{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:40:24Z","timestamp":1786650024428,"version":"build-2736575974"},"reference-count":33,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T00:00:00Z","timestamp":1767139200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"Abstract<\/jats:title>\n \n Background:<\/jats:title>\n Frontline healthcare workers (HCWs) experienced unprecedented psychosocial stress during the coronavirus disease 2019 pandemic. Their preparedness, shaped by knowledge, training, and occupational role, played a critical role in response effectiveness. This study aimed to assess knowledge, preparedness, and stress among HCWs in Kerala, India.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n A cross-sectional survey was conducted among 369 HCWs, including doctors, nurses, and allied health professionals, from various healthcare levels across Kerala. Data were collected using a structured, validated questionnaire assessing demographics, self-perceived knowledge, training experiences, attitudes, and psychosocial impacts. Statistical analysis was performed using SPSS version 25, with the Chi-square and Fisher\u2019s exact tests to explore associations between variables.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Nurses constituted the majority of respondents (71.5%), and 65.3% were aged 20\u201339 years. While prepandemic training was perceived as inadequate by most participants, 94.6% reported improved preparedness following training during the pandemic. Significant associations were found between occupation and perceived knowledge (\n P<\/jats:italic>\n < 0.05). Attitude-related responses revealed that 53.9% felt scared at the onset, while 95.1% later reported mental preparedness for future waves. Occupational role was significantly associated with perceived luck in surviving the pandemic (\n P<\/jats:italic>\n = 0.048) and multiple experience-related variables, including early mental health impact (\n P<\/jats:italic>\n = 0.04).\n <\/jats:p>\n <\/jats:sec>\n \n Discussion:<\/jats:title>\n The findings highlight discrepancies in training adequacy and suggest that younger and nursing professionals were more psychologically impacted. Targeted interventions are needed to address profession-specific stressors and resilience building.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Effective in-pandemic training improved preparedness and confidence. Strengthening predisaster training and mental health support is essential for building a resilient healthcare workforce.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/aam.aam_407_25","type":"journal-article","created":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T14:00:06Z","timestamp":1767189606000},"page":"782-790","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Psychosocial Determinants of Preparedness and Stress Management among Frontline Healthcare Workers in Kerala during Pandemic Response: A Cross-sectional Study"],"prefix":"10.4103","volume":"25","author":[{"given":"Deljo","family":"Puthur","sequence":"first","affiliation":[{"name":"Saveetha School of Management, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benita S","family":"Monica","sequence":"additional","affiliation":[{"name":"Saveetha School of 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