The COVID-19 crisis began in China in December 2019 and was declared a pandemic by theWorld Health Organisation on March 11th 2020. The pandemic has changed the way thatclinicians interact with and treat patients overnight. Staff within the NHS will be underhigh levels of stress due to the increased needs and worse outcomes of work as they areshielding or self-isolating and may feel helpless and guilty. The psychological impact ofthe pandemic will be prolonged and varied. It is vital that Investigators increaseunderstanding as much as possible to support NHS staff.The aim of this survey is to examine the possible mental health burden on NHS staff as aresult of the COVID-19 pandemic and how these change as the pandemic progresses. Byunderstanding these effects, it will allow researchers to identify recommendations toallow support mechanisms to be put in place for NHS staff, to better manage this andfuture pandemics and similar crises.Investigators are aiming to sample several cohorts of NHS staff including a subset ofstaff who are shielding. Staff will be asked to complete a series of online surveys atmultiple timepoint: on study initiation, 1 month later and then 3 months after thepandemic has ceased in the UK. Additional timepoints may be added depending on the lengthand severity of the pandemic.The main outcomes will be tracking changes in mental health measurements at thepre-defined timepoints. This work will allow Investigators to produce recommendationsabout the increased mental health support that NHS staff will need. If a need isdemonstrated then an interventional research project will be designed and implemented.
The aim of this survey is to examine the possible mental health burden on NHS staff as a
results of the coronavirus COVID-19 pandemic and how these change as the pandemic
progresses. By understanding these effects, it will allow Investigators to identify
recommendations to allow appropriate support mechanisms to be put in place for NHS staff,
to better manage this and future pandemics and similar crises.
Method:
Investigators aim to sample several cohorts of staff across the NHS. A subset of
participants will include NHS staff that are currently shielding - they are
self-isolating due to being identified as part of the at-risk/vulnerable members of
society. The aim will be to survey a minimum of 100 members of staff. Introductory emails
will be sent out to NHS staff using the hospital email system. Potential participants
will be asked to read a participant information sheet and provide informed consent to
participate in the subsequent survey.
Staff within the NHS will be asked to complete a series of surveys at multiple
timepoints. The survey link will be circulated to staff with the introductory email. It
will be sent at the following time points with a reminder to all on each occasion after 5
days: on study initiation, 1 month later and then 3 months after the pandemic has ceased
in the UK. Additional timepoints may be added depending on the length and severity of the
pandemic.
Qualtrics software will be used to host and administer the survey. The variables to be
measured are:
Demographics (At first survey only): Age, sex, ethnic status, socio-economical status,
religious identification and occupation.
Exposure to COVID-19 Mental health: The investigators will assess depression with 9 items
(PHQ-9); anxiety with 7 items (GAD-7); paranoia (short Green paranoia scale), traumatic
stress, somatic symptoms (PHQ-15); conspiracy mentality and social interactions (The
loneliness scale).
Mediating psychological variables: Locus of control, death anxiety, 10 item Cognitive
Reflection Task of analytical reasoning and personality traits 9 Big-five short version.
The surveys should take approximately 10 minutes to complete. Participants will be
informed that should they feel distressed by the questions raised in the survey, that
they should seek support from the providers in the introductory email. Participants will
be able to withdraw from the study and any timepoint without providing a reason.
The participants anonymised data will be analysed by Professor Bentall's team at the
University of Sheffield and stored on a secure, University server. The main outcomes of
the study will be tracking changes in mental health measurements at the pre-defined
timepoints.
Inclusion Criteria:
- Participants aged 16 years or over
- Participants must be working in the NHS
- NHS staff that are shielding will be eligible to participate
- NHS staff that are self-isolating will be eligible to participate
- Able and willing to provide informed consent
- Able to read and understand English
Exclusion Criteria:
• Participants will not be excluded on any other basis
Sheffield Teaching Hospitals NHS Foundation Trust
Sheffield, United Kingdom
Sarah Danson, Professor, Study Director
Sheffield Teaching Hospitals NHS Foundation Trust