1.Outcome of Program Kesihatan Optimum Sanubari (SANUBARI) Wellness-based Self-management Intervention in Coaching Healthcare Workers for Well-being in COVID-19 Pandemic
Hariani Ishak ; Umi Adzlin Silim ; Aida Farhana Hj Suhaimi
Malaysian Journal of Medicine and Health Sciences 2023;19(No.1):205-214
Introduction: This study measured the outcome of the Optimal Health Program (OHP) among frontline healthcare
workers during the COVID-19 pandemic. The OHP is a wellness-based self-management intervention focused on
well-being to gain optimal health. OHP is originally from Australia and has been translated, culturally adapted and
branded as the Program Kesihatan Optimum Sanubari (SANUBARI). The program was conducted as a psychosocial intervention and the outcomes measured were self-efficacy, coping styles and well-being. Methods: Eligible
participants were nurses who actively managed COVID-19 inpatients in Hospital Kuala Lumpur and committed to
complete the intervention. Those who did not provide consent or had comorbidity, unstable medical or psychiatry
illnesses were excluded. 43 nurses were recruited through convenience sampling method and completed outcome
measures from General Self-Efficacy Scale, Brief COPE and WHO-5 Well-being Index, before and 1-month after
the intervention. The OHP was conducted via group-based, using OHP Sanubari workbook with 5 weekly sessions
by trained facilitators and lasted for 60 to 90 minutes per session. Results: Significant improvement was observed
1-month post intervention for self-efficacy (t(42)=5.64, p <0.001) and well-being(t(42)=2.14, p<0.05); different approach coping strategies(acceptance, use of informational support, positive reframing, active coping, and planning)
and avoidant coping strategies(distraction, venting, denial, and substance use). Whilst, humor coping reduced significantly 1-month post-intervention (t(42)=3.66, p<0.05). Conclusion: This study reports the positive outcome of
OHP on the mental health status of healthcare workers during the pandemic. This program can be considered as a
tool towards optimal health throughout their career.