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Psycho-traumatic Consequences of the COVID-19 Health Crisis Among Professionals in Emergency Services (COVER PRO LT)

26 januari 2022 bijgewerkt door: Elisa Letellier, Hospices Civils de Lyon

Psycho-traumatic Consequences of the COVID-19 Health Crisis Among Professionals in Emergency Services and SAMU: Multicenter Cohort Study (COVid in EmeRgency PROfessionnals Long Term)

The COVID-19 outbreak has been categorized as a pandemic and declared an international public health emergency by WHO. In this context, an exceptional mobilization and a complete reorganization of the organization of the healthcare offer was put in place.The investigators will study the psychological consequences among emergency department (ED) / SAMU (Service d'Aide Médicale Urgente) professionals exposed during the COVID-19 pandemic to high psychological stress due to work overload, changes in practices and fears of contamination.They will evaluate at 9 and 12 months after the end of the second lockdown (July December 2020), post-traumatic stress disorder (PTSD), personal and professional stress, anxiety and depression, burn-out and consumption of anxiolytic products. This is a multi-center study and includes doctors, DE interns and nurses, other paramedics and medical regulatory assistants working in one of the ED or SAMU working during phase 3 of the COVID-19 pandemic. It should make it possible to know the psychological load of the months following the epidemic among health professionals who worked in emergencies during this period and to understand their risk of occurrence of PTSD. These elements are also essential to improve the management of health crises and to put in place preventive measures for health professionals, in particular in anticipation of recurrences, second wave or future new episode.

Studie Overzicht

Toestand

Voltooid

Conditie

Interventie / Behandeling

Studietype

Ingrijpend

Inschrijving (Werkelijk)

71

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

  • Frankrijk
      • Pierre-Bénite, Frankrijk, 69310
        • Service d'Accueil des Urgences

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

18 jaar en ouder (Volwassen, Oudere volwassene)

Accepteert gezonde vrijwilligers

Nee

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

Inclusion Criteria:

  • Adults
  • Administrative and technical medical staff of the Hospices Civils de Lyon
  • Contractual or holder
  • Having participated in the COVER PRO study
  • Working in one of the HCL phase 3 departments of the COVID-19 pandemic.
  • Affiliated with a social security system
  • Having signed an informed consent

Exclusion Criteria:

  • Refusal to participate
  • Major under legal protection

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Onderzoek naar gezondheidsdiensten
  • Toewijzing: NVT
  • Interventioneel model: Opdracht voor een enkele groep
  • Masker: Geen (open label)

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Ander: Follow-up
Ander: PTSD evaluation of emergency room staff 9 and 12 months after the end of second lockdown in France during COvid-19 pandemic
PCL-5 autoquestionnaire to make the PTSD diagnosis

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Existence of a Post Traumatic Stress Disorder (PTSD) at 12 months using PTSD Scale
Tijdsspanne: 12 months after the end of the second Lockdown (December 2020)
: Existence of a PTSD after the end of the second lockdown using the PCL-5 scale (Post Traumatic Stress Disorder Checklist, 20 items, self-questionnaire) validated in French for PTSD screening. The presence of a "probable PTSD" will be defined by a cut-off score of 31/80 and at least a positive response to one of the four questions asking if the symptoms were causing difficulties in relations with family, friends, work or in daily life
12 months after the end of the second Lockdown (December 2020)

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Existence of a Post Ttraumatic Stress Disorder (PTSD) 9 months using PTSD Scale
Tijdsspanne: 9months after the end of the second Lockdown (December 2020)
Existence of a PTSD after the end of the second lockdown using the PCL-5 scale (Post Traumatic Stress Disorder Checklist, 20 items, self-questionnaire) validated in French for PTSD screening. The presence of a "probable PTSD" will be defined by a cut-off score of 31/80 and at least a positive response to one of the four questions asking if the symptoms were causing difficulties in relations with family, friends, work or in daily life
9months after the end of the second Lockdown (December 2020)
Anxiety evaluation at 12 months using HAD scale
Tijdsspanne: 12months after the end of the second Lockdown (December 2020)
Existence of anxious symptomatology assessed by the HAD scale. 14 items, cut-off score: 8 suspected disorder, 11: proven disorder
12months after the end of the second Lockdown (December 2020)
Anxiety evaluation at 9 months using HAD scale
Tijdsspanne: 9months after the end of the second Lockdown (December 2020)
Existence of anxious symptomatology assessed by the HAD scale. 14 items, cut-off score: 8 suspected disorder, 11: proven disorder
9months after the end of the second Lockdown (December 2020)
Depression evaluation at 12 months using HAD scale
Tijdsspanne: 12months after the end of the second Lockdown (December 2020)
Existence of depression symptomatology assessed by the HAD scale. 14 items, cut-off score: 8 suspected disorder, 11: proven disorder
12months after the end of the second Lockdown (December 2020)
Depression evaluation at 9 months using HAD scale
Tijdsspanne: 9months after the end of the second Lockdown (December 2020)
Existence of depression symptomatology assessed by the HAD scale. 14 items, cut-off score: 8 suspected disorder, 11: proven disorder
9months after the end of the second Lockdown (December 2020)
Presence of a Burn out at 12 months using the Maslach Burnot Inventory (MBI) scale
Tijdsspanne: 12months after the end of the second Lockdown (December 2020)
Burnout characterized by the Maslach burnout inventory scale. All MBI items are scored using a 7 level frequency ratings from "never" to "daily." The MBI has three component scales: emotional exhaustion (9 items), depersonalization (5 items) and personal achievement (8 items). Each scale measures its own unique dimension of burnout.
12months after the end of the second Lockdown (December 2020)
Presence of a Burn out at 9 months using the MBI scale
Tijdsspanne: 9months after the end of the second Lockdown (December 2020)
Burnout characterized by the Maslach burnout inventory scale. All MBI items are scored using a 7 level frequency ratings from "never" to "daily." The MBI has three component scales: emotional exhaustion (9 items), depersonalization (5 items) and personal achievement (8 items). Each scale measures its own unique dimension of burnout.
9months after the end of the second Lockdown (December 2020)
Work-related stress measured using Karasek questionnaire at 12 months
Tijdsspanne: 12months after the end of the second Lockdown (December 2020)
Work-related stress measured using Karasek questionnaire at 12 months
12months after the end of the second Lockdown (December 2020)
Work-related stress measured using Karasek questionnaire at 9 months
Tijdsspanne: 9months after the end of the second Lockdown (December 2020)
Work-related stress measured using Karasek questionnaire at 9 months
9months after the end of the second Lockdown (December 2020)
Consumption of psychoactive substances at 12 months
Tijdsspanne: 12months after the end of the second Lockdown (December 2020)
Change in the consumption of psychoactive substances at 12 months
12months after the end of the second Lockdown (December 2020)
Percentage of patients with psychological Support at 12 months
Tijdsspanne: 12months after the end of the second Lockdown (December 2020)
Percentage of patients who benefit from a psychological support at 12 months
12months after the end of the second Lockdown (December 2020)
Mean number of days of sick leave at 12 months
Tijdsspanne: 12months after the end of the second Lockdown (December 2020)
Mean number of days of sick leave at 12 months
12months after the end of the second Lockdown (December 2020)

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

Hospices Civils de Lyon

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

12 oktober 2021

Primaire voltooiing (Werkelijk)

16 januari 2022

Studie voltooiing (Werkelijk)

16 januari 2022

Studieregistratiedata

Eerst ingediend

1 september 2021

Eerst ingediend dat voldeed aan de QC-criteria

1 september 2021

Eerst geplaatst (Werkelijk)

2 september 2021

Updates van studierecords

Laatste update geplaatst (Werkelijk)

27 januari 2022

Laatste update ingediend die voldeed aan QC-criteria

26 januari 2022

Laatst geverifieerd

1 januari 2022

Meer informatie

Termen gerelateerd aan deze studie

Trefwoorden

Aanvullende relevante MeSH-voorwaarden

Andere studie-ID-nummers

  • 69HCL21_0311

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

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