Clinical trial NCT06588621: HEalthCAre Workers' Health: a Transversal Evaluation
Official title: HEalthCAre Workers' Health: a Transversal Evaluation
Study type: OBSERVATIONAL
Overall status: NOT_YET_RECRUITING
Conditions: Occupational Health
Keywords: Occupational health
Mental health
Occupational medicine
Resident
Lead sponsor: Assistance Publique - Hôpitaux de Paris
Sponsor class: OTHER
First posted: 2024-09-19
Enrollment: 450
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Residents at Cochin Port Royal hospital between November 2023 and October 2025

Brief summary: 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.

In 2022, the occupational medicine department at Hôpital Cochin-Port-Royal will be systematically evaluating all residents during their 6-month internship at the hospital (not just new residents, during their first internship at AP-HP). To the knowledge of the investigators, this initiative is unique among AP-HP hospitals.

The investigators hope to take advantage of this unique procedure to gain a more precise knowledge of the health of residents at AP-HP in 2023-5.

The primary objective is to evaluate the health status of residents in a tertiary teaching hospital.

Secondary objectives:

* Determine the relevance and performance of a systematic occupational health consultation offered to every resident at the center.
* Identify levers for improvement to meet the unmet health needs of this specific population.

Eligibility criteria: Inclusion Criteria:

- Residents at Cochin Port Royal hospital between November 2023 and October 2025

Exclusion Criteria:

* Opposition to anonymous data collection
* Residents who benefited from the evaluation outside the analysis period: November 2023-October 2025.

Primary outcomes:
measure: Percentage of Residents
timeFrame: Up to 17 months
Secondary outcomes:
measure: Number of residents
timeFrame: Up to 17 months
measure: Percentage of Residents
timeFrame: Up to 17 months
measure: Percentage of Residents
timeFrame: Up to 17 months
Other outcomes:
Locations:
city: Paris
country: France
facility: Cochin University Hospital
state: IDF
Study officials:
affiliation: Infectious diseases department of Cochin hospital
name: Caroline Charlier, MD, PhD
role: STUDY_DIRECTOR
References:
citation: 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.
citation: 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.
citation: 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.
citation: 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.
citation: 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.
citation: 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.
citation: 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.
citation: 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.
citation: Heatherton TF, Kozlowski LT, Frecker RC, Fagerstrom KO. The Fagerstrom Test for Nicotine Dependence: a revision of the Fagerstrom Tolerance Questionnaire. Br J Addict. 1991 Sep;86(9):1119-27. doi: 10.1111/j.1360-0443.1991.tb01879.x.
citation: Ewing JA. Detecting alcoholism. The CAGE questionnaire. JAMA. 1984 Oct 12;252(14):1905-7. doi: 10.1001/jama.252.14.1905.