P. Galanis, I. Vraka, O. Siskou, O. Konstantakopoulou, A. Katsiroumpa, I. Moisoglou, D. Kaitelidou
{"title":"Development and validation of a questionnaire to measure attitudes toward COVID-19 vaccination and pandemic","authors":"P. Galanis, I. Vraka, O. Siskou, O. Konstantakopoulou, A. Katsiroumpa, I. Moisoglou, D. Kaitelidou","doi":"10.1101/2021.09.30.21264344","DOIUrl":"https://doi.org/10.1101/2021.09.30.21264344","url":null,"abstract":"Background: Accurate measurement of individuals attitudes toward COVID-19 vaccination and pandemic is critical to understand the way that people respond during a major crisis such as the COVID-19 pandemic. Objective: To develop and validate a questionnaire to assess attitudes toward COVID-19 vaccination and pandemic. Methods: We performed a reliability and validity study in a sample of the general population in Greece. Data were collected online through social media between 15 August and 7 September 2021. Thus, a convenience sample was obtained. Reliability and validity of the questionnaire were assessed with a Delphi study, an exploratory factor analysis, and a test-retest study. Also, we calculated Cronbach coefficient alpha for the factors that emerged from the exploratory factor analysis. Results: The final study included 1959 adults from the general population in Greece. Our four-factor model explained 73% of the variance and confirmed out initial hypothesis regarding the factors of the questionnaire. In particular, we found the following four factors: (a) fear against the COVID-19 (five items), (b) information regarding the COVID-19 (two items), (c) compliance with hygiene measures (two items), and (d) trust in COVID-19 vaccination (seven items). Cronbach coefficients alpha for the four factors that emerged from the exploratory factor analysis were greater than 0.82. Pearson correlation coefficients for the 16 items and the four factors were greater than 0.67 (p-value<0.001 in all cases). Conclusions: We developed a reliable and valid questionnaire to measure attitudes toward COVID-19 vaccination and pandemic. Further studies should be conducted to expand our knowledge and infer more valid results.","PeriodicalId":53253,"journal":{"name":"International Journal of Caring Sciences","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47286766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Galanis, I. Vraka, O. Siskou, O. Konstantakopoulou, A. Katsiroumpa, D. Kaitelidou
{"title":"Predictors of COVID-19 vaccination uptake and reasons for decline of vaccination: a systematic review","authors":"P. Galanis, I. Vraka, O. Siskou, O. Konstantakopoulou, A. Katsiroumpa, D. Kaitelidou","doi":"10.1101/2021.07.28.21261261","DOIUrl":"https://doi.org/10.1101/2021.07.28.21261261","url":null,"abstract":"Background: Various COVID-19 vaccines with proven safety and effectiveness are available now but vaccine hesitancy remains a public threat. COVID-19 vaccines uptake appears to have an essential role in the successful control of the COVID-19 pandemic. Objective: To examine predictors of COVID-19 vaccination uptake and reasons for decline of vaccination. Methods: We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines for this systematic review. We searched Medline, PubMed, Web of Science, Scopus, ProQuest, CINAHL, and a pre-print service (medRxiv) from inception to July 12, 2021. We used the following key-words: vaccin*, COVID-19, and uptake. We included all types of studies (quantitative, qualitative, and mixed methods) reporting COVID-19 vaccination uptake. The review protocol was registered with PROSPERO (CRD42021267460). Results: Twelve studies met the inclusion and exclusion criteria. COVID-19 vaccination uptake ranged from 28.6% to 98% in the general population, while among healthcare workers ranged from 33.3% to 94.5%, and among patients ranged from 36% to 80%. The main predictors of COVID-19 vaccination uptake were male gender, white race, older age, higher socioeconomic status, higher self-perceived COVID-19 vulnerability, increased information about COVID-19 vaccines, and chronic illness. The most important reasons for decline of vaccination were concerns about the safety and effectiveness of vaccines, illness, medication, pregnancy, fertility, breastfeeding, religious reasons, ethical reasons, previous COVID-19 diagnosis, self-estimation that COVID-19 is not a severe disease, and limited knowledge about the vaccines. Conclusions: Several factors affect COVID-19 vaccination uptake, while various reasons affect people decision to refuse to take a COVID-19 vaccine. These findings are essential to further enhance our understanding of COVID-19 vaccination uptake and design specific interventions. Given the high prevalence of COVID-19 vaccine hesitancy, our findings have major implications for the delivery of COVID-19 vaccination programmes in the public with special attention to people who are undecided or unlikely to take a COVID-19 vaccine.","PeriodicalId":53253,"journal":{"name":"International Journal of Caring Sciences","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46653390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Galanis, E. Petrogianni, I. Vraka, O. Konstantakopoulou, O. Siskou, A. Bilali, D. Kaitelidou
{"title":"Fear of COVID-19 among nurses in mobile COVID-19 testing units in Greece","authors":"P. Galanis, E. Petrogianni, I. Vraka, O. Konstantakopoulou, O. Siskou, A. Bilali, D. Kaitelidou","doi":"10.1101/2021.07.05.21260037","DOIUrl":"https://doi.org/10.1101/2021.07.05.21260037","url":null,"abstract":"Background: Mobile COVID-19 testing units are used worldwide to test quickly and easily individuals for COVID-19. Aim: To assess the level of fear of COVID-19 among nurses in mobile COVID-19 testing units and compare it with demographic characteristics. Methods: A cross-sectional study was conducted during November and December 2020. Study population included 57 nurses working in mobile COVID-19 testing units in Attica, Greece. We collected demographic data from the nurses, i.e. gender, age, marital status, children, living status (alone or with others), clinical experience, and chronic disease. We used the fear of COVID-19 scale to measure fear of the COVID-19 pandemic. Results: The mean score on the fear of COVID-19 scale was 14.3. Among nurses, 31.6% experienced elevated fear indicative of presence of anxiety symptoms, while the respective percentages for health anxiety and post-traumatic stress symptomatology were 22.8% and 17.5%. Fear of COVID-19 was not affected by demographic variables. However, fear was higher in females, nurses who had children and nurses who lived with others. Increased clinical experience was related with decreased fear. Conclusions: Creating a secure work environment for nurses in these units could decrease fear of COVID-19 and increase work performance.","PeriodicalId":53253,"journal":{"name":"International Journal of Caring Sciences","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46828606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
John D Lowman, George M Solomon, Steven M Rowe, Hon K Yuen
{"title":"Gaming Console Home-Based Exercise for Adults with Cystic Fibrosis: Study Protocol.","authors":"John D Lowman, George M Solomon, Steven M Rowe, Hon K Yuen","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Despite evidence of exercise benefits to lung function, adherence to routine exercise in adults with cystic fibrosis (CF) is low. The incorporation of interactive virtual reality video exergame activities in home-based programs as an incentive may help improve motivation and adherence to exercise. This proposed study will attempt to improve the physical fitness and respiratory function of sedentary adults with CF by engaging them in a Nintendo Wii Fit Plus™ home-based exercise program.</p><p><strong>Methods: </strong>A single group pretest-posttest design will be used to examine the immediate (12-weeks) and long-term effect (24-weeks) of a home-based exergame program on improving pulmonary-related function (physical fitness and respiratory function) in sedentary adults with CF. Participants will receive a one-time orientation to the Wii Fit Plus, and will be requested to use it to exercise according to the recommended guidelines 3 times a week for 30 min in the following 24 weeks. Monthly phone monitoring will be conducted during the first 12 weeks. Besides evaluating the efficacy of a home-based exergame program on improving aerobic capacity, physical activity, and respiratory-related symptoms, we will examine the impact of the exergame on airway ion transport as measured by nasal potential difference, which will be collected at baseline and at the end of 12-weeks only.</p><p><strong>Discussion: </strong>This is the first study to evaluate the feasibility, acceptability and potential effectiveness of a low-cost exercise avenue (i.e., exergames) for adults with CF to improve their pulmonary-related function, which is important for CF disease management and prevention of complications. In addition, the proposed study will be the first to investigate the therapeutic efficacy of home-based exergames on airway ion transport among adults with CF. Through an increase in physical activity, it is expected that participants will improve their physical fitness and respiratory function at the end of the study.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov ID: NCT02277860.</p>","PeriodicalId":53253,"journal":{"name":"International Journal of Caring Sciences","volume":"13 2","pages":"1530-1540"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7643879/pdf/nihms-1634691.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38580428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}