Life after Lockdown: An Exploratory Qualitative Study of Behaviors and Impacts of Avoiding COVID-19 in Individuals at High Risk of Severe COVID-19 and Their Caregivers.
| Autor: | Maia T; Patient Centered Solutions, IQVIA, 2740-266 Porto Salvo, Portugal., Yokota R; Epidemiology & Pharmacovigilance, P95, 3001 Leuven, Belgium., Arnetorp S; Health Economics & Payer Evidence, Vaccines & Immune Therapies, BioPharmaceuticals Medical, AstraZeneca, 431 83 Gothenburg, Sweden., Smith J; Patient representative, Vale of Glamorgan, UK., Rae-Garwood G; Patient representative, Glendale, AZ, USA., Settergren G; Global Evidence Portfolio Delivery, BioPharmaceuticals Medical, AstraZeneca, 431 83 Gothenburg, Sweden., Eckerd M; Global Patient Engagement R&I, AstraZeneca, Wilmington, DE 19850, USA., Williams P; Patient Centered Solutions, IQVIA, 92400 Courbevoie, France.; Patient Centered Science, Vaccine & Immune Therapies, BioPharmaceuticals Medical, AstraZeneca, 431 83 Gothenburg, Sweden. |
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| Jazyk: | angličtina |
| Zdroj: | International journal of environmental research and public health [Int J Environ Res Public Health] 2024 Sep 30; Vol. 21 (10). Date of Electronic Publication: 2024 Sep 30. |
| DOI: | 10.3390/ijerph21101307 |
| Abstrakt: | This exploratory qualitative study involved semi-structured interviews with adults and caregivers of adults at high risk of severe COVID-19, addressing current COVID-19 avoidance and protective behaviors and how these behaviors impacted their lives. Results were interpreted in a separate think tank session. Insights were developed into a conceptual model of COVID-19 avoidance and protective behaviors and the associated impacts on health-related quality of life and overall functioning. Data were interpreted using a hybrid inductive and deductive thematic analysis. Twelve high-risk individuals and two caregivers were interviewed across four focus groups (April-July 2022). Major behavioral themes included physical distancing, physical and medical protection, quality of support services and networks, and information to make decisions. Major impacts included family, social, and emotional functioning; work and finances; and healthcare access. The final conceptual model comprised 13 behaviors to avoid COVID-19 categorized within four themes, and 13 impacts within five themes. Individuals at high risk of severe COVID-19 and their caregivers continue practicing COVID-19 avoidance behaviors post-lockdown and feel left behind by the general population. Our conceptual model may be used to inform health authorities and other governing bodies' decisions in executing strategies aimed at improving these individuals' lives. Competing Interests: Tiago Maia is an employee of IQVIA, the research organization contracted to conduct this study. Paul Willams was employed by IQVIA, which was under contract with AstraZeneca at the time of the study, and is now employed by AstraZeneca. Renata Yokota is an employee of P95, under a contract with AstraZeneca. Sofie Arnetorp and Gabriella Settergren are employees of, and own stocks or shares in, AstraZeneca. Marie Eckerd was an employee of AstraZeneca at the time of the study but is now retired from AstraZeneca. Gail Rae-Garwood is a patient advisor to both AstraZeneca and Otsuka. Joanne Smith and Gail Rae-Garwood received honoraria for participating in the ‘think tank’ session of the current study, but did not receive payment for their time as co-authors on the manuscript. |
| Databáze: | MEDLINE |
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