Protocol - COVID-19 and Mental Health Impacts

Description

A survey to help better understand how the novel coronavirus (COVID-19) pandemic is affecting people’s emotional and mental health.

Specific Instructions

None

Availability

This protocol is freely available; permission not required for use.

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Protocol

I would like to ask you some questions about how you have been feeling since the COVID-19 pandemic (March 1, 2020).

1. In the past week, how often…

	Not at all or less than 1 day	1-2 days	3-4 days	5-7 days
a. Have you felt nervous, anxious, or on edge?	[ ] 1	[ ] 2	[ ] 3	[ ] 4
b. Have you felt depressed?	[ ] 1	[ ] 2	[ ] 3	[ ] 4
c. Have you felt lonely?	[ ] 1	[ ] 2	[ ] 3	[ ] 4
d. Have you felt hopeful about the future?	[ ] 1	[ ] 2	[ ] 3	[ ] 4
e. Have you had physical reactions, such as sweating, trouble breathing, nausea, or a pounding heart, when thinking about your experience with the novel coronavirus (COVID-19) pandemic?	[ ] 1	[ ] 2	[ ] 3	[ ] 4

Please tell me if you agree or disagree with the following statements

	Strongly Disagree	Disagree	Neither Agree nor Disagree	Agree	Strongly Agree
2. I am very worried about getting the coronavirus.	[ ] 1	[ ] 2	[ ] 3	[ ] 4	[ ] 5
3. I am very worried about my family/friends getting the coronavirus.	[ ] 1	[ ] 2	[ ] 3	[ ] 4	[ ] 5
4. I am very worried about giving someone else the coronavirus.	[ ] 1	[ ] 2	[ ] 3	[ ] 4	[ ] 5
5. I have a hard time sleeping because of the coronavirus.	[ ] 1	[ ] 2	[ ] 3	[ ] 4	[ ] 5
6. I have had difficulties concentrating because of the coronavirus.	[ ] 1	[ ] 2	[ ] 3	[ ] 4	[ ] 5
7. Thinking about the coronavirus makes me very anxious.	[ ] 1	[ ] 2	[ ] 3	[ ] 4	[ ] 5
8. I am feeling overwhelmed by the coronavirus.	[ ] 1	[ ] 2	[ ] 3	[ ] 4	[ ] 5
9. I am worried about money because of the coronavirus.	[ ] 1	[ ] 2	[ ] 3	[ ] 4	[ ] 5
10. I am worried about having enough food because of the coronavirus.	[ ] 1	[ ] 2	[ ] 3	[ ] 4	[ ] 5
11. I am worried about loss of income if I get sick from the coronavirus.	[ ] 1	[ ] 2	[ ] 3	[ ] 4	[ ] 5
12. I am spending more money because of the coronavirus.	[ ] 1	[ ] 2	[ ] 3	[ ] 4	[ ] 5
13. I am worried about medical bills if I get sick from the coronavirus.	[ ] 1	[ ] 2	[ ] 3	[ ] 4	[ ] 5

Personnel and Training Required

Equipment Needs

Requirements

Requirement Category	Required
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

Infant, Toddler, Child, Adolescent, Adult, Senior, Pregnancy

Participants

Not specified

Selection Rationale

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

Language

English

Standards

Standard	Name	ID	Source
caDSR Form	PX960101 Px960101	14399858	caDSR Form

Derived Variables

Process and Review

Not applicable

Protocol Name from Source

COVID-19 Community Response Survey

Source

COVID-19 and Mental Health Measurement Working Group, GAD-7, CES-D, Impact to Event Scale – Revised, CDC, Latkin and Dayton, COVID-19 Community Response Survey Module 6: Mental Health Impacts (2020)

General References

Protocol ID

960101

Variables

Export Variables

Variable Name	Variable ID	Variable Description	dbGaP Mapping
PX960101_Covid19_Community_Mental_Health_Impacts_Anxiety
	PX960101020600	Please tell me if you agree or disagree with more the following statements. Thinking about the coronavirus makes me very anxious. show less	N/A
PX960101_Covid19_Community_Mental_Health_Impacts_Difficulty_Sleeping
	PX960101020400	Please tell me if you agree or disagree with more the following statements. I have a hard time sleeping because of the coronavirus show less	N/A
PX960101_Covid19_Community_Mental_Health_Impacts_Income_Loss
	PX960101021000	Please tell me if you agree or disagree with more the following statements. I am worried about loss of income if I get sick from the coronavirus. show less	N/A
PX960101_Covid19_Community_Mental_Health_Impacts_Medical_Bills
	PX960101021200	Please tell me if you agree or disagree with more the following statements. I am worried about medical bills if I get sick from the coronavirus. show less	N/A
PX960101_Covid19_Community_Mental_Health_Impacts_Money
	PX960101020800	Please tell me if you agree or disagree with more the following statements. I am worried about money because of the coronavirus. show less	N/A
PX960101_Covid19_Community_Mental_Health_Impacts_Past_Week_Lonely
	PX960101010300	In the past week, how often: Have you felt lonely?	N/A
PX960101_Covid19_Community_Mental_Health_Impacts_Past_Week_Nervous
	PX960101010100	In the past week, how often: Have you felt more nervous, anxious, or on edge? show less	N/A
PX960101_Covid19_Community_Mental_Health_Impacts_Past_Week_Physical_Reactions
	PX960101010500	In the past week, how often: Have you had more physical reactions, such as sweating, trouble breathing, nausea, or a pounding heart, when thinking about your experience with the novel coronavirus (COVID-19) pandemic? show less	N/A
PX960101_Covid19_Community_Mental_Health_Impacts_Worried_Friends_Family
	PX960101020200	Please tell me if you agree or disagree with more the following statements. I am very worried about my family/friends getting the coronavirus. show less	N/A

Psychosocial and Mental Health

Measure Name

COVID-19 and Mental Health Impacts

Release Date

October 30, 2020

Definition

The COVID-19 Community Response Survey, Mental Health Impact Module is a 13-item questionnaire that was developed to better understand people’s experiences about how their lives have changed as a result of COVID-19

Purpose