has become a global threat to human health. Internet hospitals have emerged as a critical technology to bring epidemic-related web-based services and medical support to the public. However, only a few very recent scientific literature reports have explored the effects of internet hospitals on psychological burden and disease knowledge in major public health emergencies such as the COVID-19 pandemic. OBJECTIVE The aim of this study was to explore the role of internet hospitals in relieving psychological burden and increasing disease knowledge during the early outbreak of the COVID-19 pandemic. METHODS This survey was conducted from January 26 to February 1, 2020, during the early outbreak of COVID-19 in China. The platform used for the consultation was the WeChat public account of our hospital. To participate in the study, the patient was required to answer a list of questions to exclude the possibility of COVID-19 infection and confirm their willingness to participate voluntarily. Next, the participant was directed to complete the self-report questionnaire. After the internet consultation, the participant was directed to complete the self-report questionnaire again. The questionnaire included sections on general information, the General Health Questionnaire-28 (GHQ-28), and the participant’s worries, disease knowledge, and need for hospital treatment. RESULTS The total number of internet consultations was 4120. The consultation topics mainly included respiratory symptoms such as cough, expectoration, and fever (2489/4120, 60.4%) and disease knowledge, anxiety, and fear (1023/4120, 24.8%). A total of 1530 people filled out the questionnaires before and after the internet consultation. Of these people, 1398/1530 (91.4%) experienced psychological stress before the internet consultation, which significantly decreased after consultation (260/1530, 17.0%) (χ21=1704.8, P<.001). There was no significant difference in the number of people who expressed concern about the COVID-19 pandemic before and after the internet consultation (χ21=0.7, P=.43). However, the degree of concern after the internet consultation was significantly alleviated (t2699=90.638, P<.001). The main worries before and after consultation were the dangers posed by the disease and the risk of infection of family members. The scores of the self-assessment risk after the internet consultation were significantly lower than those before consultation (t3058=95.694, P<.001). After the consultation, the participants’ knowledge of the symptoms, transmission routes, and preventive measures of COVID-19 was significantly higher than before the consultation (t3058=–106.105, –80.456, and –152.605, respectively; all P<.001). The hospital treatment need score after the internet consultation decreased from 3.3 (SD 1.2) to 1.6 (SD 0.8), and the difference was statistically significant (t3058=45.765, P<.001). CONCLUSIONS During the early outbreak of COVID-19, internet hospitals could help relieve psychological burdens and increase disease awareness through timely and rapid spread of knowledge regarding COVID-19 prevention and control. Internet hospitals should be an important aspect of a new medical model in public health emergency systems.

Download Full-text

The Effect of Educational Intervention Regarding the Knowledge of Mothers on Prevention of Accidents in Childhood

The Open Nursing Journal ◽

10.2174/1874434601610010113 ◽

2016 ◽

Vol 10 (1) ◽

pp. 113-121 ◽

Cited By ~ 3

Author(s):

Elayne Cristina Soares Silva ◽

Maria Neyrian de Fátima Fernandes ◽

Márcia Caroline Nascimento Sá ◽

Layane Mota de Souza ◽

Ariadne Siqueira de Araújo Gordon ◽

...

Keyword(s):

Educational Intervention ◽

Normal Development ◽

The Self ◽

Self Report ◽

Specific Information ◽

Health Unit ◽

Significant Difference ◽

Before And After ◽

Quasi Experimental ◽

Two Stages

Early guidance emphasizes the provision of information to families about growth and normal development in childhood such as specific information about security at home. This research aimed to analyze mothers' knowledge about the prevention of accidents in childhood before and after an educational intervention. It was conducted as a quasi-experimental study with 155 mothers in a Basic Health Unit in northeastern of Brazil in April and May of 2015. The data were collected in two stages through a self-report questionnaire performed before and after the educational intervention by the subjects. The results revealed a significant increase in knowledge about prevention of accidents in childhood in all the self-applied questions (p<0.05). After the educational intervention, there seemed to be a significant difference with the questions regarding the knowledge on preventing fall (p=0.000), drowning (p=0.000), and intoxication (p=0.007). The authors concluded that the educational intervention performed in this study increased the subjects’ knowledge on prevention of accidents in childhood.

Download Full-text

Changes of Walking Activity During the First Cycle Phases of COVID-19 Pandemic: A Case Study of Seoul, Korea

HERD Health Environments Research & Design Journal ◽

10.1177/19375867211026571 ◽

2021 ◽

pp. 193758672110265

Author(s):

Youngjun Park ◽

Haekwon Chung ◽

Sohyun Park

Keyword(s):

Public Health ◽

Physical Inactivity ◽

Voluntary Participation ◽

Walking Activity ◽

Significant Difference ◽

Before And After ◽

Acceleration And Deceleration ◽

Preliminary Study ◽

The Government

Aim: This study explores the changes in regular walking activities during the phases of the pandemic. Background: With the spread of COVID-19 transmission, people are refraining from going out, reducing their physical activity. In South Korea, COVID-19 broke out in the 4th week of 2020 and experienced the first cycle phases of the pandemic, such as outbreak, widespread, and decline. In response to the pandemic, the government encouraged voluntary participation in social distancing campaigns, and people reduced their outside activities. Methods: This article examines the decrease and increase of the Prevalence of Regular Walking (≥30 min of moderate walking a day, on ≥5 days a week) by the COVID-19 phases. This study is based on weekly walking data for 15 weeks in 2020, via the smartphone healthcare app, which is managed by 25 public health offices of the Seoul government. Results: According to the findings, the level of prevalence of regular walking (PRW) has a significant difference before and after the outbreak, and every interval of the four-stage COVID-19 phases, that is, pre-pandemic, initiation, acceleration, and deceleration. The level of PRW sharply decreased during initiation and acceleration intervals. In the deceleration interval of COVID-19, the PRW kept increasing, but it has not yet reached the same level as the previous year when the COVID-19 did not exist. Conclusions: As a preliminary study, this study explains empirically how COVID-19 changed PRW in Seoul. It would be helpful to enhance our understanding of the changes in physical inactivity in the pandemic period.

Download Full-text

Impact of diabetes on caregiver stress in patients with Alzheimer's disease: data from the ICTUS study

International Psychogeriatrics ◽

10.1017/s1041610217002460 ◽

2018 ◽

Vol 30 (8) ◽

pp. 1109-1117 ◽

Cited By ~ 2

Author(s):

Jun Li ◽

Matteo Cesari ◽

Natalia Del Campo ◽

Sandrine Andrieu ◽

Birong Dong ◽

...

Keyword(s):

Alzheimer’S Disease ◽

Alzheimer's Disease ◽

Self Report ◽

Personal Life ◽

Diabetic Patients ◽

Psychological Burden ◽

Factorial Model ◽

The Social ◽

Significant Difference ◽

The Impact

ABSTRACTBackground:To estimate the impact of comorbid diabetes on caregiver stress in Alzheimer's disease (AD) patients from the Impact of Cholinergic Treatment Use (ICTUS) study.Methods:Using the Data from the ICTUS study, diabetes mellitus (DM) was recorded at baseline and caregiver burden was assessed twice per year using the Zarit Burden Interview (ZBI) scale. The three-factorial model of ZBI (the effect on the social and personal life of caregivers, the psychological burden and the feelings of guilt) was adopted. Linear mixed models were used to examine the relation between DM and the scores of ZBI.Results:The present analyses were conducted on 1,264 AD subjects. A total of 156 patients (12.3%) had DM with taking antidiabetic medication and/or self-report of a history. At baseline, the caregivers of patients with or without DM had similar ZBI global scores and similar scores of three different factors of ZBI. Unadjusted and adjusted models both indicated that ZBI global score increased over a 24-month follow-up without significant effect of DM. Similarly, unadjusted model showed that DM was not determining any significant difference in the score of any factor. However, adjusted model indicated that in diabetic patients, the scores of the social and personal life of caregivers and the psychological burden increased more slowly than those in non-diabetic patients (p = 0.04 and 0.01, respectively).Conclusions:DM may affect the caregivers’ daily social and personal life and psychological burden in AD patients. It is necessary for further research.

Download Full-text

Comparative overview of ST-elevation myocardial infarction epidemiology, demographics, management, and outcomes in five Asia-Pacific countries: a meta-analysis

European Heart Journal - Quality of Care and Clinical Outcomes ◽

10.1093/ehjqcco/qcaa057 ◽

2020 ◽

Cited By ~ 1

Author(s):

Paul Jie Wen Tern ◽

Aaron Kwun Hang Ho ◽

Rehena Sultana ◽

Youngkeun Ahn ◽

Wael Almahmeed ◽

...

Keyword(s):

Public Health ◽

Myocardial Infarction ◽

Meta Analysis ◽

National Income ◽

Self Report ◽

St Elevation Myocardial Infarction ◽

Asia Pacific ◽

Hospital Treatment ◽

Patient Profile ◽

St Elevation

Abstract The aim of this study is to gain insight into the differences in demographics of ST-elevation myocardial infarction (STEMI) patients in Asia-Pacific, as well as inter-country variation in treatment and mortality outcomes. Systematic review of published studies and reports from known registries in Australia, Japan, Korea, Singapore, and Malaysia that began data collection after the year 2000. Supplementary self-report survey questionnaire on public health data answered by representative cardiologists working in these countries. Twenty studies comprising of 158 420 patients were included in the meta-analysis. The mean age was 61.6 years. Chronic kidney disease prevalence was higher in Japan, while dyslipidaemia was low in Korea. Use of aspirin, P2Y12 inhibitors, and statins were high throughout, but ACEi/ARB and β-blocker prescriptions were lower in Japan and Malaysia. Reperfusion strategies varied greatly, with high rates of primary percutaneous coronary intervention (pPCI) in Korea (91.6%), whilst Malaysia relies far more on fibrinolysis (72.6%) than pPCI (9.6%). Similarly, mortality differed, with 1-year mortality from STEMI was considerably greater in Malaysia (17.9%) and Singapore (11.2%) than in Korea (8.1%), Australia (7.8%), and Japan (6.2%). The countries were broadly similar in development and public health indices. Singapore has the highest gross national income and total healthcare expenditure per capita, whilst Malaysia has the lowest. Primary PCI is available in all countries 24/7/365. Despite broadly comparable public health systems, differences exist in patient profile, in-hospital treatment, and mortality outcomes in these five countries. Our study reveals areas for improvements. The authors advocate further registry-based multi-country comparative studies focused on the Asia-Pacific region.

Download Full-text

Saudi Arabia EFL university students’ voice on challenges and solution in learning academic writing

Indonesian Journal of Applied Linguistics ◽

10.17509/ijal.v8i3.15276 ◽

2019 ◽

Vol 8 (3) ◽

pp. 576 ◽

Cited By ~ 2

Author(s):

Mohammed Abdullah Alharbi

Keyword(s):

Foreign Language ◽

Undergraduate Students ◽

Academic Writing ◽

The Self ◽

Self Report ◽

Efl Writing ◽

Writing Courses ◽

Writing Improvement ◽

Writing Course ◽

Before And After

The present study aims to investigate the difficulties faced by 74 English as a foreign language (EFL) undergraduate students in developing a well-written paragraph in academic writing by designing a writing course based on the students’ voices. The self-report survey (5-point Likert scale) was used as the pre- and post-questionnaire, and pre- and the post-tests task was used to track students’ writing improvement before and after taking a writing course. Pre-questionnaire and pre-tests showed that participants had difficulties in using the mechanics of writing (punctuation, spelling, grammar, topic sentences, and supporting sentences). The majority of the students’ responses in the post-survey shows that they believed their writing improved and encountered fewer difficulties in writing as compared to their views in the pre-questionnaire. The result of the post-tests indicates improvements in students’ writing samples. The study concludes that EFL writing courses should be designed on the basis of challenges faced by the students in order to get the best outcome from the course.

Download Full-text

Low self-awareness of ADHD in adults using a self-report screening questionnaire

European Psychiatry ◽

10.1016/j.eurpsy.2010.08.013 ◽

2012 ◽

Vol 27 (5) ◽

pp. 314-320 ◽

Cited By ~ 33

Author(s):

I. Manor ◽

N. Vurembrandt ◽

S. Rozen ◽

D. Gevah ◽

A. Weizman ◽

...

Keyword(s):

Clinical Assessment ◽

Subscale Score ◽

The Self ◽

Self Report ◽

Control Group ◽

Self Awareness ◽

Adhd Symptoms ◽

Operating Characteristics ◽

Screening Questionnaire ◽

Significant Difference

AbstractIntroductionAwareness of attention deficit hyperactivity disorder (ADHD) in adults has been growing over the last decade. One of the most interesting issues related to this topic is these adults’ self-awareness of their ADHD symptoms and their estimation of their own impairments. Our hypothesis while studying young adult ADHD populations was that there would be a significant difference between their self-report and their clinical assessment.MethodOne hundred and three students volunteered for this study. In order to validate our ADHD screening questionnaire (ADHD-SQ), and to assess the level of awareness they have of their own symptoms, participants underwent a complete clinical assessment for ADHD. They were divided into a control group (n = 24), and an ADHD study group (n = 79), which in turn was composed of two sub-groups, one comprising 24 ADHD predominantly inattentive (ADHD-I) and the other 55 ADHD combined type (ADHD-C).ResultsFactor analysis yielded two factors explaining 41% of the variance. The Inattention (IA) subscale score tended to be higher in both ADHD sub-groups as compared to the control group (6.5±2.1 vs. 2.34±2.3 with P<0.001), with no significant difference between the two ADHD sub-groups. Hyperactivity Impulsivity (HI) subscale was significantly higher for the ADHD-C sub-group than in the ADHD-I sub-group, whose score was similar to that of the control group (control: 1.6±2.1; ADHD-I: 1.55±1.0; ADHD-C: 4.5±2.6, P<0.0001). Receiver Operating Characteristics (ROC) analysis showed similar results. The area under the curve (AUC) of IA subscale score was 0.90 (95% confidence: 0.83–0.96) and for HI subscale score was 0.75, (95% confidence: 0.63–0.86). Classification into groups used a cut-off point of 3+ items out of nine, in the SQ and 6+ items out of nine in the clinical assessment. These two classifications showed 68% agreement (46% sensitivity and 95% specificity). In both ADHD sub-groups, the self-reported average number of positive symptoms per student was relatively low for both clusters; this phenomenon was pronounced in the specific subtypes. The self-rated HI cluster score was considerably low in the ADHD-C sub-group (4.5±2.6), and the IA one was particularly low in the ADHD-IADHD-I sub-group (5.9±1.9).ConclusionThis study's results indicate that ADHD symptoms are under-reported for both inattentive and hyperactive-impulsive clusters, indicating that adults with ADHD tend to under-estimate their own ADHD-related impairments. We suggest that this questionnaire may be used both in research and academic settings to help counsellors and students to obtain early indication of ADHD and to refer students suspected of having ADHD to full clinical assessment.

Download Full-text

Control of Raw Pork Liver Sausage Production Can Reduce the Prevalence of HEV Infection

Pathogens ◽

10.3390/pathogens10020107 ◽

2021 ◽

Vol 10 (2) ◽

pp. 107

Author(s):

Paolo Ripellino ◽

Enea Pianezzi ◽

Gladys Martinetti ◽

Cinzia Zehnder ◽

Barbara Mathis ◽

...

Keyword(s):

Public Health ◽

Public Health Intervention ◽

Hepatitis E ◽

Local Public Health ◽

The Public ◽

Pork Liver ◽

Health Authorities ◽

Significant Difference ◽

Before And After ◽

Public Health Authorities

After an acute hepatitis E (HEV) outbreak in Southern Switzerland, in January 2017 the local public health authorities started an active program of food chain control and public education. In this retrospective study, we analysed all laboratory-confirmed acute cases of HEV infection diagnosed between 2014 and 2020. In the period before the public health intervention, the number of cases increased steadily from 2014 (4 of 40 tests, 10%) reaching a peak in the last quarter of 2016 (42 of 285 tests, 14.7 %). Afterwards, the number of positive cases decreased steadily, reaching its lowest value (0.3%) in the second quarter of 2019. There was a statistically significant difference between the frequency of positive cases and period of testing, i.e., before and after the introduction of the public health interventions. Our study shows that active public health measures to control sausages containing raw pork liver can reduce the prevalence of HEV infection.

Download Full-text

Pengaruh Dukungan Keluarga Terhadap Konsep Diri Pasien Stroke Yang Mengalami Kelumpuhan Di Poli Klinik Saraf Rumah Sakit Stroke Nasional Bukittinggi Tahun 2018

Jurnal Kesehatan Medika Saintika ◽

10.30633/jkms.v10i1.312 ◽

2019 ◽

Vol 10 (1) ◽

pp. 85

Author(s):

Weni Lidya Hendayani ◽

Devi Mekar Sari

Keyword(s):

Health Education ◽

Family Support ◽

Health Workers ◽

T Test ◽

The Self ◽

Self Concept ◽

P Value ◽

Stroke Patients ◽

Significant Difference ◽

Before And After

ABSTRAK Menurut survei tahun (2015), stroke merupakan pembunuh nomor satu di RS Pemerintah di seluruh Indonesia. Diperkirakan ada 550.000 penduduk yang terkena stroke.Keluarga memiliki peran yang sangat penting dalam pemenuhan kebutuhan pasien yang mengalami stroke. Penelitian ini merupakan penelitian quasieksperimenpre danpostonegroup design. Populasi dalam penelitian ini adalah seluruh pasien stroke yang masuk ke Rumah Sakit Stroke Nasional (RSSN) Bukittinggi yang berjumlah 366 orang dengan teknik pengambilan sampel AccidentialSampling. Penelitian ini dilakukan pada bulan Juni 2017 - Juni 2018. Hasil uji-T untuk dukungan keluarga pada pasien stroke sebelum dan sesudah dilaksanakan penyuluhan kesehatan didapatkan p-value 0,000 (α≤0,05) artinya, terdapat perbedaan yang signifikan antara dukungan keluarga yang diberikan pada pasien stroke sebelum dan sesudah dilakukan penyuluhan kesehatan. Hasil uji-T pada konsep diri pasien stroke sebelum dan sesudah didapatkan p-value 0,000 (α≤ 0,05) artinya, terdapat perbedaan yang signifikan antara konsep diri pasien stroke sebelum dan sesudah dilakukan penelitian. Sehingga dapat disimpulkan bahwa ada pengaruh dukungan keluarga terhadap konsep diri pasien stroke yang mengalami kelumpuhan di Poli Klinik Saraf Rumah Sakit Stroke Nasional Bukittinggi ditandai dengan p-value 0,000 (α≤0,05). Diharapkan tenaga kesehatan perlu memberikan pendidikan kesehatan mengenai perawatan pasien stroke yang mengalami kelumpuhan dan tentang bagaimana pasien stroke untuk mempertahankan dirinya.Kata Kunci : DukunganKeluarga; Konsep Diri; Pasien Stroke The Effect of Family Support on Self-Concept of Stroke Patients Who Have Paralysis at the Nerve Polyclinic of the National Stroke HospitalBukittinggi Year 2018 ABSTRACT According to a 2015 survey, strokes are the number one killer in Government hospitals throughout Indonesia. More than 550,000 people were stroked. This research is a quasi-experimental pre and post one group design. The population in this study were 366 stroke patients who entered the National Stroke Hospital in Bukittinggi with Accidential Sampling sampling techniques. This study was conducted in June 2017 - June 2018. The results of the T-test for family support for stroke patients before and after the implementation of health counseling obtained p-value 0,000 (α≤0,05) which means that there was a significant difference between family support given in stroke patients before and after health education. The T-test results on the self-concept of stroke patients before and after obtaining p-value 0,000 (α≤ 0,05) means that there is a significant difference between the self-concept of stroke patients before and after the research. So it can be concluded that there is an effect of family support on the self-concept of stroke patients who experience paralysis at the Neural Stroke Clinic of Bukittinggi National Stroke Hospital marked by p-value 0,000 (α (0,05). I hope health workers need to provide health education about the care of stroke patients who experience paralysis and about how stroke patients maintain themselves.Kata Kunci : Family Support; self-concept; stroke patients

Download Full-text

COVID-19-Related Information Sources and the Relationship With Confidence in People Coping with COVID-19: Facebook Survey Study in Taiwan

Journal of Medical Internet Research ◽

10.2196/20021 ◽

2020 ◽

Vol 22 (6) ◽

pp. e20021 ◽

Cited By ~ 22

Author(s):

Peng-Wei Wang ◽

Wei-Hsin Lu ◽

Nai-Ying Ko ◽

Yi-Lung Chen ◽

Dian-Jeng Li ◽

...

Keyword(s):

Health Care ◽

Health Care Workers ◽

Information Sources ◽

Information Source ◽

The Self ◽

Survey Study ◽

The Internet ◽

Sources Of Information ◽

Self Confidence ◽

Care Workers

Background People obtain information on the coronavirus disease (COVID-19) from the internet and other sources. Understanding the factors related to such information sources aids health professionals in educating individuals. Objective This study used data collected from the online survey study on COVID-19 in Taiwan to examine what major COVID-19 information sources are available and which sources are significantly related to the self-confidence of people in coping with COVID-19 in Taiwan. Methods A total of 1904 participants (1270 non–health-care workers and 634 health care workers) were recruited from the Facebook advertisement. Their major sources of information about COVID-19, the relationships between the sources and demographic factors, and the relationships between the sources and the self-confidence in coping with COVID-19 were surveyed. Results Most Taiwanese people relied on the internet for COVID-19 information. Many respondents also used a variety of sources of information on COVID-19; such variety was associated with sex, age, and the level of worry toward COVID-19, as well as if one was a health care worker. For health care workers, the use of formal lessons as an information source was significantly associated with better self-confidence in coping with COVID-19. The significant association between receiving information from more sources and greater self-confidence was found only in health care workers but not in non–health-care workers. Conclusions Medical professionals should consider subgroups of the population when establishing various means to deliver information on COVID-19.

Download Full-text