Article Text

Loddon Mallee healthcare worker COVID-19 study—protocol for a prospective cohort study examining the health and well-being of rural Australian healthcare workers during the COVID-19 pandemic
  1. Mark McEvoy1,
  2. Carol Parker2,
  3. Angela Crombie2,
  4. Timothy C Skinner1,
  5. Stephen Begg1,
  6. Peter Faulkner2,
  7. Anne McEvoy3,
  8. Laura Bamforth2,
  9. Gabriel Caccaviello4
  1. 1Rural Health School, La Trobe University, Bendigo, Victoria, Australia
  2. 2Research and Innovation, Bendigo Health, Bendigo, Victoria, Australia
  3. 3Executive Office, Kyabram District Health Service, Kyabram, Victoria, Australia
  4. 4Staff Development, Swan Hill District Health, Swan Hill, Victoria, Australia
  1. Correspondence to Mark McEvoy; m.mcevoy{at}


Introduction The COVID-19 pandemic is creating immense psychosocial disturbance. While global, broad-based research is being conducted, little is known about the effects of the COVID-19 pandemic on health and well-being or how protective and resilience factors influence the human response in Australian rural and regional communities. Rural and regional communities often have less resources to deal with such public health emergencies and face additional environmental adversity. Healthcare workers, including those in rural and regional areas, have felt the immediate impacts of COVID-19 in a multitude of ways and these impacts will continue for years to come. Therefore, this study aims to describe and understand the impacts of the COVID-19 pandemic on the rural and regional healthcare workforce within the Loddon Mallee region, Victoria, Australia.

Methods and analysis This prospective cohort of rural and regional healthcare workers will be recruited and followed over 3 years to examine the effects of the COVID-19 pandemic on their health and well-being. Self-administered online questionnaires will be administered every 6 months for a 36-month period. Multiple outcomes will be assessed; however, the primary outcomes are emotional health and well-being and psychological resilience. Emotional health and well-being will be measured using validated instruments that will assess multiple domains of the emotional health and well-being continuum.

Linear and logistic regression and latent growth curve modelling will be used to examine the association between baseline and follow-up participant emotional health, well-being and resilience while adjusting for potentially time-varying confounding variables. Participant characteristics measured at baseline will also be tested for association with incident health, morbidity, mortality and health service utilisation outcomes at follow-up.

Ethics and dissemination Ethical approval has been obtained through the Bendigo Health Human Research Ethics Committee. The study findings will be disseminated through international conferences, international peer-reviewed journals and social media.

Trial registration number ACTRN12620001269921.

  • COVID-19
  • epidemiology
  • public health

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  • Contributors AC and MM initially designed the study with input from PF and AM. MM coordinated study set-up and finalisation of study questionnaire with CP, LB and GC. All authors (MM, AC, CP, LB, GC, PF, AM, SB and TS) contributed to questionnaire development and final study design in addition to editing and critiquing the final manuscript for intellectual content.

  • Funding This work was supported by COVID-19 Research grant provided by the Victoria Government Department of Jobs, Precincts and Regions.

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  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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