ARMOR Study: COVID-19 Seroprevalence Among Healthcare Workers

Recruiting

Interventions: Other: COVID-19 Serology
Behavioral: Health Care Worker Survey

Brief Summary: The novel coronavirus (SARS-CoV-2) has spread all around the world and testing has posed a challenge globally. Health care providers are highly exposed and are an important group to test. On top of these concerns, health care workers are also stressed by the needs on responders in the COVID-19 crisis. The investigators will look at different ways to measure how common COVID-19 is among health care workers, how common is the presence of antibodies by serological tests (also known as serostatus). The investigators will describe health worker mental and emotional well-being and their coping strategies in their institutional settings. Lastly, the investigators will describe how knowing serostatus can affect individuals' mental and emotional well-being and how to cope in the midst of the COVID-19 response. This will help to how to better test and help healthcare workers in the COVID-19 pandemic and prepare for possible future outbreaks.

Detailed Description: The rapid spread of the novel coronavirus SARS-CoV-2 has resulted in pandemic levels and a global challenge in diagnosing infection. Diagnosing infection, defining recovery and immunity has been challenging. Health care providers in particular are very interested in knowing their status as they are highly exposed, and if infectious, can potentially transmit infection nosocomially (in the healthcare workplace setting) and to their household. In addition to understanding their exposure risk, infectious period, and immunity status, health care workers are reporting high levels of psychosocial distress including anxiety and burnout. The investigators aim to assess the baseline and cumulative seroprevalence of SARS-CoV-2 among health care workers using both quantitative and qualitative serological assays; describe psychosocial well-being and coping strategies among health workers in their institutional settings and describe how knowledge of one's serostatus affect psychosocial well-being, and coping strategies. Findings from this study will inform; 1) use of serological assays and testing algorithms, and 2) approaches to manage psychosocial stress for healthcare workers.

Recruitment & Eligibility

Inclusion Criteria

Exclusion Criteria

Arm && Interventions

Group	Intervention	Description
Prior Positive polymerase chain reaction (PCR) and Recovered	Health Care Worker Survey	Prior Positive PCR result, fully recovered, back at work and symptom free for greater than or equal than 14 days.
Never tested and current COVID-19 Symptoms	Health Care Worker Survey	Never tested and current COVID-19 Symptoms (e.g. referred by a provider or clinic)
Prior Positive polymerase chain reaction (PCR) and Recovered	COVID-19 Serology	Prior Positive PCR result, fully recovered, back at work and symptom free for greater than or equal than 14 days.
Never tested, history of COVID-19 Symptoms and Recovered	COVID-19 Serology	Never tested and history of COVID-19 symptoms and symptom-free for more than 14 days
Never tested, history of COVID-19 Symptoms and Recovered	Health Care Worker Survey	Never tested and history of COVID-19 symptoms and symptom-free for more than 14 days
Never tested and asymptomatic	COVID-19 Serology	Never tested and asymptomatic for COVID-19 symptoms, including asymptomatic health care worker
Never tested and current COVID-19 Symptoms	COVID-19 Serology	Never tested and current COVID-19 Symptoms (e.g. referred by a provider or clinic)
Never tested and asymptomatic	Health Care Worker Survey	Never tested and asymptomatic for COVID-19 symptoms, including asymptomatic health care worker

Primary Outcome Measures

Name	Time	Method
Proportion seropositive	Up to 12 months after collection visit	Percentage of health care workers with positive serological markers to describe patterns in exposure, re-infection, clinical symptom, serological responses among health care workers based on their baseline serological status over a one year period.

Secondary Outcome Measures

Name	Time	Method

Locations (1): NewYork-Presbyterian Hosptial/Columbia University Irving Medical Center
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New York, New York, United States