key: cord-0692849-n8sl8yl9 authors: Huls, Samare P. I.; Sajjad, Ayesha; Kanters, Tim A.; Hakkaart-van Roijen, Leona; Brouwer, Werner B. F.; van Exel, Job title: Productivity of Working at Home and Time Allocation Between Paid Work, Unpaid Work and Leisure Activities During a Pandemic date: 2021-09-02 journal: Pharmacoeconomics DOI: 10.1007/s40273-021-01078-7 sha: a30a0e8f5abdcd80e621f77d6cde4b4f39d19442 doc_id: 692849 cord_uid: n8sl8yl9 BACKGROUND AND OBJECTIVE: The COVID-19 pandemic and the measures taken by governments to contain it have affected many aspects of the daily lives of citizens. This study aimed to describe changes in the productivity of paid work and time allocation to paid and unpaid work and leisure resulting from working at home during the pandemic. METHODS: A sample of 851 people from the Netherlands who had paid work (≥ 24 h/week) and worked at least 4 hours per week extra at home because of lockdown measures completed a questionnaire during the first COVID-19 lockdown (April 2020). Respondents reported time spent on paid and unpaid work and leisure before and during the lockdown. Productivity was measured in terms of quantity and quality of paid work. RESULTS: On average, respondents spent less time (14%) on paid work and productivity decreased 5.5%. Changes in productivity were associated with the age of children, net income and having a separate home office. Respondents spent more time on unpaid work (27%) and leisure (11%). Women spent more time on unpaid work in absolute but not in relative terms. People with a partner and with children spent more time on unpaid work and less time on leisure. CONCLUSIONS: Productivity of paid work decreased, and people reallocated time between paid and unpaid work and leisure during the first COVID-19 lockdown. Changes in time allocation and productivity differed across subgroups. If working at home becomes more common, future research should focus on the long-term impact on productivity and mental and physical health. In many countries, the COVID-19 pandemic and the measures taken by governments to contain it in order to protect the health of the population also affected many other aspects of the daily lives of citizens. In the Netherlands, like in many other countries, working at home was strongly advised as one of the ways to reduce infection rates. Such policies, while perhaps contributing to reduced infection rates, also have socioeconomic consequences [1] , including changes in the productivity of employees. Understanding the consequences of measures like working at home may help to make a good assessment of their costs and consequences as well as to formulate ways of reducing potential negative (side)effects. Moreover, this information is valuable because our methods of working might change permanently, with working at home remaining more common also after the pandemic [2] [3] [4] . This paper therefore describes a study set out to estimate changes in the productivity of paid work and time allocation to paid and unpaid work and leisure activities resulting from working at home during the COVID-19 pandemic. Having to work at home may affect productivity in different ways. Some types of work simply cannot be performed at home because of the required equipment (e.g. heavy machinery) or the nature of the work (e.g. waiter or actor) [3] . Not being able to do your work because you are not able to go to your workplace then potentially implies a complete loss of your productivity (in paid work). For other types of work, it may be feasible to perform at least a part or the normal activities at home [3] . However, even if all activities could be performed at home, this does not necessarily imply that productivity would remain the same when actually having to do so. For instance, the working environment and facilities may be less optimal at home than at the workplace [5] ; distractions from work by other household members or the lack of an adequate place to work (e.g. desk, chair, own room) at home can reduce productivity. However, if employees and employers invest in physical and human capital and in innovations that support working at home, productivity may actually increase [2] , also because of reduced travel time. Productivity not only concerns paid work, but also unpaid work. Even though it is less often considered in economic evaluations [6] , unpaid work should also be incorporated when analysing the full societal impact of public health issues [7] . Having to work at home may have positive and negative consequences for unpaid work, and the distribution of unpaid work within a household may change [8] . For instance, people who are not able to perform all of their normal paid work activities may spend (a part of) the freed time on unpaid activities (e.g. home improvements). In contrast, people with children may have to increase their time on unpaid activities (e.g. home schooling), potentially at the expense of time spent on paid work. The changes in time spent on paid and unpaid work activities as a result of the lockdown measures may also affect the time available for leisure. Changes in leisure time are important in relation to the evaluation and sustainability of the overall changes in time allocation over prolonged periods of time [9] . Indeed, spending more time on paid and unpaid work at the expense of leisure in order to avoid losses in productive activities or address higher demands of paid or unpaid work may be perceived as negative and only bearable for a certain period but not a viable solution over longer periods of time. However, an increase in leisure time can also positively affect productivity [10] . The changes in allocation of time to paid work, unpaid work and leisure may of course vary across subgroups of the population, according to the types of work and other circumstances. During the pandemic, the amount of people working at home was found to differ per industry [11, 12] , with higher percentages of people with high incomes [2, 11, 12] and high education [12] working at home. Gender, marital status and having children did not seem to impact the ability to work at home [11] . However, women did experience more changes in paid working hours and carried a heavier load in childcare and household work than men [8, 13, 14] . Women with children experienced more psychological distress than women without children [8] , and a larger decline in time spent on leisure activities than men with children [14] . The age of children was found to matter in the work-life balance [15] , but no gender differences were found [14] . This paper presents the results of a study conducted to investigate changes in productivity in relation to paid work, in terms of quantity and quality of work, and time allocation to paid and unpaid work as well as leisure activities as a result of working at home during the COVID-19 pandemic. Furthermore, it assesses whether these changes vary between subgroups of the population. Data were collected at the time of the first wave of COVID-19 infections in the Netherlands, when the government had introduced lockdown measures that urged people to work at home and schools and day care facilities for children were closed. This information is relevant in both looking back on the full societal impact of coronavirus and measures to counter it, as well as in looking forward to potential future lockdowns and other measures encouraging or enforcing working from home. A cross-sectional survey was administered online to a sample of adult working people in the Netherlands recruited by the survey sampling company CG Research. People were eligible if they (1) had paid work for at least 24 hours per week before the pandemic, (2) worked at home at least 4 hours per week extra as compared with before the pandemic, and (3) were between 18 and 67 years old. The survey was administered between 22 April and 2 May, 2020. The sample was selected to be representative of the population according to gender, age (18-27, 28-37, 38-47, 48-57, 58-67 years) and composition of the household (partner: yes/no; children: yes/no). All respondents consented to the information they provided being used for research purposes and they received a reward equal to a financial compensation of €1.50 upon completion of the survey. The study was approved by the Ethical Review Committee of Erasmus School of Health Policy & Management (IRB 20-12). Figure 1 shows the number of reported infections [16] and the stringency index of pandemic policies [17] at the time of data collection in the Netherlands. As of 12 March, people were advised to work at home and as of 15 March, all schools, day care for children, restaurants and sports clubs were closed. With the partial lockdown that started on 23 March, group sizes became restricted to two and people working in contact-based professions such as hairdressers and driving instructors were no longer allowed. The first part of the survey consisted of questions about respondents; personal characteristics and characteristics relating to the work and home situation before the COVID-19 lockdown measures were introduced ( t 0 ). Then, respondents were asked about their current situation ( t 1 ), and their productivity. Questions about time allocation to unpaid work and leisure before and during the lockdown measures followed. A more detailed description of the variables used in this study (paid work, productivity, unpaid work, leisure activities and personal characteristics) follows below. Time spent on paid work was measured in two ways, namely, where ( t 0 ) refers to weekly hours spent before the COVID-19 lockdown measures were introduced and ( t 1 ) refers to time spent during the lockdown. Differences between time spent before and during the lockdown are defined as Δt . Both Actual hours t and Contract hours t were respondent reported, with the first referring to the actual number of hours spent on work (i.e. including potential overtime and undertime), and the latter strictly referring to the number of hours in a respondent's contract. Following Brouwer et al. [18] , productivity is driven by three concepts, namely work hours, average quantity of completed work and average quality of completed work in those work hours. As such, changes in productivity are measured using the following composite measure: Contract hours t 0 × quantity of work Δt × quality of work Δt × 100%, where values between 0% and 100% indicate a loss of productivity during the COVID-19 lockdown as compared to before, and those above 100% indicate a gain in productivity. Quantity of work Δt as derived from the iMTA Productivity Cost Questionnaire [19] and Quality of work Δt measured in a similar manner, namely numerically (grade between 0 and 10) following a three-category (higher/equal/lower)question 1 . As the meaning of the grade between 0 and 10 differed depending on whether quality/quantity was higher, equal or lower, values were rescaled to range between zero and two. A value between zero and one indicated a decrease, a value of one indicated equality and a value between one and two indicated an increase. Time spent on unpaid work was measured in terms of eight types of activities, namely: household work, preparing meals, childcare, supporting children in education, informal care for a household member, informal care for others, jobs around the house/garden and voluntary work. This list of activities was based on the examples given in the iMTA Productivity Cost Questionnaire [19] . Based on discussions within the research group, some activities were rephrased in a manner such that it was possible to spend time on them regardless of the lockdown measures (e.g. contact with friends/family rather than meeting friends/family). Respondents were asked how many hours they spent on these activities before the lockdown by filling in "… hours per week" for each activity. Thereafter, they were asked how many hours more/less they spent on each of these activities weekly, again by filling in "… hours more per week" or "… hours less per week". For time spent on leisure activities, eight types of activities were distinguished: relaxation with household members, relaxation alone, contact with family, contact with friends, moderate exercise, intensive exercise, watching TV (including video streaming), and social media and the Internet. This list of activities was constructed based on discussions within the research group, and again such Fig. 1 Dutch situation around the time of data collection, spring 2020 [16, 17] 1 Phrasing of follow-up question if lower quantity reported: "You indicated that you were able to do less than usual during the hours you worked in the past week. Select the number below that best matches how much work you were able to do during these hours on average. The 10 means that during these hours you could do as much as you normally would. The 0 means that you could not do anything during these hours." Phrasing of follow-up question if higher quality reported: "You indicated that during the hours you worked in the past week, the quality of your work was higher than usual. Select the number below that best matches the average quality of your work during these hours. A 10 means that the quality of your work during these hours was twice as high as normal. A 0 means that the quality of your work during these hours was the same as usual." that it captured activities that were possible regardless of lockdown measures. For subgroup analyses, information was also collected on age (18-34/35-49/50-67 years), gender (male/female), having a partner (yes/no), having children living at home (yes/no), children in the age categories 0-3, 4-12 or 13-17 years (yes/no), which corresponds to pre-school, primary school and secondary school ages, education level (low/middle/high), net individual income before lockdown (< €2000 /€2000-€2999/€3000-€3999/€4000-€4999/≥ €5000/Don't know/Rather not say) and whether respondents could avail of a separate office at home (Yes, I can use a separate office all day long/Yes, I can use a separate office for part of the day/ No). In addition, respondents were asked whether they had a government-defined crucial job (i.e. working in healthcare, transport, education or other vital profession), meaning that they were allowed to go to their workplace and their children were allowed to go to school or day care. To get a broad understanding of the data, time allocation to paid work (contract hours and actual hours), unpaid work and leisure activities were described for the general sample as well as per subgroup. We performed paired t-tests to compare changes in time spent before and during the lockdown. In addition, Pearson's correlations between these four categories of time allocations were computed. Productivity in paid work was also studied by performing a linear regression to support the descriptive results regarding associations with age, gender, having a partner, the age of children living at home, education level, net income and whether respondents had a separate office. To optimise model specification, variables of which the variance inflation factors were higher than 5 [20] were deleted. If this did not improve the R-squared, the variables were retained. Unpaid work and leisure activities were further examined descriptively by inspecting differences between subgroups defined by gender, having a partner and having children in the different age categories. Please note that given the nature of the data, some transformations were performed before the data analysis. More information about these can be found in Table 6 of the "Appendix". In total, 851 respondents met the inclusion criteria, provided informed consent and completed the survey. Sample characteristics can be found in the leftmost columns of Table 1 . Thirty percent of respondents were aged between 18 and 34 years, 33.5% were aged between 35 and 49 years, and the remaining 36.5% were aged between 50 and 67 years. Slightly more than half of the respondents were male (53.0%), 70.5% of respondents had a partner and 35.5% had children under the age of 18 years living at home. Most respondents were highly educated (61.3%), were willing to disclose their net monthly household income (85.5%) and 28.3% had a government-defined crucial job. Table 1 gives an overview of respondents' time allocation per week. As the first row of the table shows, the mean number of contract hours of paid work was 35.2 per week before the COVID-19 lockdown. This number decreased by 2.5 h (7%) during the lockdown. The largest relative losses in contract hours occurred in respondents with a low income, low education and in people with young children. On average, these respondents lost at least 10% of their paid working hours. The actual mean number of hours spent on paid work was 34.8 per week before the lockdown. During the lockdown, this number decreased by 4.8 h (14%), which is almost twice as large as the decline in contract hours. Young respondents, respondents with young children, a low education or without a separate office experienced the largest relative decline in actual hours spent on paid work. All changes in time spent before and during the lockdown were statistically significant (p < 0.001), besides changes in volunteer work (p = 0.55). Fig. 2 shows more detailed information about the distribution of (changes in) the time variables. The top left panel, for example, shows that that respondents generally had more contract hours of paid work before the lockdown (green line) than during (yellow). The orange line (differences) and its peak around zero show that for most people, there were little changes in contract hours. The slight skew to the right confirms what is observed in the green and yellow lines: if there are changes, most people had less contract hours of paid work. The other figures can be interpreted in a similar manner. The amount of time spent on unpaid work on average increased by 27% during the lockdown, with respondents aged between 18 and 34 years, with a higher income or a separate office for part of the day experiencing the largest relative increase in time spent on unpaid work. Time allocated to leisure activities on average increased by 11%. This relative increase was highest for people with a separate office part of the day, followed by respondents with an income below €2000. The total amount of time spent on paid work, unpaid work and leisure activities together was 99.1 h per week before the pandemic and increased by 5 h (5%) during the lockdown. The increase in total time spent on these three categories was largest for respondents with children in the two youngest age categories or a separate office part of the day. Furthermore, we found that changes in time spent on paid work (both contract and actual hours) were similar for men and women. In absolute terms, women spent more extra time on unpaid work than men (p = 0.002), but in relative terms the increase was similar. Moreover, people with a partner spent more extra time on unpaid work than people without a partner (p = 0.001) and less on leisure (p < 0.001). A similar pattern is observed for people with and without children; in absolute terms, people with children spent more extra time on unpaid work (p < 0.001) and less extra time on leisure (p = 0.002) during lockdown. Table 2 shows Pearson correlations between differences in time allocation to paid work (contract and actual hours), unpaid work and leisure activities. The correlation between changes in contract and actual hours of paid work was positive and the largest between activities. For the rest, small negative-to-negligible correlations were found between all changes in time allocated to activities, indicating that there was little compensation in time changes between activities. The latter is confirmed by the positive correlations, with the change in total hours indicating that respondents generally increased the total time spent on paid work, unpaid work and leisure during the lockdown. A description of sample characteristics related to paid work is presented in Table 3 , a description of the type of job and sector is presented in Table 7 of the "Appendix". As shown in Table 3 , for about half of the respondents (53.3%), there were no or hardly any changes in their work (except for the fact that the inclusion criterion was at least 4 additional hours working at home). On average, these people had slightly higher productivity than before the lockdown. About a quarter (26.9%) reported (predominantly) working at home during the lockdown, and roughly 5% worked more or less hours, or performed a different type of work. There were multiple work-related changes for 12.3% of respondents, namely a combination of working at home, working more or less hours, or doing different types of work. Two percent lost their job or changed jobs. On average, any changes in work were associated with decreased productivity. Slightly less than half of the sample (43.2%) reported the quantity of work they achieved was the same as before lockdown, 19.0% did more and 35.4% did less. Most respondents (73.8%) reported an equal quality of work as before lockdown, 8.3% reported a higher quality and 15.5% reported a lower quality. These changes in the quantity and quality of work were also reflected in changes in paid work productivity, as computed using the formula presented in the Methods section. On average, respondents commuted 65.6 minutes per day (standard deviation = 56.0) before the lockdown. As shown by the linear regression results in Table 4 , people without a partner were less productive during than before the COVID-19 lockdown (p = 0.06). Having children 65.6 (56.0) -at home was associated with a statistically significant lower productivity only if there were children aged between 0 and 3 years (p = 0.01). A net monthly household income of €5000 or higher was associated with a higher productivity (p = 0.04) as compared with the change in productivity of respondents with an income below €2000. Furthermore, respondents who could avail of a separate office at home for the whole day had a higher productivity than those without an office, or an office for a part of the day only (p < 0.01). The R 2 (0.08) indicates that only a small percentage of the variance in productivity is explained by the model. Fig. 3 highlights the differences in productivity during lockdown between respondents with or without children aged between 0 and 3 years and with or without a separate office at home. Respondents without children in the youngest age category and with a separate office had, on average, the highest productivity during lockdown, followed by respondents with children in the youngest age category and a separate office. Productivity was lowest for respondents with children in the youngest age category but no separate office, or only for a part of the day. The figure also shows that for these groups, the decrease in the quantity of work had more impact on productivity than the decrease in the quality of work. Table 5 also shows the extra time was spent on most types of leisure activities during lockdown, with a total of 4.9 h extra per week. In relative terms, most extra time was spent on relaxing alone or with household members (23% and 21%). In absolute numbers, most extra hours were spent on watching TV and on social media and the Internet. Less time was spent on contact with family (27%) and friends (15%), which is in line with the imposed lockdown measures. Figure 5 illustrates how extra time allocation to leisure differed for men and women and for people with and without children. Consistent with the data presented in Table 1 This is one of the first studies assessing the impact of COVID-19 and lockdown restrictions on the productivity of paid work and time allocation to paid and unpaid work as well as leisure in the context of working at home in a sample of the general working population. For paid work, we found that contract hours and actual hours worked both decreased during the lockdown, but the number of actual hours decreased more sharply. Losses in contract hours were largest for respondents with a low income, low education and for people with young children. The amount of time spent on unpaid work and leisure on average increased, as well as the total amount of reported hours per week spent on all activities together (i.e. paid work, unpaid work and leisure activities). Correlations between the different types of time allocation were relatively low, suggesting little compensation behaviour, perhaps because people increased total (productive) time. People with young children, people who did not have a separate office for the entire day and people with low incomes had the largest decrease in productivity of paid work. Furthermore, women spent more extra time on unpaid work in absolute terms although not in relative terms. People with a partner and with children spent more additional time on unpaid work, and less on leisure than their counterparts. The body of literature on the impact of COVID-19 on productivity is growing, but currently limited to specific sectors. As was found in the current study, a study among US residents also observed that productivity decreased during the COVID-19 pandemic [21] . Contrary to the US study, our study did not find a significant effect of gender on change in productivity. This might be due to differences in the measurement of productivity: in the current study, this was a numerical composite of self-reported quantity and quality of work, whereas the US study used a three-item self-assessed Likert scale to assess productivity. The observation that the number of working hours reduced was also found in a Canadian study [15] . Furthermore, Collins et al. [13] performed a study in the USA and found that mothers with young children had reduced their working hours four to five times more often than fathers. Consequently, the gender gap in work hours grew by 20-50%. We did find a gender gap in working hours prior to the pandemic, but it did not increase during the pandemic. On the contrary, in absolute terms, we found a larger decrease in work hours (contract and actual) for male individuals, but it was only slightly larger in relative terms. Perhaps these different findings between countries can be explained by the different cultures regarding gender roles for paid and unpaid work, as well as social security arrangements and specific support measures during the pandemic. Like the current study, earlier studies in the Netherlands and the USA found that mothers provided more (additional) hours of childcare than fathers during the COVID-19 pandemic [8, 14] . Despite this study's contribution to the growing body of literature on the experiences of working at home during the pandemic, it also comes with some limitations. First, respondents with a high education level were strongly overrepresented in our sample. Given our finding that people with a low income and low education in our sample lost most contract hours, the findings of this study may not generalise to the overall working population. The overrepresentation of highly educated individuals might be due to the inclusion criteria of the study, i.e. working at least 24 h per week and the ability to work at home. Lower educated people more often work in professions that do not allow working at home [3] , also making them more vulnerable for infection with COVID-19. In addition, the data were collected using an online survey, which could have contributed to a higher response rate among respondents with a higher education. Second, on average, total hours reported (paid work, unpaid work and leisure) increased during the COVID-19 pandemic, that is, the increase in unpaid work and leisure outweighed the decrease in paid work. The increase in total hours partially originated from time saved by not having to commute and might also originate from a decrease in sleeping hours, the latter was not measured in the survey. Another explanation could be that respondents had difficulties recalling their time allocation for a full week, particularly also before the COVID-19 pandemic. A diary method, asking respondents to record their activities over the whole day for a 1-week period, might have provided more precise estimates, but was expected to have low response rates (especially during the first lockdown) and would have been more costly. Third, contrary to studies assessing productivity from an employer perspective [3, 22] , in this study, workers self-assessed their productivity. While employers can only assess worked hours and productivity to a certain extent, workers themselves can provide valuable information about a number of other aspects importantly related to productivity (e.g. working conditions at home, time spent on unpaid work and leisure activities), which are difficult to evaluate for employers. Additionally, the regression analysis had a low goodness of fit. It might be explained by the sample size, by the multiple different components captured in our measure of productivity or by the highly stochastic nature of the concept productivity. However, given the descriptive nature of the paper, and the fact that the regression confirms our descriptive results, we deem it not to be problematic. Last, cross-sectional data were collected at an early stage of the COVID-19 pandemic when a partial lockdown was effective in the Netherlands, with a variety of measures to prevent the spread of COVID-19. The results presented here are thus specific to the context of the initial stage of the pandemic and the measures implemented by government, employers and workers themselves, and may not hold for other countries or other periods. For instance, at the time of the data collection for this study, schools and day care centres for children were closed, and the government strongly advised to work at home. In addition, cultural differences (for instance, with regard to gender roles in paid and unpaid work) can result in differences between countries. Moreover, when people become more accustomed to working at home, this may help to increase productivity in the long term. It is also worthwhile to highlight the broader relevance of the current study in the context of economic evaluations of healthcare interventions. When using a societal perspective, the presented effects on the productivity of working at home may be of direct relevance in economic evaluations of vaccination strategies and other measures to reduce the impact of COVID-19. They also highlight the relevance of productivity changes in the context of health problems that may force people to work at home more frequently (e.g. contagious diseases or immobility). Absence from work in those contexts does not necessarily imply a full loss, but also not a full continuation of productivity; as our analysis shows, it may depend on, for example, the composition of the household and the availability of an appropriate working place. This emphasises the need for sound and more refined measures of productivity in paid and unpaid work for use in economic evaluations, which is even more important if working at home becomes more common in the future. This study showed that the COVID-19 pandemic and subsequent lockdown measures in the Netherlands have resulted in less time allocated to paid work and more time allocated to unpaid work and leisure activities. For most people, clarify the transformation in rule 3, imagine someone reported 240 hours at t 0 and 300 at t 1 . To guarantee that neither ∑ Paid, unpaid, leisure t 0 nor ∑ Paid, unpaid, leisure t 1 exceed 126 hours, while safeguarding an increase in t 1 as compared to t 0 , values are rescaled to the maximum of ∑ Paid, unpaid, leisure t 0 and ∑ Paid, unpaid, leisure t 1 . If, in this example, the respondent performed 40 hours of unpaid work at t 0 , and 60 hours at t 1 , these values are rescaled to 16.8 (=40/300 × 126) and 25.2 (=60/300 × 126), respectively. The rescaled total amount of hours spent on all activities is 100.8(=240/300 × 126) hours at t 0 , and 126 (=300/300 × 126) at t 1 . Rule 4 was introduced because of routing; respondents skipped some questions that were used to calculate productivity if they reported to not have worked at t 1 ( Table 7) . Funding The first author has received funding from the Erasmus Initiative "Smarter Choices for Better Health." None of the authors report conflicting interests. The study was approved by the Ethical Review Committee of Erasmus School of Health Policy & Management (IRB 20-12). Informed consent was obtained from all individual participants included in the study. Data are available upon request. The code is available upon request. Author Contributions AS, LH-vR, WB and JvE contributed to the study conception, design and material preparation. Data collection was overseen by LH-vR. Initial data cleaning was performed by AS and JvE, and further cleaning and analyses were performed by SH. The manuscript was jointly written, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript. Open Access This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http:// creat iveco mmons. org/ licen ses/ by-nc/4. 0/. productivity of paid work decreased during the first lockdown, except for people who could avail of a separate office at home for the entire day. Employers could facilitate better working conditions at home to enhance productivity during future lockdowns, and in a post-pandemic situation when working at home might become more standard. People with children were particularly affected during the first lockdown, when schools and day care were closed, and parents had to allocate more time to teaching and caring tasks for their children. Specific attention for this group is essential if future lockdowns also entail the closing of schools and day care centres. Following a recent policy letter by Yerkes et al. [23] , future research should focus on the long-term impact of the lockdown on productivity, and on how productivity will be affected when lockdown measures are alleviated. They found that, by November 2020, working hours were back to the level before the COVID-19 pandemic, but that people still experienced more work pressure. Furthermore, regardless of an initial increase, the percentage of fathers who spent more time on childcare had decreased. They also found that people with young children were better at combining work and care than before. People's experiences during the first waves of the COVID-19 pandemic, adapted expectations or circumstances, and the long duration of lockdown restrictions could impact people's time allocation as well. In addition, future studies could focus on the impact of the changing work circumstances during and after the pandemic on mental health (e.g. burn outs) and physical health (e.g. ergonomic injuries), and on job satisfaction and worker well-being more in general. 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Results from a survey on gender (in) equality in paid work, the division of childcare and household work, and quality of life among parents in the Netherlands during the Covid-19 lockdown Work-life conflict during the COVID-19 pandemic A global panel database of pandemic policies (Oxford COVID-19 government response tracker) Productivity losses without absence: measurement validation and empirical evidence The iMTA productivity cost questionnaire: a standardized instrument for measuring and valuing health-related productivity losses An introduction to statistical learning: with applications in R Covid-19 created a gender gap in perceived work productivity and job satisfaction: implications for dual-career parents working from home How does working from home affect developer productivity? A case study of Baidu during COVID-19 pandemic Derde policy brief: update over de periode Process utility from providing informal care: the benefit of caring Sustained informal care: the feasibility, construct validity and test-retest reliability of the CarerQol-instrument to measure the impact of informal care in long-term care How to include informal care in economic evaluations Give me a break! Informal caregiver attitudes towards respite care The data transformations that were performed before the analysis are presented in Table 6 .They were performed with the goal of presenting an accurate representation of results and were applied in order of appearance. The number of hours spent on a particular type of unpaid work is referred to as Unpaid a,t for activity a at time t . Time spent on leisure activities follows the same notation as for unpaid work, namely Leisure a,t which refers to activity a at time t . The sum of actual hours spent on all activities, i.e. ∑ Actual hours t + ∑ Unpaid a,t + ∑ Leisure a,t , is defined as ∑ Paid, unpaid, leisure t for brevity. Rules 1-3 were performed as the scenarios described in these rules were highly unlikely or practically impossible 2 . To