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Table 1 The adjustment of the effort–reward imbalance questionnaire items

From: Prevalence of mental health problems and associated factors among front-line public health workers during the COVID-19 pandemic in China: an effort–reward imbalance model-informed study

Subscale Original questionnaire Adapted questionnaire
Item Content Item Content
Effort     
  ERI-1 I have constant time-pressure due to a heavy workload E-1 I have constant time-pressure due to a heavy workload
  ERI-2 I have many interruptions and disturbances in my job E-2 I sacrifice a lot for pandemic-related work
  ERI-3 I have a lot of responsibility in my job E-3 I have a lot of responsibility in pandemic-related work
  ERI-4 I am often pressured to work overtime E-4 I need to work overtime for pandemic-related work
  ERI-5 My job is physically demanding   
  ERI-6 Over the past few years, my job has become more and more demanding   
Reward     
  Job promotion Development
  ERI-11 My job-promotion prospects are poor R-1 Participating in pandemic-related work will improve my ability
  ERI-14 My current occupational position adequately reflects my education and training R-2 Participating in pandemic-related work will help my future development
  ERI-16 Considering all of my efforts and achievements, my work prospects are adequate   
  ERI-17 Considering all of my efforts and achievements, my salary/income is adequate   
  Esteem Esteem
  ERI-7 I receive the respect I deserve from my superiors R-3 I receive the respect I deserve from my superiors
  ERI-8 I receive the respect I deserve from my colleagues R-4 I receive the respect I deserve from my colleagues
  ERI-9 I experience adequate support in difficult situations R-5 I receive the respect I deserve from my service objects
  ERI-10 I am treated unfairly at work R-6 I receive the respect I deserve from society
  ERI-15 Considering all of my efforts and achievements, I receive the respect and prestige I deserve   
  Job security Job acceptance
  ERI-12 I have experienced or I expect to experience an undesirable change in my work situation R-7 I participate in noble work
  ERI-13 My job security is poor R-8 The work I am engaged in has important social significance
    R-9 To be required to participate in pandemic-related work reflects your ability
Over-commitment    
  OC-1 I am easily overwhelmed by time-pressures at work OC-1 I am often faced with unsolvable difficulties in pandemic-related work
  OC-2 As soon as I get up in the morning, I start thinking about work problems OC-2 As soon as I get up in the morning, I start thinking about work problems
  OC-3 When I get home, I can easily relax and “switch off” work OC-3 When I get home, I can easily relax and “switch off” pandemic-related work
  OC-4 People close to me say I sacrifice too much for my job OC-4 People close to me say I sacrifice too much for my job
  OC-5 Work rarely lets me go; it is still on my mind when I go to bed OC-5 Pandemic-related work rarely lets me go; it is still on my mind when go to bed
  OC-6 If I postpone something that I was supposed to do today, I’ll have trouble sleeping at night   
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