<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Franco Mascayano</style></author><author><style face="normal" font="default" size="100%">Els van der Ven</style></author><author><style face="normal" font="default" size="100%">Maria Francesca Moro</style></author><author><style face="normal" font="default" size="100%">Sara Schilling</style></author><author><style face="normal" font="default" size="100%">Sebastián Alarcón</style></author><author><style face="normal" font="default" size="100%">Josleen Al Barathie</style></author><author><style face="normal" font="default" size="100%">Lubna Alnasser</style></author><author><style face="normal" font="default" size="100%">Hiroki Asaoka</style></author><author><style face="normal" font="default" size="100%">Olatunde Ayinde</style></author><author><style face="normal" font="default" size="100%">Arin A. Balalian</style></author><author><style face="normal" font="default" size="100%">Armando Basagoitia</style></author><author><style face="normal" font="default" size="100%">Kirsty Brittain</style></author><author><style face="normal" font="default" size="100%">Bruce Dohrenwend</style></author><author><style face="normal" font="default" size="100%">Sol Durand-Arias</style></author><author><style face="normal" font="default" size="100%">Mehmet Eskin</style></author><author><style face="normal" font="default" size="100%">Eduardo Fernández-Jiménez</style></author><author><style face="normal" font="default" size="100%">Marcela Inés Freytes Frey</style></author><author><style face="normal" font="default" size="100%">Luis Giménez</style></author><author><style face="normal" font="default" size="100%">Lydia Gisle</style></author><author><style face="normal" font="default" size="100%">Hans W. Hoek</style></author><author><style face="normal" font="default" size="100%">Rodrigo Ezequiel Jaldo</style></author><author><style face="normal" font="default" size="100%">Jutta Lindert</style></author><author><style face="normal" font="default" size="100%">Humberto Maldonado</style></author><author><style face="normal" font="default" size="100%">Gonzalo Martínez-Alés</style></author><author><style face="normal" font="default" size="100%">Carmen Martínez-Viciana</style></author><author><style face="normal" font="default" size="100%">Roberto Mediavilla</style></author><author><style face="normal" font="default" size="100%">Clare McCormack</style></author><author><style face="normal" font="default" size="100%">Landon Myer</style></author><author><style face="normal" font="default" size="100%">Javier Narvaez</style></author><author><style face="normal" font="default" size="100%">Daisuke Nishi</style></author><author><style face="normal" font="default" size="100%">Uta Ouali</style></author><author><style face="normal" font="default" size="100%">Victor Puac-Polanco</style></author><author><style face="normal" font="default" size="100%">Jorge Ramírez</style></author><author><style face="normal" font="default" size="100%">Alexandra Restrepo-Henao</style></author><author><style face="normal" font="default" size="100%">Eliut Rivera-Segarra</style></author><author><style face="normal" font="default" size="100%">Ana M. Rodríguez</style></author><author><style face="normal" font="default" size="100%">Dahlia Saab</style></author><author><style face="normal" font="default" size="100%">Dominika Seblova</style></author><author><style face="normal" font="default" size="100%">Andrea Tenorio Correia da Silva</style></author><author><style face="normal" font="default" size="100%">Linda Valeri</style></author><author><style face="normal" font="default" size="100%">Rubén Alvarado</style></author><author><style face="normal" font="default" size="100%">Ezra Susser</style></author></authors><translated-authors><author><style face="normal" font="default" size="100%">the HEROES group</style></author></translated-authors></contributors><titles><title><style face="normal" font="default" size="100%">The impact of the COVID-19 pandemic on the mental health of healthcare workers: study protocol for the COVID-19 HEalth caRe wOrkErS (HEROES) study</style></title><secondary-title><style face="normal" font="default" size="100%">Social Psychiatry and Psychiatric Epidemiology</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2022</style></year><pub-dates><date><style  face="normal" font="default" size="100%">Oct-01-2023</style></date></pub-dates></dates><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Background Preliminary country-specific reports suggest that the COVID-19 pandemic has a negative impact on the mental health of the healthcare workforce. In this paper, we summarize the protocol of the COVID-19 HEalth caRe wOrkErS (HEROES) study, an ongoing, global initiative, aimed to describe and track longitudinal trajectories of mental health symptoms and disorders among health care workers at different phases of the pandemic across a wide range of countries in Latin America, Europe, Africa, Middle-East, and Asia.&lt;/p&gt;

&lt;p&gt;Methods Participants from various settings, including primary care clinics, hospitals, nursing homes, and mental health facilities, are being enrolled. In 26 countries, we are using a similar study design with harmonized measures to capture data on COVID-19 related exposures and variables of interest during two years of follow-up. Exposures include potential stressors related to working in healthcare during the COVID-19 pandemic, as well as sociodemographic and clinical factors. Primary outcomes of interest include mental health variables such as psychological distress, depressive symptoms, and posttraumatic stress disorders. Other domains of interest include potentially mediating or moderating influences such as workplace conditions, trust in the government, and the country’s income level.&lt;/p&gt;

&lt;p&gt;Results As of August 2021, ~ 34,000 health workers have been recruited. A general characterization of the recruited samples by sociodemographic and workplace variables is presented. Most participating countries have identified several health facilities where they can identify denominators and attain acceptable response rates. Of the 26 countries, 22 are collecting data and 2 plan to start shortly.&lt;/p&gt;

&lt;p&gt;Conclusions This is one of the most extensive global studies on the mental health of healthcare workers during the COVID-19 pandemic, including a variety of countries with diverse economic realities and different levels of severity of pandemic and management. Moreover, unlike most previous studies, we included workers (clinical and non-clinical staff) in a wide range of settings.&lt;/p&gt;
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