Association between well-being and compliance with COVID-19 preventive measures by healthcare professionals: A cross-sectional study

Shimoni Urvish Shah; Evelyn Xiu Ling Loo; Chun En Chua; Guan Sen Kew; Alla Demutska; Sabrina Quek; Scott Wong; Hui Xing Lau; En Xian Sarah Low; Tze Liang Loh; Ooi Shien Lung; Emily C.W. Hung; M. Masudur Rahman; Uday C. Ghoshal; Sunny H. Wong; Cynthia K.Y. Cheung; Ari F. Syam; Niandi Tan; Yinglian Xiao; Jin Song Liu; Fang Lu; Chien Lin Chen; Yeong Yeh Lee; Ruter M. Maralit; Yong Sung Kim; Tadayuki Oshima; Hiroto Miwa; Kewin Tien Ho Siah; Junxiong Pang

doi:10.1371/journal.pone.0252835

Association between well-being and compliance with COVID-19 preventive measures by healthcare professionals: A cross-sectional study

Shimoni Urvish Shah, Evelyn Xiu Ling Loo, Chun En Chua, Guan Sen Kew, Alla Demutska, Sabrina Quek, Scott Wong, Hui Xing Lau, En Xian Sarah Low, Tze Liang Loh, Ooi Shien Lung, Emily C.W. Hung, M. Masudur Rahman, Uday C. Ghoshal, Sunny H. Wong, Cynthia K.Y. Cheung, Ari F. Syam, Niandi Tan, Yinglian Xiao, Jin Song LiuFang Lu, Chien Lin Chen, Yeong Yeh Lee, Ruter M. Maralit, Yong Sung Kim, Tadayuki Oshima, Hiroto Miwa, Kewin Tien Ho Siah, Junxiong Pang

Department of Internal Medicine

Research output: Contribution to journal › Article › peer-review

11 Citations (Scopus)

Abstract

Importance: Knowledge and attitude influence compliance and individuals' practices. The risk and protective factors associated with high compliance to these preventive measures are critical to enhancing pandemic preparedness. Objective: This survey aims to assess differences in mental health, knowledge, attitudes, and practices (KAP) of preventive measures for COVID-19 amongst healthcare professionals (HCP) and non-healthcare professionals. Design: Multi-national cross-sectional study was carried out using electronic surveys between May-June 2020. Setting: Multi-national survey was distributed across 36 countries through social media, word-ofmouth, and electronic mail. Participants: Participants ≥21 years working in healthcare and non-healthcare related professions. Main outcome: Risk factors determining the difference in KAP towards personal hygiene and social distancing measures during COVID-19 amongst HCP and non-HCP. Results: HCP were significantly more knowledgeable on personal hygiene (AdjOR 1.45, 95% CI -1.14 to 1.83) and social distancing (AdjOR 1.31, 95% CI -1.06 to 1.61) compared to non- HCP. They were more likely to have a positive attitude towards personal hygiene and 1.5 times more willing to participate in the contact tracing app. There was high compliance towards personal hygiene and social distancing measures amongst HCP. HCP with high compliance were 1.8 times more likely to flourish and more likely to have a high sense of emotional (AdjOR 1.94, 95% CI (1.44 to 2.61), social (AdjOR 2.07, 95% CI -1.55 to 2.78), and psychological (AdjOR 2.13, 95% CI (1.59-2.85) well-being. Conclusion and relevance: While healthcare professionals were more knowledgeable, had more positive attitudes, their higher sense of total well-being was seen to be more critical to enhance compliance. Therefore, focusing on the well-being of the general population would help to enhance their compliance towards the preventive measures for COVID-19.

Original language	English
Article number	e0252835
Journal	PloS one
Volume	16
Issue number	6 June
DOIs	https://doi.org/10.1371/journal.pone.0252835
Publication status	Published - Jun 2021

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1371/journal.pone.0252835

Cite this

Shah, S. U., Loo, E. X. L., Chua, C. E., Kew, G. S., Demutska, A., Quek, S., Wong, S., Lau, H. X., Low, E. X. S., Loh, T. L., Lung, O. S., Hung, E. C. W., Rahman, M. M., Ghoshal, U. C., Wong, S. H., Cheung, C. K. Y., Syam, A. F., Tan, N., Xiao, Y., ... Pang, J. (2021). Association between well-being and compliance with COVID-19 preventive measures by healthcare professionals: A cross-sectional study. PloS one, 16(6 June), Article e0252835. https://doi.org/10.1371/journal.pone.0252835

@article{9a3c78afc8834f16ad2a3c2131f02e5a,

title = "Association between well-being and compliance with COVID-19 preventive measures by healthcare professionals: A cross-sectional study",

abstract = "Importance: Knowledge and attitude influence compliance and individuals' practices. The risk and protective factors associated with high compliance to these preventive measures are critical to enhancing pandemic preparedness. Objective: This survey aims to assess differences in mental health, knowledge, attitudes, and practices (KAP) of preventive measures for COVID-19 amongst healthcare professionals (HCP) and non-healthcare professionals. Design: Multi-national cross-sectional study was carried out using electronic surveys between May-June 2020. Setting: Multi-national survey was distributed across 36 countries through social media, word-ofmouth, and electronic mail. Participants: Participants ≥21 years working in healthcare and non-healthcare related professions. Main outcome: Risk factors determining the difference in KAP towards personal hygiene and social distancing measures during COVID-19 amongst HCP and non-HCP. Results: HCP were significantly more knowledgeable on personal hygiene (AdjOR 1.45, 95% CI -1.14 to 1.83) and social distancing (AdjOR 1.31, 95% CI -1.06 to 1.61) compared to non- HCP. They were more likely to have a positive attitude towards personal hygiene and 1.5 times more willing to participate in the contact tracing app. There was high compliance towards personal hygiene and social distancing measures amongst HCP. HCP with high compliance were 1.8 times more likely to flourish and more likely to have a high sense of emotional (AdjOR 1.94, 95% CI (1.44 to 2.61), social (AdjOR 2.07, 95% CI -1.55 to 2.78), and psychological (AdjOR 2.13, 95% CI (1.59-2.85) well-being. Conclusion and relevance: While healthcare professionals were more knowledgeable, had more positive attitudes, their higher sense of total well-being was seen to be more critical to enhance compliance. Therefore, focusing on the well-being of the general population would help to enhance their compliance towards the preventive measures for COVID-19.",

author = "Shah, {Shimoni Urvish} and Loo, {Evelyn Xiu Ling} and Chua, {Chun En} and Kew, {Guan Sen} and Alla Demutska and Sabrina Quek and Scott Wong and Lau, {Hui Xing} and Low, {En Xian Sarah} and Loh, {Tze Liang} and Lung, {Ooi Shien} and Hung, {Emily C.W.} and Rahman, {M. Masudur} and Ghoshal, {Uday C.} and Wong, {Sunny H.} and Cheung, {Cynthia K.Y.} and Syam, {Ari F.} and Niandi Tan and Yinglian Xiao and Liu, {Jin Song} and Fang Lu and Chen, {Chien Lin} and Lee, {Yeong Yeh} and Maralit, {Ruter M.} and Kim, {Yong Sung} and Tadayuki Oshima and Hiroto Miwa and Siah, {Kewin Tien Ho} and Junxiong Pang",

note = "Funding Information: JP - 1) NUS COVID-19 RESEARCH SEED FUNDING (NUSCOVID19RG-43) 2) Lloyd's Register Foundation Institute for the Public Understanding of Risk (IPUR-FY2020-RES-02-PANG) The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Publisher Copyright: {\textcopyright} 2021 Shah et al.",

year = "2021",

month = jun,

doi = "10.1371/journal.pone.0252835",

language = "English",

volume = "16",

journal = "PloS one",

issn = "1932-6203",

publisher = "Public Library of Science",

number = "6 June",

}

Shah, SU, Loo, EXL, Chua, CE, Kew, GS, Demutska, A, Quek, S, Wong, S, Lau, HX, Low, EXS, Loh, TL, Lung, OS, Hung, ECW, Rahman, MM, Ghoshal, UC, Wong, SH, Cheung, CKY, Syam, AF, Tan, N, Xiao, Y, Liu, JS, Lu, F, Chen, CL, Lee, YY, Maralit, RM, Kim, YS, Oshima, T, Miwa, H, Siah, KTH & Pang, J 2021, 'Association between well-being and compliance with COVID-19 preventive measures by healthcare professionals: A cross-sectional study', PloS one, vol. 16, no. 6 June, e0252835. https://doi.org/10.1371/journal.pone.0252835

TY - JOUR

T1 - Association between well-being and compliance with COVID-19 preventive measures by healthcare professionals

T2 - A cross-sectional study

AU - Shah, Shimoni Urvish

AU - Loo, Evelyn Xiu Ling

AU - Chua, Chun En

AU - Kew, Guan Sen

AU - Demutska, Alla

AU - Quek, Sabrina

AU - Wong, Scott

AU - Lau, Hui Xing

AU - Low, En Xian Sarah

AU - Loh, Tze Liang

AU - Lung, Ooi Shien

AU - Hung, Emily C.W.

AU - Rahman, M. Masudur

AU - Ghoshal, Uday C.

AU - Wong, Sunny H.

AU - Cheung, Cynthia K.Y.

AU - Syam, Ari F.

AU - Tan, Niandi

AU - Xiao, Yinglian

AU - Liu, Jin Song

AU - Lu, Fang

AU - Chen, Chien Lin

AU - Lee, Yeong Yeh

AU - Maralit, Ruter M.

AU - Kim, Yong Sung

AU - Oshima, Tadayuki

AU - Miwa, Hiroto

AU - Siah, Kewin Tien Ho

AU - Pang, Junxiong

N1 - Funding Information: JP - 1) NUS COVID-19 RESEARCH SEED FUNDING (NUSCOVID19RG-43) 2) Lloyd's Register Foundation Institute for the Public Understanding of Risk (IPUR-FY2020-RES-02-PANG) The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Publisher Copyright: © 2021 Shah et al.

PY - 2021/6

Y1 - 2021/6

N2 - Importance: Knowledge and attitude influence compliance and individuals' practices. The risk and protective factors associated with high compliance to these preventive measures are critical to enhancing pandemic preparedness. Objective: This survey aims to assess differences in mental health, knowledge, attitudes, and practices (KAP) of preventive measures for COVID-19 amongst healthcare professionals (HCP) and non-healthcare professionals. Design: Multi-national cross-sectional study was carried out using electronic surveys between May-June 2020. Setting: Multi-national survey was distributed across 36 countries through social media, word-ofmouth, and electronic mail. Participants: Participants ≥21 years working in healthcare and non-healthcare related professions. Main outcome: Risk factors determining the difference in KAP towards personal hygiene and social distancing measures during COVID-19 amongst HCP and non-HCP. Results: HCP were significantly more knowledgeable on personal hygiene (AdjOR 1.45, 95% CI -1.14 to 1.83) and social distancing (AdjOR 1.31, 95% CI -1.06 to 1.61) compared to non- HCP. They were more likely to have a positive attitude towards personal hygiene and 1.5 times more willing to participate in the contact tracing app. There was high compliance towards personal hygiene and social distancing measures amongst HCP. HCP with high compliance were 1.8 times more likely to flourish and more likely to have a high sense of emotional (AdjOR 1.94, 95% CI (1.44 to 2.61), social (AdjOR 2.07, 95% CI -1.55 to 2.78), and psychological (AdjOR 2.13, 95% CI (1.59-2.85) well-being. Conclusion and relevance: While healthcare professionals were more knowledgeable, had more positive attitudes, their higher sense of total well-being was seen to be more critical to enhance compliance. Therefore, focusing on the well-being of the general population would help to enhance their compliance towards the preventive measures for COVID-19.

AB - Importance: Knowledge and attitude influence compliance and individuals' practices. The risk and protective factors associated with high compliance to these preventive measures are critical to enhancing pandemic preparedness. Objective: This survey aims to assess differences in mental health, knowledge, attitudes, and practices (KAP) of preventive measures for COVID-19 amongst healthcare professionals (HCP) and non-healthcare professionals. Design: Multi-national cross-sectional study was carried out using electronic surveys between May-June 2020. Setting: Multi-national survey was distributed across 36 countries through social media, word-ofmouth, and electronic mail. Participants: Participants ≥21 years working in healthcare and non-healthcare related professions. Main outcome: Risk factors determining the difference in KAP towards personal hygiene and social distancing measures during COVID-19 amongst HCP and non-HCP. Results: HCP were significantly more knowledgeable on personal hygiene (AdjOR 1.45, 95% CI -1.14 to 1.83) and social distancing (AdjOR 1.31, 95% CI -1.06 to 1.61) compared to non- HCP. They were more likely to have a positive attitude towards personal hygiene and 1.5 times more willing to participate in the contact tracing app. There was high compliance towards personal hygiene and social distancing measures amongst HCP. HCP with high compliance were 1.8 times more likely to flourish and more likely to have a high sense of emotional (AdjOR 1.94, 95% CI (1.44 to 2.61), social (AdjOR 2.07, 95% CI -1.55 to 2.78), and psychological (AdjOR 2.13, 95% CI (1.59-2.85) well-being. Conclusion and relevance: While healthcare professionals were more knowledgeable, had more positive attitudes, their higher sense of total well-being was seen to be more critical to enhance compliance. Therefore, focusing on the well-being of the general population would help to enhance their compliance towards the preventive measures for COVID-19.

UR - http://www.scopus.com/inward/record.url?scp=85107420930&partnerID=8YFLogxK

U2 - 10.1371/journal.pone.0252835

DO - 10.1371/journal.pone.0252835

M3 - Article

C2 - 34097719

AN - SCOPUS:85107420930

SN - 1932-6203

VL - 16

JO - PloS one

JF - PloS one

IS - 6 June

M1 - e0252835

ER -

Association between well-being and compliance with COVID-19 preventive measures by healthcare professionals: A cross-sectional study

Abstract

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this