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Moreno Martínez M, Feijoo-Cid M, Fernández-Cano MI, Llorens-Serrano C, Navarro-Giné A. Psychosocial risk in healthcare workers after one year of COVID-19. Occup Med (Lond) 2024; 74:37-44. [PMID: 36583909 DOI: 10.1093/occmed/kqac121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
BACKGROUND The COVID-19 pandemic overwhelmed the capacity of the healthcare system, affecting the volume of demands and the care tasks of healthcare workers. AIMS To examine the health indicators and exposure to psychosocial risks of Spanish healthcare workers 1 year into the COVID-19 pandemic and compare them with the results of the first wave. METHODS We conducted a cross-sectional study using an online questionnaire (April-May 2020 and 2021). The data stem from the COTS 1 project database, corresponding to the first wave of COVID-19 (n = 1989) and COTS 2 (n = 1716) corresponding to 1 year later. The samples were independent. The prevalence of exposure to psychosocial risks and adverse health indicators was estimated for every occupational group, segregating the data by sex. RESULTS Professionals of all types presented worse perception of health. In general, the results were worse for women, while geriatric assistants presented the greatest exposure to psychosocial risk in COTS 2 compared to COTS 1. Sleep problems, high quantitative demands and high concern about becoming infected and spreading COVID-19 were cross-disciplinary in COTS 1, while worse perception of health, high pace of work, high work-life conflict and low development opportunities stood out in COTS 2. CONCLUSIONS Exposure to psychosocial risks was already high during the first wave and a significant decline in working conditions was observed. The prolongation of the pandemic exacerbated these results and seems to have multiplied the pre-existing inequalities between the axes of segregation in the labour market.
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Affiliation(s)
- M Moreno Martínez
- Medicine Department, Faculty of Medicine, Universitat Autònoma de Barcelona (UAB), 08193 Cerdanyola del Vallès, Spain
| | - M Feijoo-Cid
- Nursing Department, Faculty of Medicine, Universitat Autònoma de Barcelona (UAB), 08193 Cerdanyola del Vallès, Spain
- Multidisciplinari Research Group in Health and Society (GREMSAS), (2017 SGR 917), 08303 Barcelona, Spain
| | - M I Fernández-Cano
- Nursing Department, Faculty of Medicine, Universitat Autònoma de Barcelona (UAB), 08193 Cerdanyola del Vallès, Spain
- Multidisciplinari Research Group in Health and Society (GREMSAS), (2017 SGR 917), 08303 Barcelona, Spain
| | - C Llorens-Serrano
- Research Group on Psychosocial Risks, Organization of Work and Health (POWAH), Autonomous University of Barcelona (UAB), 08193 Cerdanyola del Vallès, Spain
- Union Institute of Work, Environment and Health (ISTAS), Reference Centre on Work Organisation and Health, 08003 Barcelona, Spain
- Sociology Department, Faculty of Sociology and Political Sciences, Universitat Autònoma de Barcelona (UAB), 08193 Cerdanyola del Vallès, Spain
| | - A Navarro-Giné
- Research Group on Psychosocial Risks, Organization of Work and Health (POWAH), Autonomous University of Barcelona (UAB), 08193 Cerdanyola del Vallès, Spain
- Biostatistics Unit, Faculty of Medicine, Universitat Autònoma de Barcelona (UAB), 08193 Cerdanyola del Vallès, Spain
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Rivero-Santana A, Torrente-Jiménez RS, Perestelo-Pérez L, Torres-Castaño A, Ramos-García V, Bilbao A, Escobar A, Serrano-Aguilar P, Feijoo-Cid M. Effectiveness of a decision aid for patients with knee osteoarthritis: a randomized controlled trial. Osteoarthritis Cartilage 2021; 29:1265-1274. [PMID: 34174455 DOI: 10.1016/j.joca.2021.06.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2021] [Revised: 06/03/2021] [Accepted: 06/13/2021] [Indexed: 02/02/2023]
Abstract
OBJECTIVE To assess the effectiveness of a Patient Decision Aid (PtDA) for knee osteoarthritis. METHOD Randomized controlled trial, in which 193 patients were allocated to the PtDA or usual care. Outcome measures were the Decisional Conflict Scale (DCS), knowledge of osteoarthritis and arthroplasty, satisfaction with the decision-making process (SDMP) and treatment preference, assessed immediately after the intervention. At 6 months, the same measures were applied in non-operated patients, whereas those who underwent arthroplasty completed the SDMP and the Decisional Regret Scale (DRS). RESULTS The PtDA produced a significant immediate improvement of decisional conflict (MD = -11.65, 95%CI: -14.93, -8.37), objective knowledge (MD = 10.37, 99%IC: 3.15, 17.70) and satisfaction (MD = 6.77, 99%CI: 1.19, 12.34), and a different distribution of preferences (χ2 = 8.74, p = 0.033). Patients with less than secondary education obtained a stronger effect on decisional conflict (p = 0.015 for the interaction) but weaker for knowledge (p = 0.051). At 6 months, there were no significant differences in any variable, including the rate of total knee replacement. Operated patients showed a low level of regret, which was not affected by the intervention. CONCLUSION The PtDA is effective immediately after its application, but it shows no effects in the medium-term. Future research should investigate which subgroups of patients could benefit more from this intervention, as well as the longitudinal evolution of decision-related psychological variables.
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Affiliation(s)
- A Rivero-Santana
- Fundación Canaria Instituto de Investigación Sanitaria de Canarias (FIISC), Canary Islands, Spain; Health Services Research on Chronic Patients Network (REDISSEC), Spain.
| | - R S Torrente-Jiménez
- Department of Medicine, Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain.
| | - L Perestelo-Pérez
- Health Services Research on Chronic Patients Network (REDISSEC), Spain; Evaluation Unit of the Canary Islands Health Service (SESCS), Canary Islands, Spain.
| | - A Torres-Castaño
- Fundación Canaria Instituto de Investigación Sanitaria de Canarias (FIISC), Canary Islands, Spain; Health Services Research on Chronic Patients Network (REDISSEC), Spain.
| | - V Ramos-García
- Fundación Canaria Instituto de Investigación Sanitaria de Canarias (FIISC), Canary Islands, Spain; Health Services Research on Chronic Patients Network (REDISSEC), Spain.
| | - A Bilbao
- Health Services Research on Chronic Patients Network (REDISSEC), Spain; Osakidetza/Basque Health Service, Research Unit, Basurto University Hospital, Bilbao, Bizkaia, Spain.
| | - A Escobar
- Health Services Research on Chronic Patients Network (REDISSEC), Spain; Osakidetza/Basque Health Service, Research Unit, Basurto University Hospital, Bilbao, Bizkaia, Spain
| | - P Serrano-Aguilar
- Health Services Research on Chronic Patients Network (REDISSEC), Spain; Evaluation Unit of the Canary Islands Health Service (SESCS), Canary Islands, Spain.
| | - M Feijoo-Cid
- Department of Nursing, Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain; Grup de Recerca Multidisciplinar en Salut i Societat (GREMSAS), (2017SGR 917), Barcelona, Spain.
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Affiliation(s)
| | - M Feijoo-Cid
- Department of Nursing, Faculty of Medicine, Universitat Autónoma de Barcelona, Bellaterra, Spain.,Grups de Recerca d'America i Àfrica Llatines (GRAAL) (2014 SGR 1175), Barcelona, Spain.,Researcher Collaborator of the Infectious Diseases Group, Vall d'Hebron Institut de Recerca (VHIR), Barcelona, Spain
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Toledo-Chávarri A, Rué M, Codern-Bové N, Carles-Lavila M, Perestelo-Pérez L, Pérez-Lacasta MJ, Feijoo-Cid M. A qualitative study on a decision aid for breast cancer screening: Views from women and health professionals. Eur J Cancer Care (Engl) 2017; 26. [PMID: 28145105 DOI: 10.1111/ecc.12660] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/22/2016] [Indexed: 11/28/2022]
Abstract
This qualitative study evaluates a decision aid that includes the benefits and harms of breast cancer screening and analyses women's perception of the information received and healthcare professionals' perceptions of the convenience of providing it. Seven focus groups of women aged 40-69 years (n = 39) and two groups of healthcare professionals (n = 23) were conducted in Catalonia and the Canary Islands. The focus groups consisted of guided discussions regarding decision-making about breast cancer screening, and acceptability and feasibility of the decision aid. A content analysis was performed. Women positively value receiving information regarding the benefits and harms of breast cancer screening. Several women had difficulties understanding some concepts, especially those regarding overdiagnosis. Women preferred to share the decisions on screening with healthcare professionals. The professionals noted the lack of inclusion of some harms and benefits in the decision aid, and proposed improving the clarity of the statistical information. The information on overdiagnosis generates confusion among women and controversy among professionals. Faced with the new information presented by the decision aid, the majority of women prefer shared decision-making; however, its feasibility might be limited by a lack of knowledge and attitudes of rejection from healthcare professionals.
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Affiliation(s)
- A Toledo-Chávarri
- Canary Islands Foundation of Health Research (FUNCANIS), Tenerife, Spain.,Health Services Research on Chronic Patients Network (REDISSEC), Madrid, Spain
| | - M Rué
- Health Services Research on Chronic Patients Network (REDISSEC), Madrid, Spain.,Basic Medical Sciences Department, University of Lleida-IRBLLEIDA, Lleida, Spain.,Research Group in Economic Analysis and Health (GRAES, 2014 SGR 978), Rovira i Virgili University (URV), Reus, Spain
| | - N Codern-Bové
- ÀreaQ, Evaluation and Qualitative Research, Barcelona, Spain.,Escola Universitària d'Infermeria i Teràpia Ocupacional (EUIT), Terrassa, Universitat Autónoma de Barcelona, Barcelona, Spain
| | - M Carles-Lavila
- Research Group in Economic Analysis and Health (GRAES, 2014 SGR 978), Rovira i Virgili University (URV), Reus, Spain.,Department of Economics and CREIP, Rovira i Virgili University (URV), Tarragona, Spain
| | - L Perestelo-Pérez
- Health Services Research on Chronic Patients Network (REDISSEC), Madrid, Spain.,Evaluation Unit of the Canary Islands Health Service (SESCS), Tenerife, Spain.,Center for Biomedical Research of the Canary Islands (CIBICAN), Tenerife, Spain
| | - M J Pérez-Lacasta
- Research Group in Economic Analysis and Health (GRAES, 2014 SGR 978), Rovira i Virgili University (URV), Reus, Spain.,Department of Economics and CREIP, Rovira i Virgili University (URV), Tarragona, Spain
| | - M Feijoo-Cid
- Department of Nursing, Faculty of Medicine, Universitat Autónoma de Barcelona, Bellaterra, Spain.,Researcher in Grups de Recerca d'America i Àfrica Llatines (GRAAL) (2014 SGR 1175), Barcelona, Spain.,Researcher Collaborator of the Infectious Diseases Group, Vall d'Hebron Institut de Recerca (VHIR), Barcelona, Spain
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Romero-Sandoval N, Parra C, Gallegos G, Guanopatín A, Campaña MF, Haro M, Calapaqui S, Moreta C, Viteri F, Feijoo-Cid M, Martin M. Haematophagous bat bites in Ecuadorian Amazon: characterisation and implications for sylvatic rabies prevention. Public Health Action 2013; 3:85-9. [PMID: 26393003 DOI: 10.5588/pha.12.0070] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2012] [Accepted: 01/18/2013] [Indexed: 11/10/2022] Open
Abstract
OBJECTIVE To characterise the risk factors of haematophagous bat bites and to provide information to contribute to the prevention of rabies in Ecuador. DESIGN Cross-sectional study based on interviews with 3518 individuals, from which two sets of variables were generated: characteristics of haematophagous bat attacks in the previous year among humans and risk factors for being bitten. METHODS Data were analysed using multivariate logistic regression models, taking history of bat bites in the previous year as the response variable. RESULTS In the previous year 723 (20.6%, 95%CI 19.3-21.9) of the participants declared having received haematophagous bat bites and 50.4% in the previous month, giving an incidence rate of 10.4% (95%CI 9.6-11.6) per month. Sleeping on the floor or in a hammock (adjusted odds ratio [aOR] 1.58, 95%CI 1.21-2.06), not using a protective bed net (aOR 1.25, 95%CI 1.03-1.50) and living in a dwelling with permanent openings in the structure (aOR 1.49, 95%CI 1.12-1.95) were associated with a higher probability of bat bites. Those most affected were the group aged ≤12 years (age 13-19 years, aOR 0.39, 95%CI 0.32-0.48; age ≥20 years, aOR 0.67, 95%CI 0.50-0.90). CONCLUSION Primary prevention based on pre-exposure vaccination would be justifiable given the high dispersion of the population and the high incidence of bat bites. As a secondary protective measure, communities should work towards increasing the use of protective measures and putting barriers in permanent openings in their dwellings.
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Affiliation(s)
- N Romero-Sandoval
- Ministerio de Salud Pública, Quito, Ecuador ; Red de Investigación GRAAL, Unidad de Bioestadística, Facultad de Medicina, Universidad Autónoma de Barcelona, Cerdanyola del Vallés, Spain
| | - C Parra
- Ministerio de Salud Pública, Quito, Ecuador
| | - G Gallegos
- Ministerio de Salud Pública, Quito, Ecuador
| | | | - M F Campaña
- Postgrado de Medicina Familiar y Comunitaria, Universidad Central del Ecuador, Quito, Ecuador
| | - M Haro
- Postgrado de Medicina Familiar y Comunitaria, Universidad Central del Ecuador, Quito, Ecuador
| | - S Calapaqui
- Postgrado de Medicina Familiar y Comunitaria, Universidad Central del Ecuador, Quito, Ecuador
| | - C Moreta
- Postgrado de Medicina Familiar y Comunitaria, Universidad Central del Ecuador, Quito, Ecuador
| | - F Viteri
- Postgrado de Medicina Familiar y Comunitaria, Universidad Central del Ecuador, Quito, Ecuador
| | - M Feijoo-Cid
- Red de Investigación GRAAL, Unidad de Bioestadística, Facultad de Medicina, Universidad Autónoma de Barcelona, Cerdanyola del Vallés, Spain ; Departamento de Enfermería, Facultad de Medicina, Universidad Autónoma de Barcelona, Cerdanyola del Vallés, Spain
| | - M Martin
- Red de Investigación GRAAL, Unidad de Bioestadística, Facultad de Medicina, Universidad Autónoma de Barcelona, Cerdanyola del Vallés, Spain
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