EAST framework to promote adherence to nutritional supplementation: a strategy to mitigate COVID-19 within health workers

{ 'indexed': {'date-parts': [[2024, 3, 14]], 'date-time': '2024-03-14T09:23:28Z', 'timestamp': 1710408208895}, 'reference-count': 49, 'publisher': 'Cambridge University Press (CUP)', 'license': [ { 'start': { 'date-parts': [[2024, 3, 13]], 'date-time': '2024-03-13T00:00:00Z', 'timestamp': 1710288000000}, 'content-version': 'unspecified', 'delay-in-days': 0, 'URL': 'http://creativecommons.org/licenses/by/4.0/'}], 'content-domain': {'domain': [], 'crossmark-restriction': False}, 'abstract': '<jats:title>Abstract</jats:title>\n' '\t <jats:p>Cooperative and caring behaviors are key drivers of human social progress, ' 'especially during catastrophes or pandemic events. While COVID-19 pandemics was arriving to ' 'Colombia in absence of any approved therapeutic strategy or vaccine, and based on evidence ' 'from other viral diseases, we anticipated to hypothesize the protective role of some ' 'nutritional supplements such as Vitamin D and C against SARS-CoV2. Therefore, for health ' 'workers, we proposed a voluntarily nutritional supplementation plan to fortify their immune ' 'system aiming to prevent or mitigate eventual COVID-19 infection and disease. Using the ' 'behavioral EAST framework, all our health workers (<jats:italic>n</jats:italic> = 1,063) were ' 'invited <jats:italic>via</jats:italic> email to participate voluntarily in a supplementation ' 'strategy for a period of 3 months. 77.4% accepted participation, and among them, we ' 'identified a group with optimal adherence to the proposed supplementation plan (20%) and a ' 'predominant group with no adherence at all (57.29%). Adherence seemed to be associated to a ' 'risk perception bias that was predominant in female workers and those workers performing in ' 'working areas with higher risk of infection. Of importance, adherence to the supplementation ' 'strategy was associated to a lower percentage of COVID-19 diagnostics (12%) as compared with ' 'that observed in non-adherence participants (19%). Moreover, the sustained adherence during ' 'the time of intervention seemed to promote adoption of this target behavior, as up to 35% of ' 'the adherent participants remained attached (on their own) to the supplementation habit, 3 ' 'months after the end of the intervention. All these data show the potential relevance of EAST ' 'frameworks as tools to trigger health care and altruistic behaviors to avoid the spread of ' 'pandemic diseases. In line with other authors, our observations suggest that nutritional ' 'vitamin D and C supplementation could mitigate the risk of COVID-19, highlighting the ' 'behavioral and biological relevance of this type of interventions during emerging or ' 're-emerging infectious diseases.</jats:p>', 'DOI': '10.1017/bpp.2024.11', 'type': 'journal-article', 'created': {'date-parts': [[2024, 3, 13]], 'date-time': '2024-03-13T06:22:31Z', 'timestamp': 1710310951000}, 'page': '1-13', 'source': 'Crossref', 'is-referenced-by-count': 1, 'title': 'EAST framework to promote adherence to nutritional supplementation: a strategy to mitigate ' 'COVID-19 within health workers', 'prefix': '10.1017', 'author': [ { 'ORCID': 'http://orcid.org/0000-0002-8240-6228', 'authenticated-orcid': False, 'given': 'John', 'family': 'Arboleda', 'sequence': 'first', 'affiliation': []}, {'given': 'Luis F.', 'family': 'Jaramillo', 'sequence': 'additional', 'affiliation': []}, {'given': 'Alexander', 'family': 'Velez', 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