Experiences of supported isolation in returning travellers during the early COVID-19 response: a qualitative interview study.
Experiences of supported isolation in returning travellers during the early COVID-19 response: a qualitative interview study.
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DOI：
10.1136/bmjopen-2021-050405
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发表时间：
2021-07-23
期刊：
影响因子：
2.9
通讯作者：
Amlot R
中科院分区：
文献类型：
--
作者：
Carter H;Weston D;Greenberg N;Oliver I;Robin C;Rubin GJ;Wessely S;Gauntlett L;Amlot R
(1)了解那些经历支持隔离的人的经历和看法，特别是与改善依从性和福祉相关的因素;（2）为类似支持隔离程序的管理提供信息建议。我们进行了一项定性研究，使用半结构化的访谈，以捕捉参与者的经验和支持孤立的看法。采用框架方法对数据进行了分析，这是对政策有影响的研究中常用的一种专题分析。在一个人离开支持隔离的大约1个月内进行电话访谈。26名于2020年1月至2月从武汉遣返后在Arrowe Park医院（n=18）或Kents Hill Park会议中心（n=8）接受支持隔离的人士。确定了六个关键主题：影响遵守支持隔离的因素;对感染COVID-19的风险认知;支持隔离的管理;与支持隔离之外的人的沟通;与支持隔离中的其他人的关系;以及离开支持隔离的感受。参与者愿意接受支持性隔离，因为他们明白这将保护自己和他人。工作人员的积极对待对参与者愿意遵守隔离程序至关重要。尽管遵守率很高，但与会者对这一进程将涉及哪些内容表示不确定。随着英国各地对国际入境者实行酒店隔离，我们的研究结果表明，负责人应该：在隔离之前、期间和之后进行有效沟通，强调隔离的重要性以及如何保护他人;尽可能避免胁迫，并专注于支持和促进自愿遵守;促进隔离者分享社交经验;确保提供所有必要的用品。这样做可能会增加依从性并减少对幸福的任何负面影响。
(1) To understand the experiences and perceptions of those who underwent supported isolation, particularly in relation to factors that were associated with improved compliance and well-being; (2) to inform recommendations for the management of similar supported isolation procedures. We carried out a qualitative study using semistructured interviews to capture participants’ experiences and perceptions of supported isolation. Data were analysed using the framework approach, a type of thematic analysis that is commonly used in research that has implications for policy. Telephone interviews carried out within approximately 1 month of an individual leaving supported isolation. 26 people who underwent supported isolation at either Arrowe Park Hospital (n=18) or Kents Hill Park Conference Centre (n=8) after being repatriated from Wuhan in January to February 2020. Six key themes were identified: factors affecting compliance with supported isolation; risk perceptions around catching COVID-19; management of supported isolation; communication with those outside supported isolation; relationship with others in supported isolation; and feelings on leaving supported isolation. Participants were willing to undergo supported isolation because they understood that it would protect themselves and others. Positive treatment by staff was fundamental to participants’ willingness to comply with isolation procedures. Despite the high level of compliance, participants expressed some uncertainty about what the process would involve. As hotel quarantine is introduced across the UK for international arrivals, our findings suggest that those in charge should: communicate effectively before, during and after quarantine, emphasising why quarantine is important and how it will protect others; avoid coercion if possible and focus on supporting and promoting voluntary compliance; facilitate shared social experiences for those in quarantine; and ensure all necessary supplies are provided. Doing so is likely to increase adherence and reduce any negative effects on well-being.
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