Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
2000 participants
OBSERVATIONAL
2020-04-26
2021-12-31
Brief Summary
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Recent cross-sectional studies in China indicate that health service workers exposed to people with Covid-19 reported higher rates of depressive and anxious symptoms. This negative impact on mental health among health workers in China has also been informally reported in other countries where the Covid-19 pandemic has been devastating in its effects (such as Spain and Italy), as well as in countries where the pandemic is becoming a growing public health problem. This is particularly relevant in regions with fewer resources (Latin America, North Africa), where there are limited means and the response from the health system is usually insufficient. Moreover, it is necessary to study these negative effects longitudinally considering that some effects will appear over time (post-traumatic stress).
The COVID-19 HEalth caRe wOrkErS (HEROES) study is a large, bottom-up, South-North initiative aimed to evaluate the impact of the COVID-19 pandemic on the mental health of health care workers (HCWs). HEROES encompasses a wide variety of academic institutions in 19 LMICs and 8 HICs, in partnership with the Pan American Health Organization (PAHO) and with support from the World Health Organization (WHO). The HEROES study is led by Dr. Rubén Alvarado at University of Chile, and Dr. Ezra Susser and Franco Mascayano at Columbia U Mailman School of Public Health.
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Detailed Description
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Recent cross-sectional studies in China indicate that health service workers exposed to people with Covid-19 reported higher rates of depressive and anxious symptoms. This negative impact on mental health among health workers in China has also been informally reported in other countries where the Covid-19 pandemic has been devastating in its effects (such as Spain and Italy), as well as in countries where the pandemic is becoming a growing public health problem. This is particularly relevant in regions with fewer resources (Latin America, North Africa), where there are limited means and the response from the health system is usually insufficient. Moreover, it is necessary to study these negative effects longitudinally considering that some effects will appear over time (post-traumatic stress). Also, it is necessary to take into account the nature and the extent of the health response (e.g., deployment, increased workload) in order to advance our understanding of these complex phenomenon and to inform policy and develop the kind of supports that this population deems useful.
The COVID-19 HEalth caRe wOrkErS (HEROES) study is a large, bottom-up, South-North initiative aimed to evaluate the impact of the COVID-19 pandemic on the mental health of health care workers (HCWs). HEROES encompasses a wide variety of academic institutions in 19 LMICs and 8 HICs, in partnership with the Pan American Health Organization (PAHO) and with support from the World Health Organization (WHO). The HEROES study is led by Dr. Rubén Alvarado at University of Chile, and Dr. Ezra Susser and Franco Mascayano at Columbia U Mailman School of Public Health.
Participants will complete an online questionnaire, which will be completely self-administered. It will take approximately 12 minutes and includes sociodemographic data, questions on work activity, training, fears and concerns related to Covid-19, as well as the GHQ-12 and a series of questions on other mental health issues (e.g., suicide, acute stress), resilience and psycho/social factors (e.g., formal and informal support).
Conditions
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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Healthcare workers
Workers who interact with people with confirmed or suspected COVID-19 at different health services (primary care centers, emergency units, specialized care units, inpatient care units, critically ill patient units, among others). Potential participants will include any type of worker in these centers, including clinical and administrative staff, as well as supportive staff (e.g., food services)
Exposure to the SARS-CoV-2 and its consequences
This is an observational design. Participants are exposed to the SARS-CoV-2, the Covid-19 pandemic, and/or its consequences
Interventions
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Exposure to the SARS-CoV-2 and its consequences
This is an observational design. Participants are exposed to the SARS-CoV-2, the Covid-19 pandemic, and/or its consequences
Eligibility Criteria
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Inclusion Criteria
* Currently working on a health service that provides care to COVID-19 patients
* Give informed consent
Exclusion Criteria
18 Years
ALL
Yes
Sponsors
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Columbia University
OTHER
University of Chile
OTHER
Responsible Party
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Rubén Alvarado
PhD
Principal Investigators
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Rubén Alvarado, PhD
Role: PRINCIPAL_INVESTIGATOR
University of Chile [Universidad de Chile]
Ezra Susser, MD DrPH
Role: PRINCIPAL_INVESTIGATOR
Columbia University
Franco Mascayano, MPH
Role: PRINCIPAL_INVESTIGATOR
Columbia Universty
Locations
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Columbia University
New York, New York, United States
Universidad del Chubut
Rawson, Chubut Province, Argentina
National Institute of Health Named After Academician S. Avdalbekyan
Yerevan, , Armenia
University of Sydney
Sydney, New South Wales, Australia
Salud Global
Sucre, Chuquisaca Department, Bolivia
University of Chile
Santiago, , Chile
Universidad Nacional de Costa Rica
Heredia, , Costa Rica
Society for Emergecy and Disaster Medicine CzMA JEP
Kladno, Bohemia, Czechia
Hochschule Emden/Leer
Emden, Lower Saxony, Germany
Centro de Investigaciones de las Ciencias de la Salud -CICS- Facultad de Ciencias Médicas Universidad de San Carlos de Guatemala -USAC-
Guatemala City, , Guatemala
University of Cagliari
Cagliari, CA, Italy
University of Cagliari
Cagliari, , Italy
The Institute for Development Research Advocacy and Applied Care (IDRAAC)
Beirut, , Lebanon
Logotipo del comercio Instituto Jalisciense De Salud Mental (SALME)
Guadalajara, Jalisco, Mexico
Maastricht University
Maastricht, Limburg, Netherlands
University of Ibadan
Ibadan, Oyo State, Nigeria
Ponce Health Sciences University
Ponce, , Puerto Rico
King Abdullah International medical research center
Riyadh, Central, Saudi Arabia
Hospital La Paz Institute for Health Research (IdiPAZ)
Madrid, , Spain
Razi Hospital La Manouba
Tunis, La Manouba, Tunisia
Koc University
Istanbul, Sariyer, Turkey (Türkiye)
PNFA Salud Colectiva Instituto de Altos Estudios Dr Arnoldo Gabaldon
Maracay, Aragua, Venezuela
Countries
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Central Contacts
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Facility Contacts
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Marta Natan
Role: backup
References
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Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, Rubin GJ. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020 Mar 14;395(10227):912-920. doi: 10.1016/S0140-6736(20)30460-8. Epub 2020 Feb 26.
Nacoti M, et al. At the Epicenter of the Covid-19 Pandemic and Humanitarian Crises in Italy: Changing Perspectives on Preparation and Mitigation. NEJM Catalyst, 2020;1(2)
Huang L, Lei W, Xu F, Liu H, Yu L. Emotional responses and coping strategies in nurses and nursing students during Covid-19 outbreak: A comparative study. PLoS One. 2020 Aug 7;15(8):e0237303. doi: 10.1371/journal.pone.0237303. eCollection 2020.
Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, Wu J, Du H, Chen T, Li R, Tan H, Kang L, Yao L, Huang M, Wang H, Wang G, Liu Z, Hu S. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020 Mar 2;3(3):e203976. doi: 10.1001/jamanetworkopen.2020.3976.
Asaoka H, Watanabe K, Miyamoto Y, Restrepo-Henao A, van der Ven E, Moro MF, Alnasser LA, Ayinde O, Balalian AA, Basagoitia A, Durand-Arias S, Eskin M, Fernandez-Jimenez E, Ines FFM, Gimenez L, Hoek HW, Jaldo RE, Lindert J, Maldonado H, Martinez-Ales G, Mediavilla R, McCormack C, Narvaez J, Ouali U, Barrera-Perez A, Calgua-Guerra E, Ramirez J, Rodriguez AM, Seblova D, da Silva ATC, Valeri L, Gureje O, Ballester D, Carta MG, Isahakyan A, Jamoussi A, Seblova J, Solis-Soto MT, Alvarado R, Susser E, Mascayano F, Nishi D; HEROES group. Association of depressive symptoms with incidence and mortality rates of COVID-19 over 2 years among healthcare workers in 20 countries: multi-country serial cross-sectional study. BMC Med. 2024 Sep 12;22(1):386. doi: 10.1186/s12916-024-03585-8.
Other Identifiers
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HEROES Covid-19
Identifier Type: -
Identifier Source: org_study_id
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