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Protocol - Effects of COVID-19 Outbreak - Adult

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Description

This protocol includes questions to assess how the COVID-19 outbreak has affected the individual and their family members to date.

Specific Instructions

None

Protocol

1. In what ways has the COVID-19 outbreak affected your overall healthcare? (Mark all that apply)

01[ ]I did not go to healthcare appointments because I was concerned about entering my healthcare provider’s office

02[ ]My healthcare provider canceled appointments

03[ ]My healthcare provider changed to phone or online visits

04[ ]My healthcare provider told me to self-isolate or quarantine

05[ ]None of these apply

2. Which of the following behaviors have you done less because of the COVID-19 outbreak? (Mark all that apply)

01[ ]In-person contact with people inside the home (that is, you are quarantined separately from one or more family or household members)

02[ ]In-person contact with family who live outside the home

03[ ]In-person contact with friends

04[ ]In-person contact with colleagues at work

05[ ]In-person events in the community, including religious events

06[ ]None of these apply

3. Which of the following behaviors have you changed because of the COVID-19 outbreak? (Mark all that apply)

01[ ]Eat more home-cooked meals

02[ ]Eat more takeout / delivered food

03[ ]Get more physical exercise

04[ ]Get less physical exercise

05[ ]Spend more time outdoors in nature

06[ ]Spend less time outdoors in nature

07[ ]None of these apply

4. In what ways has the COVID-19 outbreak affected your work? (Mark all that apply)

01[ ]I moved to working remotely or from home

02[ ]I lost my job permanently

03[ ]I lost my job temporarily, or was not told for how long

04[ ]I got a new job

05[ ]I reduced my work hours

06[ ]I increased my work hours

07[ ]My job put me at increased risk of getting COVID-19

08[ ]I laid off employees

09[ ]I did not have a paying job before the COVID-19 outbreak

10[ ]None of these apply

5. In what ways has the COVID-19 outbreak affected your spouse/partner’s work? (Mark all that apply)

00[ ]Not applicable – I do not have a spouse/partner → If marked, skip to Question 6.

01[ ]My spouse/partner moved to working remotely or from home

02[ ]My spouse/partner lost his/her job permanently

03[ ]My spouse/partner lost his/her job temporarily, or was not told for how long

04[ ]My spouse/partner got a new job

05[ ]My spouse/partner reduced his/her work hours

06[ ]My spouse/partner increased his/her work hours

07[ ]My spouse/partner’s job put him/her at increased risk of getting COVID-19

08[ ]My spouse/partner laid off employees

09[ ]My spouse/partner did not have a paying job before the COVID-19 outbreak

10[ ]None of these apply

6. How has the COVID-19 outbreak affected your regular childcare? (Mark all that apply)

01[ ]I had difficulty arranging for childcare

02[ ]I had to pay more for childcare

03[ ]My spouse/partner or I had to change our work schedule to care for our children ourselves

04[ ]My regular childcare has not been affected by the COVID-19 outbreak

05[ ]I do not have a child in childcare.

7. What have been your greatest sources of stress from the COVID-19 outbreak? (Mark all that apply)

01[ ]Health concerns

02[ ]Financial concerns

03[ ]Impact on work

04[ ]Impact on your child

05[ ]Impact on your community

06[ ]Impact on family members

07[ ]Access to food

08[ ]Access to baby supplies (e.g., formula, diapers, wipes)

09[ ]Access to personal care products or household supplies

10[ ]Access to medical care, including mental health care

11[ ]Social distancing or being quarantined

12[ ]I am not stressed about the COVID-19 outbreak

8. What have you done to cope with your stress related to the COVID-19 outbreak? (Mark all that apply)

01[ ]Meditation and/or mindfulness practices

02[ ]Talking with friends and family (e.g., by phone, text, or video)

03[ ]Engaging in more family activities (e.g., games, sports)

04[ ]Increased television watching or other “screen time” activities (e.g., video games, social media)

05[ ]Eating more often, including snacking

06[ ]Increasing time reading books, or doing activities like puzzles and crosswords

07[ ]Drinking alcohol

08[ ]Using tobacco (e.g., smoking, vaping)

09[ ]Using marijuana (e.g., vaping, smoking, eating) or cannabidiol (CBD)

10[ ]Talking to my healthcare providers more frequently, including mental healthcare provider (e.g., therapist, psychologist, counselor)

11[ ]Volunteer work

12[ ]I have not done any of these things to cope with the COVID-19 outbreak

9. Please indicate the extent to which you view the COVID-19 outbreak as having either a positive or negative impact on your life.

01[ ]Extremely negative

02[ ]Moderately negative

03[ ]Somewhat negative

04[ ]No impact

05[ ]Slightly positive

06[ ]Moderately positive

07[ ]Extremely positive

10. Since becoming aware of the COVID-19 outbreak, how often have you felt happy and satisfied with your life?

01[ ]Not at all

02[ ]Rarely

03[ ]Sometimes

04[ ]Often

05[ ]Very often

For rows 11.a through 11.i below, please mark ‘Not at all’, ‘Rarely’, ‘Sometimes’, ‘Often’, or ‘Very often’ for how often you have had the experience since becoming aware of the COVID-19 outbreak.

11. Since becoming aware of the COVID-19 outbreak, how often have you …

a. had difficulty sleeping

01[ ]Not at all

02[ ]Rarely

03[ ]Sometimes

04[ ]Often

05[ ]Very often

b. startled easily

01[ ]Not at all

02[ ]Rarely

03[ ]Sometimes

04[ ]Often

05[ ]Very often

c. had angry outbursts

01[ ]Not at all

02[ ]Rarely

03[ ]Sometimes

04[ ]Often

05[ ]Very often

d. felt a sense of time slowing down

01[ ]Not at all

02[ ]Rarely

03[ ]Sometimes

04[ ]Often

05[ ]Very often

e. felt in a daze

01[ ]Not at all

02[ ]Rarely

03[ ]Sometimes

04[ ]Often

05[ ]Very often

f. tried to avoid thoughts and feelings about COVID-19

01[ ]Not at all

02[ ]Rarely

03[ ]Sometimes

04[ ]Often

05[ ]Very often

g. tried to avoid reading or watching information about COVID-19

01[ ]Not at all

02[ ]Rarely

03[ ]Sometimes

04[ ]Often

05[ ]Very often

h. had distressing dreams about COVID-19

01[ ]Not at all

02[ ]Rarely

03[ ]Sometimes

04[ ]Often

05[ ]Very often

i. been distressed when I see something that reminds me of COVID-19

01[ ]Not at all

02[ ]Rarely

03[ ]Sometimes

04[ ]Often

05[ ]Very often

Availability

Available

Personnel and Training Required

Equipment Needs

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Interviewer-administered questionnaire

Lifestage

Adult, Senior

Participants

Adults aged 18 and older

Selection Rationale

PhenX used input from crowdsourcing to enable rapid response and release of COVID-19 related protocols in the Toolkit. 

Language

English, Spanish

Standards
StandardNameIDSource
caDSR Common Data Elements (CDE) COVID-19 Adult Effect Assessment Text   7483018 CDE Browser
Derived Variables

Process and Review

Not applicable

Protocol Name from Source

ECHO COVID-19 Questionnaire - Adult Primary Version

Source

Environmental Influences on Child Health Outcomes (ECHO)

COVID-19 Questionnaire – Adult Primary Version. ECHO-wide Cohort Version 01.30. April 9, 2020.

General References

Protocol ID

960201

Variables
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX960201_Covid19_Effects_Outbreak_Affect_Childcare
PX960201060000 How has the COVID-19 outbreak affected your more
regular childcare? (Mark all that apply) show less
N/A
PX960201_Covid19_Effects_Outbreak_Affect_Healthcare
PX960201010000 In what ways has the COVID-19 outbreak more
affected your overall healthcare? (Mark all that apply) show less
N/A
PX960201_Covid19_Effects_Outbreak_Affect_Work
PX960201040000 In what ways has the COVID-19 outbreak more
affected your work? (Mark all that apply) show less
N/A
PX960201_Covid19_Effects_Outbreak_Affect_Work_Spouse
PX960201050000 In what ways has the COVID-19 outbreak more
affected your spouse/partner's work? (Mark all that apply) show less
N/A
PX960201_Covid19_Effects_Outbreak_Behavior_Change
PX960201030000 Which of the following behaviors have you more
changed because of the COVID-19 outbreak? (Mark all that apply) show less
N/A
PX960201_Covid19_Effects_Outbreak_Behavior_Less
PX960201020000 Which of the following behaviors have you more
done less because of the COVID-19 outbreak? (Mark all that apply) show less
N/A
PX960201_Covid19_Effects_Outbreak_Cope_Stress
PX960201080000 What have you done to cope with your stress more
related to the COVID-19 outbreak? (Mark all that apply) show less
N/A
PX960201_Covid19_Effects_Outbreak_Happy_Life
PX960201100000 Since becoming aware of the COVID-19 more
outbreak, how often have you felt happy and satisfied with your life? show less
N/A
PX960201_Covid19_Effects_Outbreak_Impact_Positive_Negative
PX960201090000 Please indicate the extent to which you view more
the COVID-19 outbreak as having either a positive or negative impact on your life. show less
N/A
PX960201_Covid19_Effects_Outbreak_Often_Avoid_Reading_Watching
PX960201110700 Since becoming aware of the COVID-19 more
outbreak, how often have you: tried to avoid reading or watching information about COVID-19 show less
N/A
PX960201_Covid19_Effects_Outbreak_Often_Avoid_Thoughts_Feelings
PX960201110600 Since becoming aware of the COVID-19 more
outbreak, how often have you: tried to avoid thoughts and feelings about COVID-19 show less
N/A
PX960201_Covid19_Effects_Outbreak_Often_Daze
PX960201110500 Since becoming aware of the COVID-19 more
outbreak, how often have you: felt in a daze show less
N/A
PX960201_Covid19_Effects_Outbreak_Often_Difficulty_Sleeping
PX960201110100 Since becoming aware of the COVID-19 more
outbreak, how often have you: had difficulty sleeping show less
N/A
PX960201_Covid19_Effects_Outbreak_Often_Distressing_Dreams
PX960201110800 Since becoming aware of the COVID-19 more
outbreak, how often have you: had distressing dreams about COVID-19 show less
N/A
PX960201_Covid19_Effects_Outbreak_Often_Distress_Remind
PX960201110900 Since becoming aware of the COVID-19 more
outbreak, how often have you: been distressed when I see something that reminds me of COVID-19 show less
N/A
PX960201_Covid19_Effects_Outbreak_Often_Outbursts
PX960201110300 Since becoming aware of the COVID-19 more
outbreak, how often have you: had angry outbursts show less
N/A
PX960201_Covid19_Effects_Outbreak_Often_Startled
PX960201110200 Since becoming aware of the COVID-19 more
outbreak, how often have you: startled easily show less
N/A
PX960201_Covid19_Effects_Outbreak_Often_Time_Slow
PX960201110400 Since becoming aware of the COVID-19 more
outbreak, how often have you: felt a sense of time slowing down show less
N/A
PX960201_Covid19_Effects_Outbreak_Source_Stress
PX960201070000 What have been your greatest sources of more
stress from the COVID-19 outbreak? (Mark all that apply) show less
N/A
COVID-19 Research
Measure Name

Effects of COVID-19 Outbreak

Release Date

October 30, 2020

Definition

Assessment to determine if the individual was tested for COVID-19, was known to be infected, and how COVID-19 affected his/her life since the pandemic began.

Purpose

To assess the overall impact of the COVID-19 pandemic, to date, on the subject.

Keywords

COVID, coronavirus, pregnancy, prenatal care, testing, symptoms, healthcare, work, employment, stress, COVID-19

Measure Protocols
Protocol ID Protocol Name
960201 Effects of COVID-19 Outbreak - Adult
960202 Effects of COVID-19 Outbreak - Adult (Spanish)
960203 Effects of COVID-19 Outbreak - Child Self-Report
960204 Effects of COVID-19 Outbreak - Child Self-Report (Spanish)
960205 Effects of COVID-19 Outbreak - Child Parent-Report
960206 Effects of COVID-19 Outbreak - Child Parent-Report (Spanish)
Publications

There are no publications listed for this protocol.