Investigating the use of digital health technology to monitor Covid-19 and its effects: Protocol for Covid Collab, an observational study (Preprint)

2021 ◽  
Author(s):  
Callum Stewart ◽  
Yatharth Ranjan ◽  
Pauline Conde ◽  
Zulqarnain Rashid ◽  
Heet Sangkesara ◽  
...  

BACKGROUND The ubiquity of mobile phones and increasing use of wearable fitness trackers offers a wide-ranging window into people’s health and well-being. There are clear advantages in using remote monitoring technologies to gain an insight into health, particularly under the shadow of the current COVID-19 pandemic. OBJECTIVE The Covid Collab study was set up to investigate the feasibility of identifying, monitoring, and understanding the stratification of COVID-19 infection and recovery through remote monitoring technologies. Additionally, we will assess the impact of the COVID-19 pandemic and associated social measures on people’s behaviour, physical health, and mental well-being. METHODS Participants remotely enrolled on the study through the Mass Science app to donate both historic and prospective mobile phone data, fitness tracking wearable data, and regular COVID-19 and mental health related surveys. Data is being recorded for the period of the pandemic, notably including pre, during and post acute infection phase. We plan to carry out analyses in several areas, covering symptomatology, risk factors, machine learning-based classification of illness, and trajectories of recovery, mental well-being, and activity. RESULTS Covid Collab is a crowdsourced study using remote monitoring technologies to investigate the COVID-19 pandemic. As of June 2021 there are over 17000 participants, largely from the United Kingdom, with enrolment ongoing. CONCLUSIONS This paper introduces a remotely enrolled crowd-sourced study recording mobile health data throughout the COVID-19 pandemic. The data collected may help investigate a variety of areas, including COVID-19 disease progression, mental wellbeing during the pandemic, and adherence of remote, digitally enrolled participants.

2020 ◽  
pp. 1420326X2097546
Author(s):  
Richard A Sharpe ◽  
Andrew J Williams ◽  
Ben Simpson ◽  
Gemma Finnegan ◽  
Tim Jones

Fuel poverty affects around 34% of European homes, representing a considerable burden to society and healthcare systems. This pilot study assesses the impact of an intervention to install a new first time central heating system in order to reduce fuel poverty on household satisfaction with indoor temperatures/environment, ability to pay bills and mental well-being. In Cornwall, 183 households received the intervention and a further 374 went onto a waiting list control. A post-intervention postal questionnaires and follow-up phone calls were undertaken ( n = 557) to collect data on household demographics, resident satisfaction with indoor environment, finances and mental well-being (using the Short Warwick-Edinburgh Mental Wellbeing scale). We compared responses between the waiting list control and intervention group to assess the effectiveness of the intervention. A total of 31% of participants responded, 83 from the waiting list control and 71 from the intervention group. The intervention group reported improvements in the indoor environment, finances and mental well-being. However, these benefits were not expressed by all participants, which may result from diverse resident behaviours, lifestyles and housing characteristics. Future policies need to consider whole house approaches alongside resident training and other behaviour change techniques that can account for complex interactions between behaviours and the built environment.


2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Bhavna Mukund ◽  
Rejani Thudalikunil Gopalan

Background: People living with HIV/AIDS (PLWHA) manifest a wide range of stress responses ranging from disbelief, denial, fear to extreme conditions of anxiety disorders, depression and even suicidal thoughts. These complications can have a significant impact on daily functioning and greatly diminish quality of life. Mental wellbeing and Quality of Life can help in better management of stress and facilitate adaptive coping among PLWHA. Aim: The research examined the impact of mental wellbeing and Quality of Life on Depression, Anxiety and Stress among people living with HIV/AIDS infection. Research Design: Cross sectional survey design was used. Sample: A sample of 60 people (males and females of equal number) over the age of 18 years and with the diagnosis for HIV/AIDS for more than six months participated in the study. Tools used: To assess the depression, anxiety and stress among PLWHA, DASS scale was used and to assess their psychological wellbeing, Warwick Edinburgh Mental Well-Being scale was used. In order to assess their present status of QOL regarding the illness, WHO’s QOL HIV-BREF Scale was used. Results: Majority of the PLWHA had moderate level of anxiety and mild level of depression after being diagnosed. Most of the participants have positive mental well-being and had enhanced quality of life. Conclusion: A direct effect of mental wellbeing has been found on the depression, anxiety and stress among PLWHA indicating that higher the mental wellbeing of the PLWHA, the greater is the likelihood that they do not suffer from depression, exhibit less anxiety and are living a stress free life and vice versa. The study also found direct impact of QOL on psychological distress, depression and anxiety among PLWHA i.e. poor QOL of PLWHA makes them more prone to and vulnerable to stress, depression and anxiety and vice versa.


2021 ◽  
Author(s):  
Andreea Mihai

This MRP looks at the communication used in mental health campaigns for a post-secondary student audience, focusing on how language use and visual design choices impact the stigma associated with mental health. This MRP focuses specifically on the communications seen on Ryerson University’s campus in the 2016 – 2017 academic school year. A video available on Ryerson’s YouTube channel and a sample of posters available throughout campus were analyzed for language and visual design choices to determine how they fit within stigma management communication strategies and how those choices had the potential to influence perceived stigma in viewers." Goffman’s (1963) theory on stigma and an individual’s identity was used to analyze the content of the video and posters. Goffman’s theory outlines the various stages of stigma that an individual experiences, and the impact of each stage on how that individual chooses to interact with others. Miesenbach’s (2010) model for stigma management communication, along with information from an expert interview with a front-line worker will also be used to analyze content in the video and posters. By understanding the communications around mental health through the lens of Goffman (1963) and Miesenbach (2010), it will be possible to understand how the communications are increasing or reducing the stigma around mental health. The analysis of the rhetoric in the messages gives a hint as to how our culture reflects stigma in the messages created, and how this rhetoric may affect students in a culture. This research analyzes Ryerson’s mental well-being campaign for the purpose of identifying a list of best practices for communicating about mental health. The findings show that one of the campaigns accomplishes this better than the other. Effective mental well-being campaigns are those that incorporate elements that normalize discussion of mental health topics, offer strategies for dealing with mental health concerns and overall, promote a culture that prioritizes mental well-being.


Author(s):  
Annika H. Davidsen ◽  
Maria S. Petersen

The societal changes caused by COVID-19 have been far-reaching, causing challenges for employees around the world. The aim of this study was to assess the effect of the COVID-19 restrictions on mental well-being, working life, family life and social life among Faroese employees within a broad range of professions. A total of 1328 Faroese employees answered an anonymous self-report survey from 13 April to 4 May 2020. Employee mental well-being was only modestly affected by the restrictions and the respondents had a mean score of 50.7 on the Warwick–Edinburgh Mental Wellbeing Scale where a score between 41–44 is found to correspond with possible depression. Work commitment, work and family life, work satisfaction and work ability were all rated significantly worse after the COVID-19 outbreak than before (all p values < 0.005). Contrary to previous research, employees in health services assessed their work ability significantly higher than employees in teaching, and child and youth care (p < 0.05). Working parents had higher levels of stress and assessed their work ability significantly lower than employees without children (p < 0.05), and women tended to be more worried than men because of the pandemic. In conclusion, the overall mental well-being of Faroese employees was on an average level during lock-down in April and May 2020. Their working life seemed, however, to be worse than usual.


2021 ◽  
Vol 24 (2) ◽  
pp. 306-310
Author(s):  
Andrew H. Hales ◽  
Natasha R. Wood ◽  
Kipling D. Williams

The COVID-19 pandemic and associated social distancing and lockdowns has caused unprecedented changes to social life. We consider the possible implications of these changes for mental health. Drawing from research on social ostracism emphasizing the importance of social connection for mental well-being, there is reason for concern regarding the mental health effects of the crisis. However, there are also reasons for optimism; people can be surprisingly resilient to stressful situations, the impact of ostracism tends to depend on social norms (which are rapidly changing), and mental health depends primarily on having at least one or two close social connections. Given the scale and unprecedented nature of the social disruption that occurred, we see strong reason for concern, but not despair.


2020 ◽  
Vol 6 (4) ◽  
pp. 1297-1306
Author(s):  
Nabila Hassan ◽  
Hina Akmal Memon ◽  
Noreen Hassan ◽  
Shobha Luxmi ◽  
Farhat Sultana

The study determines the effect of fear of being infected on anxiety and influence of anxiety on the disturbance of their mental well-being and to analyze the indirect effect of anxiety between fear of being infected and mental well-being. Cross-Sectional study carried out in the months of November –December 2020, by conducting a survey from health care workers (Doctors, Nurses and Trainees) covering hospitals from the region of Hyderabad, Jamshoro and Karachi. Analysis of the data done using two-step method of Structural Equation Model (SEM) approach. The findings of the study supported the positive and negative relationship fear of being infected to anxiety and anxiety to mental wellbeing respectively. In addition, the indirect relationship of anxiety also supported. Numerous unanswered queries pertinent to COVID-19 pandemic, and dubious situation leads towards huge size of disturbance in the lives of health care workers across the globe, therefore literature entails the necessity for researchers to study various factors that could have influence on mental well-being of an individual . The majority of relevant literature focused on mental well-being is from China, Europe, USA and other developed countries, however, fewer studies focused on South Asian region in general, and Pakistan in particular. So, present study fills the gap to unearth the factors of well-being for Pakistani health care workers. Pakistan have so far lost the lives of 58 healthcare providers to COVID-19 in the country and still counting while 240 healthcare providers are hospitalized. So there is intense need to study effect of mental well-being on health care workers as there is a need to save the survivors.


2021 ◽  
Author(s):  
Judith Blankenburg ◽  
Magdalena Wekenborg ◽  
Joerg Reichert ◽  
Carolin Kirsten ◽  
Elisabeth Kahre ◽  
...  

Backround Post-COVID19 complications such as pediatric inflammatory multisystem syndrome (PIMS) and Long-COVID19 move increasingly into focus, potentially causing more harm in this age group than the acute infection. To better understand the symptoms of long-COVID19 in adolescents and to distinguish infection-associated symptoms from pandemic-associated symptoms, we conducted a Long-COVID19 survey, comparing responses from seropositive and seronegative adolescents. To our knowledge, data of Long-COVID19 surveys with seronegative control groups have not been published yet. Methods Since May 2020 students grade 8-12 in fourteen secondary schools in Eastern Saxony were enrolled in the SchoolCovid19 study. Seroprevalence was assessed via serial SARS-CoV-2 antibody testing in all participants. Furthermore, during the March/April 2021 study visit all participants were asked to complete a 12 question Long-COVID19 survey regarding the occurrence and frequency of difficulties concentrating, memory loss, listlessness, headache, abdominal pain, myalgia/ arthralgia, fatigue, insomnia and mood (sadness, anger, happiness and tenseness). Findings 1560 students with a median age of 15 years participated in this study. 1365 (88%) were seronegative, 188 (12%) were seropositive. Each symptom was present in at least 35% of the students within the last seven days before the survey. However, there was no statistical difference comparing the reported symptoms between seropositive students and seronegative students. Whether the infection was known or unknown to the participant did not influence the prevalence of symptoms. Interpretation The lack of differences comparing the reported symptoms between seropositive and seronegative students suggests that Long-COVID19 might be less common than previously thought and emphasizing the impact of pandemic-associated symptoms regarding the well-being and mental health of young adolescents. Funding This study was supported by a grant by the Federal State of Saxony. M.K.W. was supported by the Else Kroener-Fresenius Center for Digital Health (EKFZ), TU Dresden, Germany.


2021 ◽  
Author(s):  
Andreea Mihai

This MRP looks at the communication used in mental health campaigns for a post-secondary student audience, focusing on how language use and visual design choices impact the stigma associated with mental health. This MRP focuses specifically on the communications seen on Ryerson University’s campus in the 2016 – 2017 academic school year. A video available on Ryerson’s YouTube channel and a sample of posters available throughout campus were analyzed for language and visual design choices to determine how they fit within stigma management communication strategies and how those choices had the potential to influence perceived stigma in viewers." Goffman’s (1963) theory on stigma and an individual’s identity was used to analyze the content of the video and posters. Goffman’s theory outlines the various stages of stigma that an individual experiences, and the impact of each stage on how that individual chooses to interact with others. Miesenbach’s (2010) model for stigma management communication, along with information from an expert interview with a front-line worker will also be used to analyze content in the video and posters. By understanding the communications around mental health through the lens of Goffman (1963) and Miesenbach (2010), it will be possible to understand how the communications are increasing or reducing the stigma around mental health. The analysis of the rhetoric in the messages gives a hint as to how our culture reflects stigma in the messages created, and how this rhetoric may affect students in a culture. This research analyzes Ryerson’s mental well-being campaign for the purpose of identifying a list of best practices for communicating about mental health. The findings show that one of the campaigns accomplishes this better than the other. Effective mental well-being campaigns are those that incorporate elements that normalize discussion of mental health topics, offer strategies for dealing with mental health concerns and overall, promote a culture that prioritizes mental well-being.


2021 ◽  
pp. sextrans-2020-054768
Author(s):  
Iain Hyndman ◽  
Diarmuid Nugent ◽  
Gary George Whitlock ◽  
Alan McOwan ◽  
Nicolò Girometti

ObjectivesThe COVID-19 pandemic and its related restrictions have affected attendance to and delivery of UK sexual healthcare services (SHS). We surveyed the impact on sexual behaviour of men having sex with men (MSM) to inform future SHS provision.MethodsWe conducted a cross-sectional, anonymous, web-based survey among HIV-negative MSM at high risk of HIV infection who attended 56 Dean Street, a sexual health and HIV clinic. The survey was conducted over a 7-day period in August 2020. Data on sociodemographic characteristics, sexual behaviour and related mental well-being experienced during lockdown (defined as 23 March–30 June 2020) were extracted. Categorical and non-categorical variables were compared according to HIV pre-exposure prophylaxis (PrEP) use.Results814 MSM completed the questionnaire: 75% were PrEP users; 76% reported they have been sexually active, of which 76% reported sex outside their household. 75% reported fewer partners than prior to lockdown. Isolation/loneliness (48%) and anxiety/stress (27%) triggered sexual activity, and 73% had discussed COVID-19 transmission risks with their sexual partners. While 46% reported no change to emotions ordinarily experienced following sex, 20% reported guilt for breaching COVID-19 restrictions. 76% implemented one or more changes to their sexual behaviour, while 58% applied one or more steps to reduce COVID-19 transmission during sex. 36% accessed SHS and 30% reported difficulties in accessing testing/treatment. Of those who accessed SHS, 28% reported an STI diagnosis. PrEP users reported higher partner number, engagement in ‘chemsex’ and use of SHS than non-PrEP users.ConclusionsCOVID-19 restrictions had a considerable impact on sexual behaviour and mental well-being in our survey respondents. High rates of sexual activity and STI diagnoses were reported during lockdown. Changes to SHS provision for MSM must respond to high rates of psychological and STI-related morbidity and the challenges faced by this population in accessing services.


2020 ◽  
Vol 12 (22) ◽  
pp. 9597
Author(s):  
Gabriella Nagy-Pénzes ◽  
Ferenc Vincze ◽  
Éva Bíró

Mental disorders are common in adolescents, and for effective interventions we should be aware of their determinants. However, there are only a small number of studies investigating the combined effect of multiple factors. Therefore, our aim is to assess the impact of socioeconomic status, social support, and health behavior on adolescents’ mental well-being. A cross-sectional health survey of 1641 children was carried out in accordance with the study protocol of the Hungarian Health Behavior in School-aged Children survey. Multivariate multiple regression was used to analyze the main determinants of mental well-being. The boys’ mental well-being was favorable compared to girls; lower subjective family wealth was associated with lower life satisfaction and depressive mood. Life satisfaction was positively related to healthy eating, social support, and physical activity. Unhealthy eating, sedentary lifestyle, and lower social support were associated with higher depression scores. Higher social support reduces psychosomatic symptoms, while unhealthy eating and spending a lot of time in front of the computer increase them. Both social support and healthy lifestyle seem to be protective against mental health problems among adolescents, and thus interventions should focus on these factors regardless of the socioeconomic status of the participants, with special attention given to girls.


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