Swiss Cohort of Health Professionals and Informal Caregivers

Study Overview
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Brief Summary
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The healthcare system is continuously evolving to adapt to the population's needs, both in terms of healthcare practices, and in financial and organizational aspects. The current COVID-19 pandemic has added additional pressure to the healthcare system and shown its limits in terms of preparedness. It has also shown once again that both healthcare professionals (HCPs) and informal caregivers (ICs) play a central role for the functioning of the healthcare system. An increasing number of studies are alerting on HCPs' situation, regarding their physical and mental health (e.g. emotional exhaustion, professional well-being) on the one hand, and the functioning of the healthcare system (e.g. absenteeism, turnover, career change) on the other hand. Besides healthcare professionals, ICs, defined as individuals providing non-professional care on a regular basis to people in need of care, play an important role in fulfilling the daily needs of the most vulnerable individuals. While doing the latter, caring for others has shown to have negative impact on the ICs' life, in terms of health-related implications, psychological burden, quality of life, etc. Despite being increasingly recognized as having a key role in the provision of care, they have only been limitedly considered in studies on healthcare professionals. In that context, the investigators develop SCOHPICA project, the Swiss cohort of healthcare professionals and informal caregivers, which is an open prospective national cohort using a concurrent embedded mixed method design. This project targets all types of HCPs and ICs, and will investigate determinants of intent to stay and well-being according to participants' trajectories. As the ICs' study launch is planned in 2024, in depth details of this part of the project will be added to the registration once this part of the study will be definitely planned.

Official Title
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Swiss Cohort of Health Professionals and Informal Caregivers - SCOHPICA

Conditions
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Healthcare Professional, Informal Caregiver

Intervention / Treatment
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* Other: Electronic surveys
* Other: Qualitative Interviews


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria (HCPs): Working as HCP, in any profession Taking care of patients currently and actively Working in any health work setting Working as an independent or a salaried Working in Switzerland Exclusion Criteria (HCPs): Being retired at baseline Unable to read or speak in one of the national languages: German, French, Italian Inclusion and exclusion criteria for ICs will be defined later on.
Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Healthcare professionals<br>All type of healthcare professionals (HCPs), working in a variety of settings and across Switzerland | Other: Electronic surveys<br>* Online questionnaires will be used to collect data, at recruitment and follow-up once a year<br>Other: Qualitative Interviews<br>* Remote focus groups or semi-structured interviews will be proposed to a subsample of the participants, first the year after recruitment and then every two years<br>|
| Informal caregivers<br>All type of informal caregivers (ICs), assisting a person for health reasons across Switzerland | Other: Electronic surveys<br>* Online questionnaires will be used to collect data, at recruitment and follow-up once a year<br>Other: Qualitative Interviews<br>* Remote focus groups or semi-structured interviews will be proposed to a subsample of the participants, first the year after recruitment and then every two years<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Professional trajectories (HCPs), constructed from socio-professional variables [1] | Professional trajectories will be formulated based on socio-professional information (current and past occupation, education, work setting, career continuity, part-time contracts). Clustering procedures will be used to group healthcare professionals with similar trajectories, building thus a typology of professional trajectories in the Swiss health workforce. | At baseline | 
| Professional trajectories (HCPs), constructed from socio-professional variables [2] | Follow-up data will be used to complement the professional trajectories constructed on baseline socio-professional information. Changes in the variables which form the trajectories will be assessed and new typologies will be derived from the enhanced trajectories. | 1 year after the baseline | 
| Professional trajectories (HCPs), constructed from socio-professional variables [3] | Follow-up data will be used to complement the professional trajectories constructed on baseline socio-professional information. Changes in the variables which form the trajectories will be assessed and new typologies will be derived from the enhanced trajectories. | 2 years after the baseline | 
| Professional trajectories (HCPs), constructed from socio-professional variables [4] | Follow-up data will be used to complement the professional trajectories constructed on baseline socio-professional information. Changes in the variables which form the trajectories will be assessed and new typologies will be derived from the enhanced trajectories. | 3 years after the baseline | 
| Professional trajectories (HCPs), constructed from socio-professional variables [5] | Follow-up data will be used to complement the professional trajectories constructed on baseline socio-professional information. Changes in the variables which form the trajectories will be assessed and new typologies will be derived from the enhanced trajectories. | 4 years after the baseline | 
| Intention to stay in the profession/position (HCPs) [1] | Assessed using two questions: 1) intent to stay in the profession and 2) intent to stay in the current position | At baseline | 
| Intention to stay in the profession/position (HCPs) [2] | Assessed using two questions: 1) intent to stay in the profession and 2) intent to stay in the current position | 1 year after the baseline | 
| Intention to stay in the profession/position (HCPs) [3] | Assessed using two questions: 1) intent to stay in the profession and 2) intent to stay in the current position | 2 years after the baseline | 
| Intention to stay in the profession/position (HCPs) [4] | Assessed using two questions: 1) intent to stay in the profession and 2) intent to stay in the current position | 3 years after the baseline | 
| Intention to stay in the profession/position (HCPs) [5] | Assessed using two questions: 1) intent to stay in the profession and 2) intent to stay in the current position | 4 years after the baseline | 
| Intention to leave the profession/position/health sector (HCPs) [1] | Assessed using three questions: within next 5 years …1) intent to leave the profession, 2) intent to leave the current position and 3) intent to leave the health sector | At baseline | 
| Intention to leave the profession/position/health sector (HCPs) [2] | Assessed using three questions: within next 5 years …1) intent to leave the profession, 2) intent to leave the current position and 3) intent to leave the health sector | 1 year after the baseline | 
| Intention to leave the profession/position/health sector (HCPs) [3] | Assessed using three questions: within next 5 years …1) intent to leave the profession, 2) intent to leave the current position and 3) intent to leave the health sector | 2 years after the baseline | 
| Intention to leave the profession/position/health sector (HCPs) [4] | Assessed using three questions: within next 5 years …1) intent to leave the profession, 2) intent to leave the current position and 3) intent to leave the health sector | 3 years after the baseline | 
| Intention to leave the profession/position/health sector (HCPs) [5] | Assessed using three questions: within next 5 years …1) intent to leave the profession, 2) intent to leave the current position and 3) intent to leave the health sector | 4 years after the baseline | 
| Well-being (HCPs) [1] | Assessed using the10 items of the Flourish Index (FI). FI score can range from 0 (lowest response category for the 10 items) to 10 (highest response category for the 10 items). High scores imply that respondents perceive themselves very positively in terms of human flourishing. | At baseline | 
| Well-being (HCPs) [2] | Assessed using the10 items of the Flourish Index (FI). FI score can range from 0 (lowest response category for the 10 items) to 10 (highest response category for the 10 items). High scores imply that respondents perceive themselves very positively in terms of human flourishing. | 1 year after the baseline | 
| Well-being (HCPs) [3] | Assessed using the10 items of the Flourish Index (FI). FI score can range from 0 (lowest response category for the 10 items) to 10 (highest response category for the 10 items). High scores imply that respondents perceive themselves very positively in terms of human flourishing. | 2 years after the baseline | 
| Well-being (HCPs) [4] | Assessed using the10 items of the Flourish Index (FI). FI score can range from 0 (lowest response category for the 10 items) to 10 (highest response category for the 10 items). High scores imply that respondents perceive themselves very positively in terms of human flourishing. | 3 years after the baseline | 
| Well-being (HCPs) [5] | Assessed using the10 items of the Flourish Index (FI). FI score can range from 0 (lowest response category for the 10 items) to 10 (highest response category for the 10 items). High scores imply that respondents perceive themselves very positively in terms of human flourishing. | 4 years after the baseline | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Healthcare Professional, Health Professional, Health Care Professional, Informal Caregiver, Informal Carer, Cohort, Switzerland, Health Personnel