Self-directed e-learning-based mental health interventions to improve post-covid-19 pandemic health worker resilience and well-being
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Oct 30, 2024
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Abstract
The purpose of this study is to assess the efficacy of self-directed e-learning-based mental health interventions in improving the resilience and well-being of health workers after the COVID-19 pandemic at the Madapangga Health Center in Bima Regency. The sampling technique used is nonprobability convenience sampling, where samples are selected based on the availability and willingness of health workers who take part in training and complete pre- and post-training evaluations. The course is divided into five modules covering the following topics: introduction to mental health and resilience, stress management, psychological resilience, self-care and implementation. A total of 128 people completed the program, with 91 people taking part in pre and post-training assessments. Data were collected using questionnaires with Likert scales to test knowledge and measure positive behaviors and well-being. To detect significant changes before and after the intervention, the data were analyzed using STATA 16 software and paired t-tests. Post-intervention results showed significant improvements in self-care behavior, stress management, and overall well-being. An increase in resilience scores was positively correlated with better job performance and psychological health (p < 0.000). This study shows that self-directed e-learning is effective in improving resilience and well-being of healthcare workers, especially in stress management and self-care. The program is flexible and easily accessible, especially for healthcare workers in areas with limited access to mental health services. Further research is recommended to include a larger sample sizes, long-term follow-up, and exploration of intervention components
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How to Cite
Hizriansyah, H., Sirajunnasihin, S. and Qudsi, J. (2024) “Self-directed e-learning-based mental health interventions to improve post-covid-19 pandemic health worker resilience and well-being”, Science Midwifery, 12(4), pp. 1646-1656. doi: 10.35335/midwifery.v12i4.1707.
References
Abovarda, A., Vallo Hult, H., Master Östlund, C., & Pålsson, P. (2023). E-learning as Part of Residency Education. Studies in Health Technology and Informatics, 302, 496–497. https://doi.org/10.3233/SHTI230188
Al-Khani, A. M., Sarhandi, M. I., Zaghloul, M. S., Ewid, M., & Saquib, N. (2019). A cross-sectional survey on sleep quality, mental health, and academic performance among medical students in Saudi Arabia. BMC Research Notes, 12(1), 665. https://doi.org/10.1186/s13104-019-4713-2
Alkhaldi, A., Malik, S., Alhaimer, R., Alshaheen, A., & Lytras, M. D. (2024). Translating a value-based framework for resilient e-learning impact in post COVID-19 times: Research-based Evidence from Higher Education in Kuwait. Heliyon, 10(2), e24271. https://doi.org/10.1016/j.heliyon.2024.e24271
Ayenigbara, I. O. (2022). Mental Health amid COVID-19 Pandemic: Appropriate Coping Strategies. Psychiatria Danubina, 34(2), 325–333. https://doi.org/10.24869/psyd.2022.325
Baggieri, M., Barbina, D., Marchi, A., Carbone, P., Bucci, P., Guerrera, D., Nicoletti, L., Mazzaccara, A., & Magurano, F. (2019). Measles and rubella in Italy, e-learning course for health care workers. Annali Dell’Istituto Superiore Di Sanita, 55(4), 386–391. https://doi.org/10.4415/ANN_19_04_13
Blakely, B., Rogers, W., Johnson, J., Grundy, Q., Hutchison, K., Clay-Williams, R., Richards, B., & Maddern, G. (2022). Ethical and regulatory implications of the COVID-19 pandemic for the medical devices industry and its representatives. BMC Medical Ethics, 23(1), 31. https://doi.org/10.1186/s12910-022-00771-2
Chidiebere Okechukwu, E., Tibaldi, L., & La Torre, G. (2020). The impact of COVID-19 pandemic on mental health of Nurses. La Clinica Terapeutica, 171(5), e399–e400. https://doi.org/10.7417/CT.2020.2247
Delanerolle, G., Rathod, S., Elliot, K., Ramakrishnan, R., Thayanandan, T., Sandle, N., Haque, N., Raymont, V., & Phiri, P. (2021). Rapid commentary: Ethical implications for clinical trialists and patients associated with COVID-19 research. In World journal of psychiatry (Vol. 11, Issue 3, pp. 58–62). https://doi.org/10.5498/wjp.v11.i3.58
Embriaco, N., Papazian, L., Kentish-Barnes, N., Pochard, F., & Azoulay, E. (2007). Burnout syndrome among critical care healthcare workers. Current Opinion in Critical Care, 13(5), 482–488. https://doi.org/10.1097/MCC.0b013e3282efd28a
Fagö-Olsen, H., Lynggaard, C. D., Aanæs, K., Cayé-Thomasen, P., & Andersen, S. A. W. (2020). Developing a national e-learning course in otorhinolaryngology: the Danish experience. European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 277(6), 1829–1836. https://doi.org/10.1007/s00405-020-05889-w
Fazel, M., & Kohrt, B. A. (2019). Prevention versus intervention in school mental health. The Lancet. Psychiatry, 6(12), 969–971. https://doi.org/10.1016/S2215-0366(19)30440-7
Firew, T., Sano, E. D., Lee, J. W., Flores, S., Lang, K., Salman, K., Greene, M. C., & Chang, B. P. (2020). Protecting the front line: a cross-sectional survey analysis of the occupational factors contributing to healthcare workers’ infection and psychological distress during the COVID-19 pandemic in the USA. BMJ Open, 10(10), e042752. https://doi.org/10.1136/bmjopen-2020-042752
Fitzgerald, D. A., Scott, K. M., & Ryan, M. S. (2022). Blended and e-learning in pediatric education: harnessing lessons learned from the COVID-19 pandemic. European Journal of Pediatrics, 181(2), 447–452. https://doi.org/10.1007/s00431-021-04149-1
Fortin, J., Leblanc, M., Elgbeili, G., Cordova, M. J., Marin, M.-F., & Brunet, A. (2021). The mental health impacts of receiving a breast cancer diagnosis: A meta-analysis. British Journal of Cancer, 125(11), 1582–1592. https://doi.org/10.1038/s41416-021-01542-3
Gachanja, F., Mwangi, N., & Gicheru, W. (2021). E-learning in medical education during COVID-19 pandemic: experiences of a research course at Kenya Medical Training College. BMC Medical Education, 21(1), 612. https://doi.org/10.1186/s12909-021-03050-7
Ghadam, O. S., Sohrabi, Z., Mehrabi, M., Fararouei, M., Shahraki, M., Hejazi, N., Clark, C. C. T., Mehrabani, S., Gerami, S., & Nouri, M. (2023). Evaluating the effect of digital game-based nutrition education on anemia indicators in adolescent girls: A randomized clinical trial. Food Science & Nutrition, 11(2), 863–871. https://doi.org/10.1002/fsn3.3120
Hofmann, S. G., & Gómez, A. F. (2017). Mindfulness-Based Interventions for Anxiety and Depression. The Psychiatric Clinics of North America, 40(4), 739–749. https://doi.org/10.1016/j.psc.2017.08.008
Hossain, M. M., Tasnim, S., Sultana, A., Faizah, F., Mazumder, H., Zou, L., McKyer, E. L. J., Ahmed, H. U., & Ma, P. (2020). Epidemiology of mental health problems in COVID-19: a review. F1000Research, 9, 636. https://doi.org/10.12688/f1000research.24457.1
Huang, X., Wang, R., Chen, J., Gao, C., Wang, B., Dong, Y., Lu, L., & Feng, Y. (2022). Kirkpatrick’s evaluation of the effect of a nursing innovation team training for clinical nurses. Journal of Nursing Management, 30(7), 2165–2175. https://doi.org/10.1111/jonm.13504
Jafri, M. R., Zaheer, A., Fatima, S., Saleem, T., & Sohail, A. (2022). Mental health status of COVID-19 survivors: a cross sectional study. Virology Journal, 19(1), 3. https://doi.org/10.1186/s12985-021-01729-3
Jaoua, F., Almurad, H. M., Elshaer, I. A., & Mohamed, E. S. (2022). E-Learning Success Model in the Context of COVID-19 Pandemic in Higher Educational Institutions. International Journal of Environmental Research and Public Health, 19(5). https://doi.org/10.3390/ijerph19052865
Jones, E. A. K., Mitra, A. K., & Bhuiyan, A. R. (2021). Impact of COVID-19 on Mental Health in Adolescents: A Systematic Review. International Journal of Environmental Research and Public Health, 18(5). https://doi.org/10.3390/ijerph18052470
Khansa, I., & Janis, J. E. (2019). A Growing Epidemic: Plastic Surgeons and Burnout-A Literature Review. Plastic and Reconstructive Surgery, 144(2), 298e-305e. https://doi.org/10.1097/PRS.0000000000005875
Klassen, R. M., & Klassen, J. R. L. (2018). Self-efficacy beliefs of medical students: a critical review. Perspectives on Medical Education, 7(2), 76–82. https://doi.org/10.1007/s40037-018-0411-3
Lattie, E. G., Adkins, E. C., Winquist, N., Stiles-Shields, C., Wafford, Q. E., & Graham, A. K. (2019). Digital Mental Health Interventions for Depression, Anxiety, and Enhancement of Psychological Well-Being Among College Students: Systematic Review. Journal of Medical Internet Research, 21(7), e12869. https://doi.org/10.2196/12869
Lee, J., Solomon, M., Stead, T., Kwon, B., & Ganti, L. (2021). Impact of COVID-19 on the mental health of US college students. BMC Psychology, 9(1), 95. https://doi.org/10.1186/s40359-021-00598-3
Lindert, J., Jakubauskiene, M., & Bilsen, J. (2021). The COVID-19 disaster and mental health-assessing, responding and recovering. European Journal of Public Health, 31(Supplement_4), iv31–iv35. https://doi.org/10.1093/eurpub/ckab153
Lötsch, J., & Ultsch, A. (2016). A machine-learned computational functional genomics-based approach to drug classification. European Journal of Clinical Pharmacology, 72(12), 1449–1461. https://doi.org/10.1007/s00228-016-2134-x
Manou, E., Lazari, E.-C., Lazaris, A. C., Agrogiannis, G., Kavantzas, N. G., & Thomopoulou, G.-E. (2022). Evaluating e-Learning in the Pathology Course During the COVID-19 Pandemic. Advances in Medical Education and Practice, 13, 285–300. https://doi.org/10.2147/AMEP.S353935
Mazhar, T., Jameel, A., Sharif, F., & Asghar, M. (2023). Effects of conventional physical therapy with and without proprioceptive neuromuscular facilitation on balance, gait, and function in patients with Parkinson’s disease. JPMA. The Journal of the Pakistan Medical Association, 73(6), 1280–1283. https://doi.org/10.47391/JPMA.6710
Min, C. J., Iturriaga, C., Wang, V., & Verma, R. (2021). COVID-19: Moral and Ethical Implications for Orthopaedic Spine Surgeons. In Case reports in orthopedics (Vol. 2021, p. 6682705). https://doi.org/10.1155/2021/6682705
Naciri, A., Radid, M., Kharbach, A., & Chemsi, G. (2021). E-learning in health professions education during the COVID-19 pandemic: a systematic review. Journal of Educational Evaluation for Health Professions, 18, 27. https://doi.org/10.3352/jeehp.2021.18.27
Nooijen, C. F. J., Blom, V., Ekblom, Ö., Ekblom, M. M., & Kallings, L. V. (2019). Improving office workers’ mental health and cognition: a 3-arm cluster randomized controlled trial targeting physical activity and sedentary behavior in multi-component interventions. BMC Public Health, 19(1), 266. https://doi.org/10.1186/s12889-019-6589-4
Oktay Arslan, B., Batum, Ö., Varol, Y., Şenel, E., & Uçar, Z. Z. (2021). COVID-19 phobia in healthcare workers; a cross-sectional study from a pandemic hospital. Tuberkuloz ve Toraks, 69(2), 207–216. https://doi.org/10.5578/tt.20219810
Pandey, K., Thurman, M., Johnson, S. D., Acharya, A., Johnston, M., Klug, E. A., Olwenyi, O. A., Rajaiah, R., & Byrareddy, S. N. (2021). Mental Health Issues During and After COVID-19 Vaccine Era. Brain Research Bulletin, 176, 161–173. https://doi.org/10.1016/j.brainresbull.2021.08.012
Purtle, J., Nelson, K. L., Counts, N. Z., & Yudell, M. (2020). Population-Based Approaches to Mental Health: History, Strategies, and Evidence. Annual Review of Public Health, 41, 201–221. https://doi.org/10.1146/annurev-publhealth-040119-094247
Ricotta, D. N., Richards, J. B., Atkins, K. M., Hayes, M. M., McOwen, K., Soffler, M. I., Tibbles, C. D., Whelan, A. J., & Schwartzstein, R. M. (2022). Self-Directed Learning in Medical Education: Training for a Lifetime of Discovery. Teaching and Learning in Medicine, 34(5), 530–540. https://doi.org/10.1080/10401334.2021.1938074
Riedel, B., Horen, S. R., Reynolds, A., & Hamidian Jahromi, A. (2021). Mental Health Disorders in Nurses During the COVID-19 Pandemic: Implications and Coping Strategies. Frontiers in Public Health, 9, 707358. https://doi.org/10.3389/fpubh.2021.707358
Rutkowska, A., Cieślik, B., Tomaszczyk, A., & Szczepańska-Gieracha, J. (2022). Mental Health Conditions Among E-Learning Students During the COVID-19 Pandemic. Frontiers in Public Health, 10, 871934. https://doi.org/10.3389/fpubh.2022.871934
Sagaltici, E., Saydam, R. B., Cetinkaya, M., Şahin, Ş. K., Küçük, S. H., & Müslümanoğlu, A. Y. (2022). Burnout and psychological symptoms in healthcare workers during the COVID-19 pandemic: Comparisons of different medical professions in a regional hospital in Turkey. Work (Reading, Mass.), 72(3), 1077–1085. https://doi.org/10.3233/WOR-210517
Subha, S., Sankaralingam, B. P., Gurusamy, A., Sehar, S., & Bavirisetti, D. P. (2023). Personalization-based deep hybrid E-learning model for online course recommendation system. PeerJ. Computer Science, 9, e1670. https://doi.org/10.7717/peerj-cs.1670
Tavares, C. M. de M., Pastor Junior, A. de A., Paiva, L. M. de, & Lima, T. O. (2021). Innovations in the teaching-learning process of psychiatric nursing and mental health. Revista Brasileira de Enfermagem, 74(suppl 5), e20200525. https://doi.org/10.1590/0034-7167-2020-0525
Uphoff, E., Robertson, L., Cabieses, B., Villalón, F. J., Purgato, M., Churchill, R., & Barbui, C. (2020). An overview of systematic reviews on mental health promotion, prevention, and treatment of common mental disorders for refugees, asylum seekers, and internally displaced persons. The Cochrane Database of Systematic Reviews, 9(9), CD013458. https://doi.org/10.1002/14651858.CD013458.pub2
Yeng, T., O’Sullivan, A. J., & Shulruf, B. (2022). Developing a prototype dental trauma e-learning course for medical education. Australian Endodontic Journal : The Journal of the Australian Society of Endodontology Inc, 48(1), 44–50. https://doi.org/10.1111/aej.12545
Zhang, D., Lee, E. K. P., Mak, E. C. W., Ho, C. Y., & Wong, S. Y. S. (2021). Mindfulness-based interventions: an overall review. British Medical Bulletin, 138(1), 41–57. https://doi.org/10.1093/bmb/ldab005
Al-Khani, A. M., Sarhandi, M. I., Zaghloul, M. S., Ewid, M., & Saquib, N. (2019). A cross-sectional survey on sleep quality, mental health, and academic performance among medical students in Saudi Arabia. BMC Research Notes, 12(1), 665. https://doi.org/10.1186/s13104-019-4713-2
Alkhaldi, A., Malik, S., Alhaimer, R., Alshaheen, A., & Lytras, M. D. (2024). Translating a value-based framework for resilient e-learning impact in post COVID-19 times: Research-based Evidence from Higher Education in Kuwait. Heliyon, 10(2), e24271. https://doi.org/10.1016/j.heliyon.2024.e24271
Ayenigbara, I. O. (2022). Mental Health amid COVID-19 Pandemic: Appropriate Coping Strategies. Psychiatria Danubina, 34(2), 325–333. https://doi.org/10.24869/psyd.2022.325
Baggieri, M., Barbina, D., Marchi, A., Carbone, P., Bucci, P., Guerrera, D., Nicoletti, L., Mazzaccara, A., & Magurano, F. (2019). Measles and rubella in Italy, e-learning course for health care workers. Annali Dell’Istituto Superiore Di Sanita, 55(4), 386–391. https://doi.org/10.4415/ANN_19_04_13
Blakely, B., Rogers, W., Johnson, J., Grundy, Q., Hutchison, K., Clay-Williams, R., Richards, B., & Maddern, G. (2022). Ethical and regulatory implications of the COVID-19 pandemic for the medical devices industry and its representatives. BMC Medical Ethics, 23(1), 31. https://doi.org/10.1186/s12910-022-00771-2
Chidiebere Okechukwu, E., Tibaldi, L., & La Torre, G. (2020). The impact of COVID-19 pandemic on mental health of Nurses. La Clinica Terapeutica, 171(5), e399–e400. https://doi.org/10.7417/CT.2020.2247
Delanerolle, G., Rathod, S., Elliot, K., Ramakrishnan, R., Thayanandan, T., Sandle, N., Haque, N., Raymont, V., & Phiri, P. (2021). Rapid commentary: Ethical implications for clinical trialists and patients associated with COVID-19 research. In World journal of psychiatry (Vol. 11, Issue 3, pp. 58–62). https://doi.org/10.5498/wjp.v11.i3.58
Embriaco, N., Papazian, L., Kentish-Barnes, N., Pochard, F., & Azoulay, E. (2007). Burnout syndrome among critical care healthcare workers. Current Opinion in Critical Care, 13(5), 482–488. https://doi.org/10.1097/MCC.0b013e3282efd28a
Fagö-Olsen, H., Lynggaard, C. D., Aanæs, K., Cayé-Thomasen, P., & Andersen, S. A. W. (2020). Developing a national e-learning course in otorhinolaryngology: the Danish experience. European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 277(6), 1829–1836. https://doi.org/10.1007/s00405-020-05889-w
Fazel, M., & Kohrt, B. A. (2019). Prevention versus intervention in school mental health. The Lancet. Psychiatry, 6(12), 969–971. https://doi.org/10.1016/S2215-0366(19)30440-7
Firew, T., Sano, E. D., Lee, J. W., Flores, S., Lang, K., Salman, K., Greene, M. C., & Chang, B. P. (2020). Protecting the front line: a cross-sectional survey analysis of the occupational factors contributing to healthcare workers’ infection and psychological distress during the COVID-19 pandemic in the USA. BMJ Open, 10(10), e042752. https://doi.org/10.1136/bmjopen-2020-042752
Fitzgerald, D. A., Scott, K. M., & Ryan, M. S. (2022). Blended and e-learning in pediatric education: harnessing lessons learned from the COVID-19 pandemic. European Journal of Pediatrics, 181(2), 447–452. https://doi.org/10.1007/s00431-021-04149-1
Fortin, J., Leblanc, M., Elgbeili, G., Cordova, M. J., Marin, M.-F., & Brunet, A. (2021). The mental health impacts of receiving a breast cancer diagnosis: A meta-analysis. British Journal of Cancer, 125(11), 1582–1592. https://doi.org/10.1038/s41416-021-01542-3
Gachanja, F., Mwangi, N., & Gicheru, W. (2021). E-learning in medical education during COVID-19 pandemic: experiences of a research course at Kenya Medical Training College. BMC Medical Education, 21(1), 612. https://doi.org/10.1186/s12909-021-03050-7
Ghadam, O. S., Sohrabi, Z., Mehrabi, M., Fararouei, M., Shahraki, M., Hejazi, N., Clark, C. C. T., Mehrabani, S., Gerami, S., & Nouri, M. (2023). Evaluating the effect of digital game-based nutrition education on anemia indicators in adolescent girls: A randomized clinical trial. Food Science & Nutrition, 11(2), 863–871. https://doi.org/10.1002/fsn3.3120
Hofmann, S. G., & Gómez, A. F. (2017). Mindfulness-Based Interventions for Anxiety and Depression. The Psychiatric Clinics of North America, 40(4), 739–749. https://doi.org/10.1016/j.psc.2017.08.008
Hossain, M. M., Tasnim, S., Sultana, A., Faizah, F., Mazumder, H., Zou, L., McKyer, E. L. J., Ahmed, H. U., & Ma, P. (2020). Epidemiology of mental health problems in COVID-19: a review. F1000Research, 9, 636. https://doi.org/10.12688/f1000research.24457.1
Huang, X., Wang, R., Chen, J., Gao, C., Wang, B., Dong, Y., Lu, L., & Feng, Y. (2022). Kirkpatrick’s evaluation of the effect of a nursing innovation team training for clinical nurses. Journal of Nursing Management, 30(7), 2165–2175. https://doi.org/10.1111/jonm.13504
Jafri, M. R., Zaheer, A., Fatima, S., Saleem, T., & Sohail, A. (2022). Mental health status of COVID-19 survivors: a cross sectional study. Virology Journal, 19(1), 3. https://doi.org/10.1186/s12985-021-01729-3
Jaoua, F., Almurad, H. M., Elshaer, I. A., & Mohamed, E. S. (2022). E-Learning Success Model in the Context of COVID-19 Pandemic in Higher Educational Institutions. International Journal of Environmental Research and Public Health, 19(5). https://doi.org/10.3390/ijerph19052865
Jones, E. A. K., Mitra, A. K., & Bhuiyan, A. R. (2021). Impact of COVID-19 on Mental Health in Adolescents: A Systematic Review. International Journal of Environmental Research and Public Health, 18(5). https://doi.org/10.3390/ijerph18052470
Khansa, I., & Janis, J. E. (2019). A Growing Epidemic: Plastic Surgeons and Burnout-A Literature Review. Plastic and Reconstructive Surgery, 144(2), 298e-305e. https://doi.org/10.1097/PRS.0000000000005875
Klassen, R. M., & Klassen, J. R. L. (2018). Self-efficacy beliefs of medical students: a critical review. Perspectives on Medical Education, 7(2), 76–82. https://doi.org/10.1007/s40037-018-0411-3
Lattie, E. G., Adkins, E. C., Winquist, N., Stiles-Shields, C., Wafford, Q. E., & Graham, A. K. (2019). Digital Mental Health Interventions for Depression, Anxiety, and Enhancement of Psychological Well-Being Among College Students: Systematic Review. Journal of Medical Internet Research, 21(7), e12869. https://doi.org/10.2196/12869
Lee, J., Solomon, M., Stead, T., Kwon, B., & Ganti, L. (2021). Impact of COVID-19 on the mental health of US college students. BMC Psychology, 9(1), 95. https://doi.org/10.1186/s40359-021-00598-3
Lindert, J., Jakubauskiene, M., & Bilsen, J. (2021). The COVID-19 disaster and mental health-assessing, responding and recovering. European Journal of Public Health, 31(Supplement_4), iv31–iv35. https://doi.org/10.1093/eurpub/ckab153
Lötsch, J., & Ultsch, A. (2016). A machine-learned computational functional genomics-based approach to drug classification. European Journal of Clinical Pharmacology, 72(12), 1449–1461. https://doi.org/10.1007/s00228-016-2134-x
Manou, E., Lazari, E.-C., Lazaris, A. C., Agrogiannis, G., Kavantzas, N. G., & Thomopoulou, G.-E. (2022). Evaluating e-Learning in the Pathology Course During the COVID-19 Pandemic. Advances in Medical Education and Practice, 13, 285–300. https://doi.org/10.2147/AMEP.S353935
Mazhar, T., Jameel, A., Sharif, F., & Asghar, M. (2023). Effects of conventional physical therapy with and without proprioceptive neuromuscular facilitation on balance, gait, and function in patients with Parkinson’s disease. JPMA. The Journal of the Pakistan Medical Association, 73(6), 1280–1283. https://doi.org/10.47391/JPMA.6710
Min, C. J., Iturriaga, C., Wang, V., & Verma, R. (2021). COVID-19: Moral and Ethical Implications for Orthopaedic Spine Surgeons. In Case reports in orthopedics (Vol. 2021, p. 6682705). https://doi.org/10.1155/2021/6682705
Naciri, A., Radid, M., Kharbach, A., & Chemsi, G. (2021). E-learning in health professions education during the COVID-19 pandemic: a systematic review. Journal of Educational Evaluation for Health Professions, 18, 27. https://doi.org/10.3352/jeehp.2021.18.27
Nooijen, C. F. J., Blom, V., Ekblom, Ö., Ekblom, M. M., & Kallings, L. V. (2019). Improving office workers’ mental health and cognition: a 3-arm cluster randomized controlled trial targeting physical activity and sedentary behavior in multi-component interventions. BMC Public Health, 19(1), 266. https://doi.org/10.1186/s12889-019-6589-4
Oktay Arslan, B., Batum, Ö., Varol, Y., Şenel, E., & Uçar, Z. Z. (2021). COVID-19 phobia in healthcare workers; a cross-sectional study from a pandemic hospital. Tuberkuloz ve Toraks, 69(2), 207–216. https://doi.org/10.5578/tt.20219810
Pandey, K., Thurman, M., Johnson, S. D., Acharya, A., Johnston, M., Klug, E. A., Olwenyi, O. A., Rajaiah, R., & Byrareddy, S. N. (2021). Mental Health Issues During and After COVID-19 Vaccine Era. Brain Research Bulletin, 176, 161–173. https://doi.org/10.1016/j.brainresbull.2021.08.012
Purtle, J., Nelson, K. L., Counts, N. Z., & Yudell, M. (2020). Population-Based Approaches to Mental Health: History, Strategies, and Evidence. Annual Review of Public Health, 41, 201–221. https://doi.org/10.1146/annurev-publhealth-040119-094247
Ricotta, D. N., Richards, J. B., Atkins, K. M., Hayes, M. M., McOwen, K., Soffler, M. I., Tibbles, C. D., Whelan, A. J., & Schwartzstein, R. M. (2022). Self-Directed Learning in Medical Education: Training for a Lifetime of Discovery. Teaching and Learning in Medicine, 34(5), 530–540. https://doi.org/10.1080/10401334.2021.1938074
Riedel, B., Horen, S. R., Reynolds, A., & Hamidian Jahromi, A. (2021). Mental Health Disorders in Nurses During the COVID-19 Pandemic: Implications and Coping Strategies. Frontiers in Public Health, 9, 707358. https://doi.org/10.3389/fpubh.2021.707358
Rutkowska, A., Cieślik, B., Tomaszczyk, A., & Szczepańska-Gieracha, J. (2022). Mental Health Conditions Among E-Learning Students During the COVID-19 Pandemic. Frontiers in Public Health, 10, 871934. https://doi.org/10.3389/fpubh.2022.871934
Sagaltici, E., Saydam, R. B., Cetinkaya, M., Şahin, Ş. K., Küçük, S. H., & Müslümanoğlu, A. Y. (2022). Burnout and psychological symptoms in healthcare workers during the COVID-19 pandemic: Comparisons of different medical professions in a regional hospital in Turkey. Work (Reading, Mass.), 72(3), 1077–1085. https://doi.org/10.3233/WOR-210517
Subha, S., Sankaralingam, B. P., Gurusamy, A., Sehar, S., & Bavirisetti, D. P. (2023). Personalization-based deep hybrid E-learning model for online course recommendation system. PeerJ. Computer Science, 9, e1670. https://doi.org/10.7717/peerj-cs.1670
Tavares, C. M. de M., Pastor Junior, A. de A., Paiva, L. M. de, & Lima, T. O. (2021). Innovations in the teaching-learning process of psychiatric nursing and mental health. Revista Brasileira de Enfermagem, 74(suppl 5), e20200525. https://doi.org/10.1590/0034-7167-2020-0525
Uphoff, E., Robertson, L., Cabieses, B., Villalón, F. J., Purgato, M., Churchill, R., & Barbui, C. (2020). An overview of systematic reviews on mental health promotion, prevention, and treatment of common mental disorders for refugees, asylum seekers, and internally displaced persons. The Cochrane Database of Systematic Reviews, 9(9), CD013458. https://doi.org/10.1002/14651858.CD013458.pub2
Yeng, T., O’Sullivan, A. J., & Shulruf, B. (2022). Developing a prototype dental trauma e-learning course for medical education. Australian Endodontic Journal : The Journal of the Australian Society of Endodontology Inc, 48(1), 44–50. https://doi.org/10.1111/aej.12545
Zhang, D., Lee, E. K. P., Mak, E. C. W., Ho, C. Y., & Wong, S. Y. S. (2021). Mindfulness-based interventions: an overall review. British Medical Bulletin, 138(1), 41–57. https://doi.org/10.1093/bmb/ldab005