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Table 2 Summaries of differences between 1st and 2nd interview codes

From: Psychological health and wellbeing of primary healthcare workers during COVID-19 pandemic in Malaysia: a longitudinal qualitative study

Themes

1st Interview

2nd Interview

Stress and changes

  • Work

Reduced patient visits in the private sector

Workload back to normal

Risk reduced when patients practiced standard operating procedures (SOPs) although some patients still needed to be reminded

  • Home

Fear of transmitting the virus to family and friends

The stigma of being a PHCW

More acceptance of PHCWs within the social circle

Other activities were opening eg: school

  • Leisure activities

Unable to go for a jog

Switched to sedentary activity

Continue to observe SOPs

Positive feeling about economy

Usual activity was returning to normal

Emotional changes

  • Positive

Starting a new hobby and having more time for themselves

Felt reassured with factual information relayed in daily press conference given by the Ministry of Health

Visited parents at hometown and more social interaction with neighbors

Went for a holiday

Family more receptive, less stressed about risk

  • Negative

Stressed and sad because of movement restriction order, unable to meet a loved one

Worried about infection risk or family members who were vulnerable

Fear of children getting COVID-19 as school reopened

Modifying factors

  • Social support

Supportive working colleagues

Challenges at home from unsupportive family members

Could identify more support at home and at work

  • Attitude/ Spirituality

Trust in God with the hope that he would ease everything

Felt content and happy

Confident with the government and workplace leader

  • Information

The need for more information

Medical knowledge and training were sources of confidence

Information provided in a regular roll call was useful

Relied only on trusted sources