Exploring the impact of shielding advice on the health and wellbeing of individuals identified as extremely vulnerable and advised to shield in Southwest England amid the COVID-19 pandemic: A mixed-methods evaluation
Exploring the impact of shielding advice on the health and wellbeing of individuals identified as extremely vulnerable and advised to shield in Southwest England amid the COVID-19 pandemic: A mixed-methods evaluation
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探索屏蔽建议对英格兰西南部在 COVID-19 大流行期间被确定为极度脆弱并建议屏蔽的个人的健康和福祉的影响：混合方法评估
DOI：
10.1101/2022.01.05.21268251
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Lasseter G
中科院分区：
文献类型：
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作者：
Lasseter G
背景国家防护计划是英国政府在新冠肺炎大流行开始时推出的，被确认为临床极端脆弱的人提供建议和支持，留在家里，避免所有非必要的接触。方法采用两阶段混合研究方法，包括结构化调查(2020年8月7日至10月23日)和半结构化电话访谈(2020年8月26日至9月30日)，样本被布里斯托尔、北萨默塞特和南格洛斯特郡临床调试小组(BNSSG)建议应为CEV的个体。结果本调查由203人完成(57%为女性，54%为 >； 在英格兰西南部被BNSSG CCG认定为CEV(69岁，94%是英国白人，%退休)。13名受访者参与了后续采访(53%为女性，40%为 >； 为69年，100%为英国白人，61%为退休)。参与者认为，收到英国国民健康保险制度或全科医生(GP)的官方通讯是屏蔽的合法开始。80%的受访者认为他们收到了需要屏蔽的所有相关建议，但受访者批评建议的时机，并经常寻求补充信息。屏蔽行为是微妙的，根据个人情况进行调整，并随着时间的推移而减弱。很少有受访者得到社区支持，尽管一些人获得了食品盒和非正式的社会支持。90%的受访者普遍担心新冠肺炎。据报道，自屏蔽开始以来，分别有35%和42%的调查应答者的身体和精神健康状况恶化。21%的调查应答者在PHQ-9问卷上的 ≥ 评分为10，表明可能的抑郁，15%的调查应答者在 ≥ -7问卷上的评分为10，表明可能的焦虑。结论本研究突出了在被确定为CEV的个体的多样性的情况下，提供适用和适当的通用消息传递的困难，以及分享定制和及时的建议以告知屏蔽决策的重要性。提供加强自主行动的信息和来自支持服务的援助，可以减少庇护对心理健康和社会孤立感的负面影响。
BackgroundThe national shielding programme was introduced by UK Government at the beginning of the COVID-19 pandemic, with individuals identified as clinically extremely vulnerable (CEV) offered advice and support to stay at home and avoid all non-essential contact. This study aimed to explore the impact and responses of “shielding” on the health and wellbeing of CEV individuals in Southwest England during the first COVID-19 lockdown.MethodsA two-stage mixed methods study, including a structured survey (7 August—23 October 2020) and semi-structured telephone interviews (26 August—30 September 2020) with a sample of individuals who had been identified as CEV and advised to “shield” by Bristol, North Somerset & South Gloucestershire (BNSSG) Clinical Commissioning Group (CCG).ResultsThe survey was completed by 203 people (57% female, 54% > 69 years, 94% White British, 64% retired) in Southwest England identified as CEV by BNSSG CCG. Thirteen survey respondents participated in follow-up interviews (53% female, 40% > 69 years, 100% White British, 61% retired). Receipt of ‘official’ communication from NHS England or General Practitioner (GP) was considered by participants as the legitimate start of shielding. 80% of survey responders felt they received all relevant advice needed to shield, yet interviewees criticised the timing of advice and often sought supplementary information. Shielding behaviours were nuanced, adapted to suit personal circumstances, and waned over time. Few interviewees received community support, although food boxes and informal social support were obtained by some. Worrying about COVID-19 was common for survey responders (90%). Since shielding had begun, physical and mental health reportedly worsened for 35% and 42% of survey responders respectively. 21% of survey responders scored ≥ 10 on the PHQ-9 questionnaire indicating possible depression and 15% scored ≥ 10 on the GAD-7 questionnaire indicating possible anxiety.ConclusionsThis research highlights the difficulties in providing generic messaging that is applicable and appropriate given the diversity of individuals identified as CEV and the importance of sharing tailored and timely advice to inform shielding decisions. Providing messages that reinforce self-determined action and assistance from support services could reduce the negative impact of shielding on mental health and feelings of social isolation.
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影响因子：
4.1
作者：
McKinlay AR;Fancourt D;Burton A
通讯作者：
Burton A
Covid-19：屏蔽文本“一团糟”后慈善机构呼吁明确建议
影响因子：
--
作者：
I. Torjesen
通讯作者：
I. Torjesen
影响因子：
6.9
作者：
Zavlis O;Butter S;Bennett K;Hartman TK;Hyland P;Mason L;McBride O;Murphy J;Gibson-Miller J;Levita L;Martinez AP;Shevlin M;Stocks TVA;Vallières F;Bentall RP
通讯作者：
Bentall RP
影响因子：
3.7
作者：
Ashbaugh AR;Houle-Johnson S;Herbert C;El-Hage W;Brunet A
通讯作者：
Brunet A
影响因子：
--
作者：
Abrams, Thomas;Abbott, David
通讯作者：
Abbott, David