Experiences and needs of persons living with a household member infected with SARS-CoV-2: A mixed method study
Households are important sites for transmission of SARS-CoV-2 and preventive measures are recommended. This study aimed to 1) investigate the impact of living with a person infected with SARS-CoV-2; 2) understand how household members implemented infection control recommendations in their home; and...
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creator | Verberk, Janneke D M Anthierens, Sibyl A Tonkin-Crine, Sarah Goossens, Herman Kinsman, John de Hoog, Marieke L A Bielicki, Julia A Bruijning-Verhagen, Patricia C J L Gobat, Nina H |
description | Households are important sites for transmission of SARS-CoV-2 and preventive measures are recommended. This study aimed to 1) investigate the impact of living with a person infected with SARS-CoV-2; 2) understand how household members implemented infection control recommendations in their home; and 3) identify the information and support needs of household members.
For this observational mixed-methods study, households with a person with confirmed SARS-CoV-2 infection were recruited via drive-through testing sites of Municipal Health Services, healthcare worker screening or hospital emergency visits in the University Medical Centre Utrecht, the Netherlands and via primary care physicians, hospital emergency visits or preoperative screening in the University Hospital of Antwerp, Belgium. We recorded household characteristics, including characteristics of all household members, together with their views on prevention measures. In a subset of households one adult household member was asked to participate in an interview investigating their views on preventive measures. Survey data were analysed using descriptive statistics and interview data by rapid framework analysis. A triangulation protocol was used to integrate findings.
Thirty-four households (120 household members) were included in the quantitative survey. Twenty-two households were invited to be interviewed, of which 18 completed an interview (response 81.8%). Survey data showed that almost all households implemented some preventive measures, the use of face masks being least frequently reported. Measures taken depended on what was physically possible, the perceived severity of illness of the index patient and to what extent household members were willing to limit social interaction. Respondents did not believe in the effectiveness of wearing face masks within the house, and from the interviews this was explained by media coverage of face masks, impracticality and the stigma associated with wearing masks. Interviewees reported that quarantine had a high emotional burden and wished to have more information about the exact duration of quarantine, their own COVID-19 status, symptoms and when to seek medical help.
People were willing to implement prevention measures, however actual adherence depended on perceived severity of illness and the perceived risk of becoming infected. Homes are social environments and recommendations for infection prevention should account for this context. Incorporating our find |
doi_str_mv | 10.1371/journal.pone.0249391 |
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For this observational mixed-methods study, households with a person with confirmed SARS-CoV-2 infection were recruited via drive-through testing sites of Municipal Health Services, healthcare worker screening or hospital emergency visits in the University Medical Centre Utrecht, the Netherlands and via primary care physicians, hospital emergency visits or preoperative screening in the University Hospital of Antwerp, Belgium. We recorded household characteristics, including characteristics of all household members, together with their views on prevention measures. In a subset of households one adult household member was asked to participate in an interview investigating their views on preventive measures. Survey data were analysed using descriptive statistics and interview data by rapid framework analysis. A triangulation protocol was used to integrate findings.
Thirty-four households (120 household members) were included in the quantitative survey. Twenty-two households were invited to be interviewed, of which 18 completed an interview (response 81.8%). Survey data showed that almost all households implemented some preventive measures, the use of face masks being least frequently reported. Measures taken depended on what was physically possible, the perceived severity of illness of the index patient and to what extent household members were willing to limit social interaction. Respondents did not believe in the effectiveness of wearing face masks within the house, and from the interviews this was explained by media coverage of face masks, impracticality and the stigma associated with wearing masks. Interviewees reported that quarantine had a high emotional burden and wished to have more information about the exact duration of quarantine, their own COVID-19 status, symptoms and when to seek medical help.
People were willing to implement prevention measures, however actual adherence depended on perceived severity of illness and the perceived risk of becoming infected. Homes are social environments and recommendations for infection prevention should account for this context. Incorporating our findings into policy making could provide households with more relevant and actionable advice.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0249391</identifier><identifier>PMID: 33788890</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Alternating current ; Antimicrobial resistance ; Asymptomatic ; Biology and Life Sciences ; Child ; Child, Preschool ; Coronaviruses ; COVID-19 ; COVID-19 - epidemiology ; COVID-19 - prevention & control ; COVID-19 - transmission ; Data collection ; Disease control ; Disease prevention ; Disease transmission ; Editing ; Epidemics ; Epidemiology ; Female ; Health care ; Health care facilities ; Health Knowledge, Attitudes, Practice ; Health risks ; Health sciences ; Health services ; Hospitals ; Households ; Housing ; Humans ; Infant ; Infant, Newborn ; Infections ; Infectious diseases ; Male ; Masks ; Medical research ; Medicine and Health Sciences ; Microbiology ; Middle Aged ; Mixed methods research ; Netherlands ; Patients ; People and places ; Prevention ; Primary care ; Psychological aspects ; Psychological effects ; Public health ; Quarantine ; Severe acute respiratory syndrome coronavirus 2 ; Social aspects ; Social Sciences ; Viral diseases ; Young Adult</subject><ispartof>PloS one, 2021-03, Vol.16 (3), p.e0249391-e0249391</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Verberk et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 Verberk et al 2021 Verberk et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-ae13ed5e5d393fb0e86de3126554c46deb3f5620cc9a65efa5adb5d24c0577b73</citedby><cites>FETCH-LOGICAL-c692t-ae13ed5e5d393fb0e86de3126554c46deb3f5620cc9a65efa5adb5d24c0577b73</cites><orcidid>0000-0003-2148-5935 ; 0000-0003-1332-4138</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8011759/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8011759/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79569,79570</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33788890$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Verberk, Janneke D M</creatorcontrib><creatorcontrib>Anthierens, Sibyl A</creatorcontrib><creatorcontrib>Tonkin-Crine, Sarah</creatorcontrib><creatorcontrib>Goossens, Herman</creatorcontrib><creatorcontrib>Kinsman, John</creatorcontrib><creatorcontrib>de Hoog, Marieke L A</creatorcontrib><creatorcontrib>Bielicki, Julia A</creatorcontrib><creatorcontrib>Bruijning-Verhagen, Patricia C J L</creatorcontrib><creatorcontrib>Gobat, Nina H</creatorcontrib><title>Experiences and needs of persons living with a household member infected with SARS-CoV-2: A mixed method study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Households are important sites for transmission of SARS-CoV-2 and preventive measures are recommended. This study aimed to 1) investigate the impact of living with a person infected with SARS-CoV-2; 2) understand how household members implemented infection control recommendations in their home; and 3) identify the information and support needs of household members.
For this observational mixed-methods study, households with a person with confirmed SARS-CoV-2 infection were recruited via drive-through testing sites of Municipal Health Services, healthcare worker screening or hospital emergency visits in the University Medical Centre Utrecht, the Netherlands and via primary care physicians, hospital emergency visits or preoperative screening in the University Hospital of Antwerp, Belgium. We recorded household characteristics, including characteristics of all household members, together with their views on prevention measures. In a subset of households one adult household member was asked to participate in an interview investigating their views on preventive measures. Survey data were analysed using descriptive statistics and interview data by rapid framework analysis. A triangulation protocol was used to integrate findings.
Thirty-four households (120 household members) were included in the quantitative survey. Twenty-two households were invited to be interviewed, of which 18 completed an interview (response 81.8%). Survey data showed that almost all households implemented some preventive measures, the use of face masks being least frequently reported. Measures taken depended on what was physically possible, the perceived severity of illness of the index patient and to what extent household members were willing to limit social interaction. Respondents did not believe in the effectiveness of wearing face masks within the house, and from the interviews this was explained by media coverage of face masks, impracticality and the stigma associated with wearing masks. Interviewees reported that quarantine had a high emotional burden and wished to have more information about the exact duration of quarantine, their own COVID-19 status, symptoms and when to seek medical help.
People were willing to implement prevention measures, however actual adherence depended on perceived severity of illness and the perceived risk of becoming infected. Homes are social environments and recommendations for infection prevention should account for this context. Incorporating our findings into policy making could provide households with more relevant and actionable advice.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alternating current</subject><subject>Antimicrobial resistance</subject><subject>Asymptomatic</subject><subject>Biology and Life Sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>COVID-19 - epidemiology</subject><subject>COVID-19 - prevention & control</subject><subject>COVID-19 - transmission</subject><subject>Data collection</subject><subject>Disease control</subject><subject>Disease prevention</subject><subject>Disease transmission</subject><subject>Editing</subject><subject>Epidemics</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Health care</subject><subject>Health care facilities</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health risks</subject><subject>Health sciences</subject><subject>Health services</subject><subject>Hospitals</subject><subject>Households</subject><subject>Housing</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Masks</subject><subject>Medical research</subject><subject>Medicine and Health Sciences</subject><subject>Microbiology</subject><subject>Middle Aged</subject><subject>Mixed methods research</subject><subject>Netherlands</subject><subject>Patients</subject><subject>People and places</subject><subject>Prevention</subject><subject>Primary care</subject><subject>Psychological aspects</subject><subject>Psychological effects</subject><subject>Public health</subject><subject>Quarantine</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Social 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and needs of persons living with a household member infected with SARS-CoV-2: A mixed method study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2021-03-31</date><risdate>2021</risdate><volume>16</volume><issue>3</issue><spage>e0249391</spage><epage>e0249391</epage><pages>e0249391-e0249391</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Households are important sites for transmission of SARS-CoV-2 and preventive measures are recommended. This study aimed to 1) investigate the impact of living with a person infected with SARS-CoV-2; 2) understand how household members implemented infection control recommendations in their home; and 3) identify the information and support needs of household members.
For this observational mixed-methods study, households with a person with confirmed SARS-CoV-2 infection were recruited via drive-through testing sites of Municipal Health Services, healthcare worker screening or hospital emergency visits in the University Medical Centre Utrecht, the Netherlands and via primary care physicians, hospital emergency visits or preoperative screening in the University Hospital of Antwerp, Belgium. We recorded household characteristics, including characteristics of all household members, together with their views on prevention measures. In a subset of households one adult household member was asked to participate in an interview investigating their views on preventive measures. Survey data were analysed using descriptive statistics and interview data by rapid framework analysis. A triangulation protocol was used to integrate findings.
Thirty-four households (120 household members) were included in the quantitative survey. Twenty-two households were invited to be interviewed, of which 18 completed an interview (response 81.8%). Survey data showed that almost all households implemented some preventive measures, the use of face masks being least frequently reported. Measures taken depended on what was physically possible, the perceived severity of illness of the index patient and to what extent household members were willing to limit social interaction. Respondents did not believe in the effectiveness of wearing face masks within the house, and from the interviews this was explained by media coverage of face masks, impracticality and the stigma associated with wearing masks. Interviewees reported that quarantine had a high emotional burden and wished to have more information about the exact duration of quarantine, their own COVID-19 status, symptoms and when to seek medical help.
People were willing to implement prevention measures, however actual adherence depended on perceived severity of illness and the perceived risk of becoming infected. Homes are social environments and recommendations for infection prevention should account for this context. Incorporating our findings into policy making could provide households with more relevant and actionable advice.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>33788890</pmid><doi>10.1371/journal.pone.0249391</doi><tpages>e0249391</tpages><orcidid>https://orcid.org/0000-0003-2148-5935</orcidid><orcidid>https://orcid.org/0000-0003-1332-4138</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1932-6203 |
ispartof | PloS one, 2021-03, Vol.16 (3), p.e0249391-e0249391 |
issn | 1932-6203 1932-6203 |
language | eng |
recordid | cdi_plos_journals_2507671987 |
source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
subjects | Adolescent Adult Aged Aged, 80 and over Alternating current Antimicrobial resistance Asymptomatic Biology and Life Sciences Child Child, Preschool Coronaviruses COVID-19 COVID-19 - epidemiology COVID-19 - prevention & control COVID-19 - transmission Data collection Disease control Disease prevention Disease transmission Editing Epidemics Epidemiology Female Health care Health care facilities Health Knowledge, Attitudes, Practice Health risks Health sciences Health services Hospitals Households Housing Humans Infant Infant, Newborn Infections Infectious diseases Male Masks Medical research Medicine and Health Sciences Microbiology Middle Aged Mixed methods research Netherlands Patients People and places Prevention Primary care Psychological aspects Psychological effects Public health Quarantine Severe acute respiratory syndrome coronavirus 2 Social aspects Social Sciences Viral diseases Young Adult |
title | Experiences and needs of persons living with a household member infected with SARS-CoV-2: A mixed method study |
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