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Covid-19 pandemic and exercise for healthcare workers (COPE HCW) trial : secondary analyses examining the effects of at-home exercise on healthcare workers' multidimensional well-being Haight, Brook
Abstract
Background. Current research on employee well-being largely entails focus on physical and mental health and illness, as well as functioning specific to the workplace. Yet, more recent conceptualizations of well-being extend beyond the presence or absence of health or illness to concepts of thriving or languishing, measured using an outcome-wide measurement approach. Accordingly, healthcare worker (HCW) multidimensional well-being as an overarching concept should be inclusive of a broad range of ill-being and well-being indictors that span multiple dimensions, including physical, psychological, and psychosocial realms of life. A recent 12- week mHealth exercise intervention for HCWs in Vancouver, BC demonstrated significant treatment effects for depressive symptoms, burnout symptoms, and absenteeism among those randomized to an exercise versus waitlist control condition. Secondary analyses were conducted to examine whether positive treatment effects could extend to a broader range of multidimensional ill-being and well-being outcomes. Methods. Data was from the COVID-19 Pandemic and Exercise for Healthcare Workers (COPE HCW) trial, a two-arm parallel randomized controlled trial for low-active HCWs working at Providence Health Care centers across Vancouver, BC. The effects of engagement with a suite of exercise applications for 80 minutes per week for 12 weeks (vs. waitlist control) on indicators of multidimensional ill-being and well-being were examined. Treatment effects for physical health symptoms, recent global stress, work-to-personal life interference, overall physical health, overall mental/emotional health, life satisfaction, psychological flourishing, resilience, and work- to-personal life enhancement were analyzed using intent-to-treat analyses with a structural equation modelling (SEM) growth model approach. Results. By the end of the trial, significant treatment effects were observed for all outcomes, such that those in the exercise condition (vs. waitlist control) reported significant reductions in ill-being and improvements in well-being measures. Adherence to the intervention decreased over time, and treatment effects were most apparent for those who engaged with the exercise apps the most. Conclusions. mHealth exercise is one individual-level behavioral intervention which was successful in improving multidimensional ill-being and well-being among HCWs. Findings will help inform future employee wellness programming by providing evidence that mHealth exercise can be used as a modality to support well-being across different life domains.
Item Metadata
Title |
Covid-19 pandemic and exercise for healthcare workers (COPE HCW) trial : secondary analyses examining the effects of at-home exercise on healthcare workers' multidimensional well-being
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Creator | |
Supervisor | |
Publisher |
University of British Columbia
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Date Issued |
2024
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Description |
Background. Current research on employee well-being largely entails focus on physical and
mental health and illness, as well as functioning specific to the workplace. Yet, more recent conceptualizations of well-being extend beyond the presence or absence of health or illness to concepts of thriving or languishing, measured using an outcome-wide measurement approach. Accordingly, healthcare worker (HCW) multidimensional well-being as an overarching concept should be inclusive of a broad range of ill-being and well-being indictors that span multiple dimensions, including physical, psychological, and psychosocial realms of life. A recent 12- week mHealth exercise intervention for HCWs in Vancouver, BC demonstrated significant treatment effects for depressive symptoms, burnout symptoms, and absenteeism among those randomized to an exercise versus waitlist control condition. Secondary analyses were conducted to examine whether positive treatment effects could extend to a broader range of multidimensional ill-being and well-being outcomes.
Methods. Data was from the COVID-19 Pandemic and Exercise for Healthcare Workers (COPE HCW) trial, a two-arm parallel randomized controlled trial for low-active HCWs working at Providence Health Care centers across Vancouver, BC. The effects of engagement with a suite of exercise applications for 80 minutes per week for 12 weeks (vs. waitlist control) on indicators of multidimensional ill-being and well-being were examined. Treatment effects for physical health symptoms, recent global stress, work-to-personal life interference, overall physical health, overall mental/emotional health, life satisfaction, psychological flourishing, resilience, and work- to-personal life enhancement were analyzed using intent-to-treat analyses with a structural equation modelling (SEM) growth model approach.
Results. By the end of the trial, significant treatment effects were observed for all outcomes, such that those in the exercise condition (vs. waitlist control) reported significant reductions in ill-being and improvements in well-being measures. Adherence to the intervention decreased over time, and treatment effects were most apparent for those who engaged with the exercise apps the most.
Conclusions. mHealth exercise is one individual-level behavioral intervention which was successful in improving multidimensional ill-being and well-being among HCWs. Findings will help inform future employee wellness programming by providing evidence that mHealth exercise can be used as a modality to support well-being across different life domains.
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Genre | |
Type | |
Language |
eng
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Date Available |
2024-02-13
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Provider |
Vancouver : University of British Columbia Library
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Rights |
Attribution-NonCommercial-NoDerivatives 4.0 International
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DOI |
10.14288/1.0439886
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URI | |
Degree | |
Program | |
Affiliation | |
Degree Grantor |
University of British Columbia
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Graduation Date |
2024-05
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Campus | |
Scholarly Level |
Graduate
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Rights URI | |
Aggregated Source Repository |
DSpace
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Rights
Attribution-NonCommercial-NoDerivatives 4.0 International