Introduction We investigated the impact of the Biopsychosocial challenges associated with the COV... more Introduction We investigated the impact of the Biopsychosocial challenges associated with the COVID-19 Pandemic on the Healthcare Workforce, exploring the impact on and relationship between Healthcare Workers’ Mindset, Resilience and Burnout. Method An electronic survey was distributed to Healthcare Workers through Professional Associations' websites and social media. The survey contained demographic questions, a Burnout Inventory, a General Resilience scale, a scale to assess for Resilience during the Pandemic, as well as an Adapted Dweck Mindset instrument to measure Mindset as related to Workplace Environment and Resilience. Univariate and multivariate analysis was undertaken to examine the relationship between these factors. Results 1,370 healthcare workers completed the questionnaire. 58.5%, 25.4%, 28.5% reported having Burnout, Low General Resilience and Low COVID Resilience, respectively. Burnout was significantly associated with Fixed Mindset, Low General Resilience and ...
Neuropsychology as a discipline has not taken root in low- and middle-income countries. Most neur... more Neuropsychology as a discipline has not taken root in low- and middle-income countries. Most neurocognitive tests used in these countries were developed and normed in high-income, mostly western countries. The psychometric robustness of these tests is often weak when they are used on low to middle-income clinical populations. The objectives of this study were to select, adapt and generate normative data for a suitable neurocognitive screen for use in Zimbabwe. To achieve these objectives, we divided the study into 4 phases. In Phase 1 of the study, we did a systematic review that identified 83 neurocognitive assessment instruments commonly used in low- and middle-income countries on patients who have suffered a stroke. From these instruments, we selected, adapted and normed the Birmingham Cognitive Screen (BCoS; Humphreys al., 2012) through phases 2 to 4 of this study. The screen offers a robust and sufficiently broad but shallow assessment tool for cognitive deficits across key cog...
Additional file 3. Variance explained by the model. Table denotes the variance accounted by the v... more Additional file 3. Variance explained by the model. Table denotes the variance accounted by the variables and the total model expressing the relationship between contextual factors, levels of social support and health-related quality of life.
Additional file 2. Frequencies of responses on the EQ-5D, N = 332. Table denotes frequencies of r... more Additional file 2. Frequencies of responses on the EQ-5D, N = 332. Table denotes frequencies of responses on the EQ-5D, a generic health-related quality of life measure. Respondents indicate whether they had problems in with self-care, usual activities, mobility, pain/discomfort and anxiety/depression on a three-adjunct scale. Responses are rated as "no problem", "some problem" and "extreme problem".
Additional file 1. Frequencies of responses on the MSPSS, N = 332. Table denotes frequencies of r... more Additional file 1. Frequencies of responses on the MSPSS, N = 332. Table denotes frequencies of responses on the MSPSS, a 12-item social support outcome measure. Responses are rated on a five-point Likert scale, ranging from strongly disagree = 1 to strongly agree = 5.
Additional file 2. Frequencies of responses on the SSQ, N = 71. Table denotes frequencies of resp... more Additional file 2. Frequencies of responses on the SSQ, N = 71. Table denotes frequencies of responses on the SSQ, a 14-item, binary common mental disorders (CMDs) screen. Respondents indicate if they had experienced any of the enlisted symptoms in the last seven days. A yes response is scored as "one" and no as "zero", a score ≥ 8 is indicative of risk of CMDs.
Additional file 1. Frequencies of responses on the MSPSS, N = 71. Table denotes frequencies of re... more Additional file 1. Frequencies of responses on the MSPSS, N = 71. Table denotes frequencies of responses on the MSPSS, a 12-item social support outcome measure. Responses are rated on a five-point Likert scale, ranging from "strongly disagree = 1" to "strongly agree = 5".
Commitment to building mental health treatment capacity in Africa is increasing but little agreem... more Commitment to building mental health treatment capacity in Africa is increasing but little agreement exists on strategies to train health workers on mental health or evaluation of training efforts. We systematically reviewed published literature on interventions to train health-care workers in Africa on mental health. 37 studies met our inclusion criteria. Training outcomes focused on changes in knowledge and attitude, with few studies evaluating skill and practice and only two studies measuring clinical outcomes. Quality of study methodology was generally not high, with scarce follow-up data and use of control cohorts. Existing studies provide examples of many training and evaluation strategies, but evidence to draw conclusions about the efficacy of different training techniques is inadequate. Key knowledge gaps include development and testing of innovative educational strategies; development of standardised, competency-based learning objectives and outcome measures; and training t...
Introduction We investigated the impact of the Biopsychosocial challenges associated with the COV... more Introduction We investigated the impact of the Biopsychosocial challenges associated with the COVID-19 Pandemic on the Healthcare Workforce, exploring the impact on and relationship between Healthcare Workers’ Mindset, Resilience and Burnout. Method An electronic survey was distributed to Healthcare Workers through Professional Associations' websites and social media. The survey contained demographic questions, a Burnout Inventory, a General Resilience scale, a scale to assess for Resilience during the Pandemic, as well as an Adapted Dweck Mindset instrument to measure Mindset as related to Workplace Environment and Resilience. Univariate and multivariate analysis was undertaken to examine the relationship between these factors. Results 1,370 healthcare workers completed the questionnaire. 58.5%, 25.4%, 28.5% reported having Burnout, Low General Resilience and Low COVID Resilience, respectively. Burnout was significantly associated with Fixed Mindset, Low General Resilience and ...
Neuropsychology as a discipline has not taken root in low- and middle-income countries. Most neur... more Neuropsychology as a discipline has not taken root in low- and middle-income countries. Most neurocognitive tests used in these countries were developed and normed in high-income, mostly western countries. The psychometric robustness of these tests is often weak when they are used on low to middle-income clinical populations. The objectives of this study were to select, adapt and generate normative data for a suitable neurocognitive screen for use in Zimbabwe. To achieve these objectives, we divided the study into 4 phases. In Phase 1 of the study, we did a systematic review that identified 83 neurocognitive assessment instruments commonly used in low- and middle-income countries on patients who have suffered a stroke. From these instruments, we selected, adapted and normed the Birmingham Cognitive Screen (BCoS; Humphreys al., 2012) through phases 2 to 4 of this study. The screen offers a robust and sufficiently broad but shallow assessment tool for cognitive deficits across key cog...
Additional file 3. Variance explained by the model. Table denotes the variance accounted by the v... more Additional file 3. Variance explained by the model. Table denotes the variance accounted by the variables and the total model expressing the relationship between contextual factors, levels of social support and health-related quality of life.
Additional file 2. Frequencies of responses on the EQ-5D, N = 332. Table denotes frequencies of r... more Additional file 2. Frequencies of responses on the EQ-5D, N = 332. Table denotes frequencies of responses on the EQ-5D, a generic health-related quality of life measure. Respondents indicate whether they had problems in with self-care, usual activities, mobility, pain/discomfort and anxiety/depression on a three-adjunct scale. Responses are rated as "no problem", "some problem" and "extreme problem".
Additional file 1. Frequencies of responses on the MSPSS, N = 332. Table denotes frequencies of r... more Additional file 1. Frequencies of responses on the MSPSS, N = 332. Table denotes frequencies of responses on the MSPSS, a 12-item social support outcome measure. Responses are rated on a five-point Likert scale, ranging from strongly disagree = 1 to strongly agree = 5.
Additional file 2. Frequencies of responses on the SSQ, N = 71. Table denotes frequencies of resp... more Additional file 2. Frequencies of responses on the SSQ, N = 71. Table denotes frequencies of responses on the SSQ, a 14-item, binary common mental disorders (CMDs) screen. Respondents indicate if they had experienced any of the enlisted symptoms in the last seven days. A yes response is scored as "one" and no as "zero", a score ≥ 8 is indicative of risk of CMDs.
Additional file 1. Frequencies of responses on the MSPSS, N = 71. Table denotes frequencies of re... more Additional file 1. Frequencies of responses on the MSPSS, N = 71. Table denotes frequencies of responses on the MSPSS, a 12-item social support outcome measure. Responses are rated on a five-point Likert scale, ranging from "strongly disagree = 1" to "strongly agree = 5".
Commitment to building mental health treatment capacity in Africa is increasing but little agreem... more Commitment to building mental health treatment capacity in Africa is increasing but little agreement exists on strategies to train health workers on mental health or evaluation of training efforts. We systematically reviewed published literature on interventions to train health-care workers in Africa on mental health. 37 studies met our inclusion criteria. Training outcomes focused on changes in knowledge and attitude, with few studies evaluating skill and practice and only two studies measuring clinical outcomes. Quality of study methodology was generally not high, with scarce follow-up data and use of control cohorts. Existing studies provide examples of many training and evaluation strategies, but evidence to draw conclusions about the efficacy of different training techniques is inadequate. Key knowledge gaps include development and testing of innovative educational strategies; development of standardised, competency-based learning objectives and outcome measures; and training t...
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