Assessing the Acceptability of a Co-Produced Long COVID Intervention in an Underserved Community in the UK.

Assessing the Acceptability of a Co-Produced Long COVID Intervention in an Underserved Community in the UK.
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DOI:
10.3390/ijerph182413191
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发表时间:
2021-12-14
影响因子:
--
通讯作者:
Copeland R
Copeland R
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Fowler-Davis S;Young R;Maden-Wilkinson T;Hameed W;Dracas E;Hurrell E;Bahl R;Kilcourse E;Robinson R;Copeland R

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背景:COVID-19大流行对贫困社区的人们造成了不成比例的影响。长期COVID的经验分布类似,但很少有调查集中在这一人群的需求上。该项目的目的是为居住在被认为更贫困社区的长期COVID患者共同制作可接受的干预措施。方法:干预是基于一个多学科的团队,使用的方法,从运动和运动医学和功能康复。与利益相关者咨询小组和患者公众参与代表进行了共同制作过程。本研究通过邮政编码和多重剥夺指数(IMD)识别参与者;现有的健康和福利服务支持招聘和参与。提供了一个虚拟的“诊所”,由一组专业从业人员与参与者会面三次,直接考虑他们的需求并提供结构化的建议。干预的可接受性是基于个人的参与和他们完成干预。结果:招募了10名参与者,其中8名完成了干预。与现有的社区卫生和福利服务机构建立伙伴关系被认为是接触参与者的一个重要途径。两名男性和六名女性,年龄从38岁到73岁不等,他们的需求通常与疲劳、焦虑和抑郁以及整体去适应有关。没有人报告与这一流行病有关的严重困难,尽管大多数人从事自营职业/兼职工作,或因退休或健康状况不佳而不工作。两名年长的参与者独自生活,其他人是单亲父母,在长期的COVID困难中面临着与管理家庭相关的巨大挑战。结论:本文介绍了参与该过程的八名个人的需求和观点,并讨论了该集团在支持从长期COVID自我管理恢复方面的需求和偏好。
Background: The COVID-19 pandemic has disproportionately affected people from more deprived communities. The experience of Long COVID is similarly distributed but very few investigations have concentrated on the needs of this population. The aim of this project was to co-produce an acceptable intervention for people with Long COVID living in communities recognised as more deprived. Methods: The intervention was based on a multi-disciplinary team using approaches from sport and exercise medicine and functional rehabilitation. The co-production process was undertaken with a stakeholder advisory group and patient public involvement representation. This study identified participants by postcode and the indices of multiple deprivation (IMD); recruitment and engagement were supported by an existing health and wellbeing service. A virtual ‘clinic’ was offered with a team of professional practitioners who met participants three times each; to directly consider their needs and offer structured advice. The acceptability of the intervention was based on the individual’s participation and their completion of the intervention. Results: Ten participants were recruited with eight completing the intervention. The partnership with an existing community health and wellbeing service was deemed to be an important way of reaching participants. Two men and six women ages ranging from 38 to 73 were involved and their needs were commonly associated with fatigue, anxiety and depression with overall de-conditioning. None reported serious hardship associated with the pandemic although most were in self-employment/part-time employment or were not working due to retirement or ill-health. Two older participants lived alone, and others were single parents and had considerable challenges associated with managing a household alongside their Long COVID difficulties. Conclusions: This paper presents the needs and perspectives of eight individuals involved in the process and discusses the needs and preferences of the group in relation to their support for self- managed recovery from Long COVID.
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