Development and Initial Psychometric Validation of the COVID-19 Pandemic Burden Index for Healthcare Workers

被引：1

作者：

Yamamoto, Ryohei ^{[1
]}

Yamazaki, Hajime ^{[2
]}

Kobara, Seibi ^{[3
]}

Iizuka, Hiromi ^{[4
]}

Hijikata, Yasukazu ^{[1
,2
]}

Miyashita, Jun ^{[5
]}

Kataoka, Yuki ^{[1
,2
,6
,7
]}

Yajima, Nobuyuki ^{[8
]}

Miyata, Toshio ^{[9
]}

Hamaguchi, Sugihiro ^{[10
]}

Wakita, Takafumi ^{[11
]}

Yamamoto, Yosuke ^{[1
]}

Fukuhara, Shunichi ^{[2
]}

机构：

[1] Kyoto Univ, Sch Publ Hlth, Dept Healthcare Epidemiol, Grad Sch Med, Kyoto, Japan

[2] Kyoto Univ, Grad Sch Med, Dept Community Med, Sect Clin Epidemiol, Kyoto, Japan

[3] Emory Univ, Rollins Sch Publ Hlth, Dept Epidemiol, Atlanta, GA USA

[4] Kameda Med Ctr, Postgrad Educ Ctr, Chiba, Japan

[5] Fukushima Med Univ, Dept Gen Med, Shirakawa Satellite Teaching & Res STAR, Fukushima, Japan

[6] Kyoto Min Iren Asukai Hosp, Dept Internal Med, Kyoto, Japan

[7] Systemat Review Workshop Peer Support Grp SRWS PS, Osaka, Japan

[8] Showa Univ, Dept Med, Div Rheumatol, Sch Med, Tokyo, Japan

[9] Waseda Univ, Fac Sci & Engn, Ctr Adv Biomed Sci, Tokyo, Japan

[10] Fukushima Med Univ, Dept Gen Internal Med, Fukushima, Japan

[11] Kansai Univ, Fac Sociol, Osaka, Japan

来源：

JOURNAL OF GENERAL INTERNAL MEDICINE | 2023年 / 38卷 / 05期

关键词：

COVID-19; pandemic; burden; health personnel; psychometrics; AGREEMENT;

D O I：

10.1007/s11606-023-08028-3

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

BackgroundThe burden of COVID-19 on healthcare workers (HCWs) is reported to be increasing, yet the psychometric scales now in use evaluate only single aspects; few measure the pandemic-specific burden on HCWs comprehensively.ObjectiveTo develop a scale to quantify the physical, mental, and socioeconomic burden of the COVID-19 pandemic on HCWs.DesignScale development and cross-sectional survey.ParticipantsConsenting HCWs aged >= 20.Main MeasuresDevelopment of an item-list based on literature reviews and HCW panel input, evaluation of content validity and item selection using the Delphi method, psychometric testing conducted on HCWs, validity assessment by factor analyses and hypothesis verification, internal consistency evaluation by Cronbach's alpha, test-retest analysis, and interpretability assessment.Key ResultsThrough the Delphi process, a 29-item pilot scale was generated. In psychometric testing, data from 863 HCWs contributed to the development of the final version of this scale, called Pandemic Burden Index twenty for HCWs (PBI-20), a 20-item scale to measure six domains: fatigue, fear of infection, inadequacy as a medical professional, mental health concerns, prejudice or discrimination, and anxiety about one's livelihood and daily life. Factor analysis showed each factor corresponded to the six domains of this scale. Hypothesis verification showed the PBI-20 total score to be moderately to highly correlated with the Short Form 36 vitality score and mental health score and with intention of turnover. The PBI-20 had good internal consistency (Cronbach's alpha 0.92). Test-retest analysis showed the intraclass correlation coefficient to be 0.70 and the minimal important change to be -7.0.ConclusionsThe psychometrically sound questionnaire we developed to measure pandemic-specific burdens for HCWs provides an understanding of comprehensive burdens on HCWs and may serve to evaluate interventions to reduce the burdens.

引用

页码：1239 / 1247

页数：9

共 49 条

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