HEalthCAre Workers' Health: a Transversal Evaluation

Overview

The research focuses on assessing the overall health of residents at the Cochin Port Royal hospital Group. * physical health * Mental health: detection of signs of anxiety, depression, eating disorders, substance abuse, etc. * Sexual health * Quality of medical care (dental, gynecological) * Knowledge of risk prevention, particularly infectious risks, in the workplace.

Detailed description

In the societal and medical crisis the investigators are currently facing, healthcare workers are a key element in maintaining public health institutions.

Nevertheless, their health has only been analyzed and managed from a fragmented or piecemeal perspective, despite the multiple dimensions of their health vulnerabilities: physical health, mental health, eating disorders, sedentary lifestyles, risk behaviours and so on.

The occupational health services at the Cochin Port Royal, Hôtel Dieu, Broca, Necker Enfants Malades, HEGP, Corentin Celton, and Robert Debré sites (AP-HP GH. Centre and GH. Nord) will implement a pilot program starting in November 2025 as part of their care. This program will consist of a systematic consultation assessment of each resident every six months for a period of one year. We hope to leverage this unique procedure to gain a more precise understanding of the health of residents at AP-HP.

The primary objective is to evaluate the overall health status of interns on seven sites of two GHU of the AP-HP attached to the University Paris Cité.

Secondary objective : Formalize the content of an occupational health visit adapted to this specific and vulnerable population.

Interventions

• Other Questionnaire on physical and mental health among healthcare professionnals
  Feedback on the results of the questionnaire and toolkit on resources with regard to healthy habits in the professional setting

Primary outcome measures

• Percentage of Residents [Time frame: Up to 12 months]

Secondary outcome measures (3)

• Number of residents [Time frame: Up to 12 months]
• Percentage of Residents [Time frame: Up to 12 months]
• Percentage of Residents [Time frame: Up to 12 months]

Eligibility criteria

Inclusion criteria

\- All residents from Cochin Port Royal, Hôtel Dieu, Broca, Necker Enfants malades, HEGP, Corentin Celton and Robert Debré

Exclusion criteria

• Objection to the pseudonymous collection of data
• Residents who have already undergone the evaluation once during the analysis period (case of residents completing two consecutive rotations at sites involved in the program).
• Residents on rotations between university hospitals
• Residents in the armed forces health contingent

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Observational model

Cohort

Study locations

France · 3 centers

• Service de pathologies professionnelles et environnementales - Hôtel-Dieu Hospital — Paris
• Service de Santé au travail - HEGP — Paris
• Service de Santé au travail - Robert Debré Hospital — Paris

Publications

• Bai X, Wan Z, Tang J, Zhang D, Shen K, Wu X, Qiao L, Zhou Y, Wang Y, Cheng W, Jiang W, Wang L, Tian X. The prevalence of burnout among pulmonologists or respiratory therapists pre- and post-COVID-19: a systematic review and meta-analysis. Ann Med. 2023 Dec;55(1):2234392. doi: 10.1080/07853890.2023.2234392. PMID 37459584
• Metse AP, Clinton-McHarg T, Skinner E, Yogaraj Y, Colyvas K, Bowman J. Associations between Suboptimal Sleep and Smoking, Poor Nutrition, Harmful Alcohol Consumption and Inadequate Physical Activity ('SNAP Risks'): A Comparison of People with and without a Mental Health Condition in an Australian Community Survey. Int J Environ Res Public Health. 2021 Jun 1;18(11):5946. doi: 10.3390/ijerph18115946 PMID 34206135
• Ghotbi N, Pilz LK, Winnebeck EC, Vetter C, Zerbini G, Lenssen D, Frighetto G, Salamanca M, Costa R, Montagnese S, Roenneberg T. The microMCTQ: An Ultra-Short Version of the Munich ChronoType Questionnaire. J Biol Rhythms. 2020 Feb;35(1):98-110. doi: 10.1177/0748730419886986. Epub 2019 Dec 3. PMID 31791166
• Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, Oja P. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003 Aug;35(8):1381-95. doi: 10.1249/01.MSS.0000078924.61453.FB. PMID 12900694
• Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006 May 22;166(10):1092-7. doi: 10.1001/archinte.166.10.1092. PMID 16717171
• BECK AT, WARD CH, MENDELSON M, MOCK J, ERBAUGH J. An inventory for measuring depression. Arch Gen Psychiatry. 1961 Jun;4:561-71. doi: 10.1001/archpsyc.1961.01710120031004. No abstract available. PMID 13688369
• Garner DM, Olmsted MP, Bohr Y, Garfinkel PE. The eating attitudes test: psychometric features and clinical correlates. Psychol Med. 1982 Nov;12(4):871-8. doi: 10.1017/s0033291700049163. PMID 6961471
• Chaltiel D, Adjibade M, Deschamps V, Touvier M, Hercberg S, Julia C, Kesse-Guyot E. Programme National Nutrition Sante - guidelines score 2 (PNNS-GS2): development and validation of a diet quality score reflecting the 2017 French dietary guidelines. Br J Nutr. 2019 Aug 14;122(3):331-342. doi: 10.1017/S0007114519001181. Epub 2019 Jul 25. PMID 31342885

Identifiers

NCT: NCT06588621 · APHP240415 · 2024-A00383-44

Primary sources (government registries)

• ClinicalTrials.gov (US NIH)

View this study on ClinicalTrials.gov ↗