Loddon Mallee healthcare worker COVID-19 study—protocol for a prospective cohort study examining the health and well-being of rural Australian healthcare workers during the COVID-19 pandemic

Introduction The COVID-19 pandemic is creating immense psychosocial disturbance. While global, broad-based research is being conducted, little is known about the effects of the COVID-19 pandemic on health and well-being or how protective and resilience factors influence the human response in Austral...

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Main Authors: Stephen Begg, Mark McEvoy, Timothy C Skinner, Carol Parker, Angela Crombie, Peter Faulkner, Anne McEvoy, Laura Bamforth, Gabriel Caccaviello
Format: Article
Language:English
Published: BMJ Publishing Group 2021-08-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/11/8/e050511.full
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author Stephen Begg
Mark McEvoy
Timothy C Skinner
Carol Parker
Angela Crombie
Peter Faulkner
Anne McEvoy
Laura Bamforth
Gabriel Caccaviello
author_facet Stephen Begg
Mark McEvoy
Timothy C Skinner
Carol Parker
Angela Crombie
Peter Faulkner
Anne McEvoy
Laura Bamforth
Gabriel Caccaviello
author_sort Stephen Begg
collection DOAJ
description Introduction The COVID-19 pandemic is creating immense psychosocial disturbance. While global, broad-based research is being conducted, little is known about the effects of the COVID-19 pandemic on health and well-being or how protective and resilience factors influence the human response in Australian rural and regional communities. Rural and regional communities often have less resources to deal with such public health emergencies and face additional environmental adversity. Healthcare workers, including those in rural and regional areas, have felt the immediate impacts of COVID-19 in a multitude of ways and these impacts will continue for years to come. Therefore, this study aims to describe and understand the impacts of the COVID-19 pandemic on the rural and regional healthcare workforce within the Loddon Mallee region, Victoria, Australia.Methods and analysis This prospective cohort of rural and regional healthcare workers will be recruited and followed over 3 years to examine the effects of the COVID-19 pandemic on their health and well-being. Self-administered online questionnaires will be administered every 6 months for a 36-month period. Multiple outcomes will be assessed; however, the primary outcomes are emotional health and well-being and psychological resilience. Emotional health and well-being will be measured using validated instruments that will assess multiple domains of the emotional health and well-being continuum.Linear and logistic regression and latent growth curve modelling will be used to examine the association between baseline and follow-up participant emotional health, well-being and resilience while adjusting for potentially time-varying confounding variables. Participant characteristics measured at baseline will also be tested for association with incident health, morbidity, mortality and health service utilisation outcomes at follow-up.Ethics and dissemination Ethical approval has been obtained through the Bendigo Health Human Research Ethics Committee. The study findings will be disseminated through international conferences, international peer-reviewed journals and social media.Trial registration number ACTRN12620001269921.
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spelling doaj-art-fa4609e5e56847b6946468a0f037e4a62024-12-08T02:45:09ZengBMJ Publishing GroupBMJ Open2044-60552021-08-0111810.1136/bmjopen-2021-050511Loddon Mallee healthcare worker COVID-19 study—protocol for a prospective cohort study examining the health and well-being of rural Australian healthcare workers during the COVID-19 pandemicStephen Begg0Mark McEvoy1Timothy C Skinner2Carol Parker3Angela Crombie4Peter Faulkner5Anne McEvoy6Laura Bamforth7Gabriel Caccaviello82 La Trobe Holsworth Research Initiative, La Trobe University, Bendigo, Victoria, AustraliaRural Health School, La Trobe University, Bendigo, Victoria, AustraliaRural Health School, La Trobe University, Bendigo, Victoria, AustraliaResearch and Innovation, Bendigo Health, Bendigo, Victoria, AustraliaResearch & Innovation, Bendigo Health, Bendigo, Victoria, AustraliaResearch and Innovation, Bendigo Health, Bendigo, Victoria, AustraliaExecutive Office, Kyabram District Health Service, Kyabram, Victoria, AustraliaResearch and Innovation, Bendigo Health, Bendigo, Victoria, AustraliaStaff Development, Swan Hill District Health, Swan Hill, Victoria, AustraliaIntroduction The COVID-19 pandemic is creating immense psychosocial disturbance. While global, broad-based research is being conducted, little is known about the effects of the COVID-19 pandemic on health and well-being or how protective and resilience factors influence the human response in Australian rural and regional communities. Rural and regional communities often have less resources to deal with such public health emergencies and face additional environmental adversity. Healthcare workers, including those in rural and regional areas, have felt the immediate impacts of COVID-19 in a multitude of ways and these impacts will continue for years to come. Therefore, this study aims to describe and understand the impacts of the COVID-19 pandemic on the rural and regional healthcare workforce within the Loddon Mallee region, Victoria, Australia.Methods and analysis This prospective cohort of rural and regional healthcare workers will be recruited and followed over 3 years to examine the effects of the COVID-19 pandemic on their health and well-being. Self-administered online questionnaires will be administered every 6 months for a 36-month period. Multiple outcomes will be assessed; however, the primary outcomes are emotional health and well-being and psychological resilience. Emotional health and well-being will be measured using validated instruments that will assess multiple domains of the emotional health and well-being continuum.Linear and logistic regression and latent growth curve modelling will be used to examine the association between baseline and follow-up participant emotional health, well-being and resilience while adjusting for potentially time-varying confounding variables. Participant characteristics measured at baseline will also be tested for association with incident health, morbidity, mortality and health service utilisation outcomes at follow-up.Ethics and dissemination Ethical approval has been obtained through the Bendigo Health Human Research Ethics Committee. The study findings will be disseminated through international conferences, international peer-reviewed journals and social media.Trial registration number ACTRN12620001269921.https://bmjopen.bmj.com/content/11/8/e050511.full
spellingShingle Stephen Begg
Mark McEvoy
Timothy C Skinner
Carol Parker
Angela Crombie
Peter Faulkner
Anne McEvoy
Laura Bamforth
Gabriel Caccaviello
Loddon Mallee healthcare worker COVID-19 study—protocol for a prospective cohort study examining the health and well-being of rural Australian healthcare workers during the COVID-19 pandemic
BMJ Open
title Loddon Mallee healthcare worker COVID-19 study—protocol for a prospective cohort study examining the health and well-being of rural Australian healthcare workers during the COVID-19 pandemic
title_full Loddon Mallee healthcare worker COVID-19 study—protocol for a prospective cohort study examining the health and well-being of rural Australian healthcare workers during the COVID-19 pandemic
title_fullStr Loddon Mallee healthcare worker COVID-19 study—protocol for a prospective cohort study examining the health and well-being of rural Australian healthcare workers during the COVID-19 pandemic
title_full_unstemmed Loddon Mallee healthcare worker COVID-19 study—protocol for a prospective cohort study examining the health and well-being of rural Australian healthcare workers during the COVID-19 pandemic
title_short Loddon Mallee healthcare worker COVID-19 study—protocol for a prospective cohort study examining the health and well-being of rural Australian healthcare workers during the COVID-19 pandemic
title_sort loddon mallee healthcare worker covid 19 study protocol for a prospective cohort study examining the health and well being of rural australian healthcare workers during the covid 19 pandemic
url https://bmjopen.bmj.com/content/11/8/e050511.full
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