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Health Equity Implications of the COVID-19 Lockdown and Visitation Strategies in Long-Term Care Homes in Ontario: A Mixed Method Study
The COVID-19 pandemic has negatively impacted the lives and well-being of long-term care home residents. This mixed-method study examined the health equity implications of the COVID-19 lockdown and visitation strategies in long-term care homes in Ontario. We recruited long-term care home residents,...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8998692/ https://www.ncbi.nlm.nih.gov/pubmed/35409954 http://dx.doi.org/10.3390/ijerph19074275 |
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author | Saad, Ammar Magwood, Olivia Benjamen, Joseph Haridas, Rinila Hashmi, Syeda Shanza Girard, Vincent Sayfi, Shahab Unachukwu, Ubabuko Rowhani, Melody Agarwal, Arunika Fleming, Michelle Filip, Angelina Pottie, Kevin |
author_facet | Saad, Ammar Magwood, Olivia Benjamen, Joseph Haridas, Rinila Hashmi, Syeda Shanza Girard, Vincent Sayfi, Shahab Unachukwu, Ubabuko Rowhani, Melody Agarwal, Arunika Fleming, Michelle Filip, Angelina Pottie, Kevin |
author_sort | Saad, Ammar |
collection | PubMed |
description | The COVID-19 pandemic has negatively impacted the lives and well-being of long-term care home residents. This mixed-method study examined the health equity implications of the COVID-19 lockdown and visitation strategies in long-term care homes in Ontario. We recruited long-term care home residents, their family members and designated caregivers, as well as healthcare workers from 235 homes in Ontario, Canada. We used online surveys and virtual interviews to assess the priority, feasibility, and acceptability of visitation strategies, and to explore the lived experiences of participants under the lockdown and thereafter. A total of n = 201 participants completed a survey and a purposive sample of n = 15 long-term care home residents and their family members completed an interview. The initial lockdown deteriorated residents’ physical, mental, and cognitive well-being, and disrupted family and community ties. Transitional visitation strategies, such as virtual visits, were criticised for lack of emotional value and limited feasibility. Designated caregiver programs emerged as a prioritised and highly acceptable strategy, one that residents and family members demanded continuous and unconditional access to. Our findings suggest a series of equity implications that highlight a person-centred approach to visitation strategies and promote emotional connection between residents and their loved ones. |
format | Online Article Text |
id | pubmed-8998692 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-89986922022-04-12 Health Equity Implications of the COVID-19 Lockdown and Visitation Strategies in Long-Term Care Homes in Ontario: A Mixed Method Study Saad, Ammar Magwood, Olivia Benjamen, Joseph Haridas, Rinila Hashmi, Syeda Shanza Girard, Vincent Sayfi, Shahab Unachukwu, Ubabuko Rowhani, Melody Agarwal, Arunika Fleming, Michelle Filip, Angelina Pottie, Kevin Int J Environ Res Public Health Article The COVID-19 pandemic has negatively impacted the lives and well-being of long-term care home residents. This mixed-method study examined the health equity implications of the COVID-19 lockdown and visitation strategies in long-term care homes in Ontario. We recruited long-term care home residents, their family members and designated caregivers, as well as healthcare workers from 235 homes in Ontario, Canada. We used online surveys and virtual interviews to assess the priority, feasibility, and acceptability of visitation strategies, and to explore the lived experiences of participants under the lockdown and thereafter. A total of n = 201 participants completed a survey and a purposive sample of n = 15 long-term care home residents and their family members completed an interview. The initial lockdown deteriorated residents’ physical, mental, and cognitive well-being, and disrupted family and community ties. Transitional visitation strategies, such as virtual visits, were criticised for lack of emotional value and limited feasibility. Designated caregiver programs emerged as a prioritised and highly acceptable strategy, one that residents and family members demanded continuous and unconditional access to. Our findings suggest a series of equity implications that highlight a person-centred approach to visitation strategies and promote emotional connection between residents and their loved ones. MDPI 2022-04-02 /pmc/articles/PMC8998692/ /pubmed/35409954 http://dx.doi.org/10.3390/ijerph19074275 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Saad, Ammar Magwood, Olivia Benjamen, Joseph Haridas, Rinila Hashmi, Syeda Shanza Girard, Vincent Sayfi, Shahab Unachukwu, Ubabuko Rowhani, Melody Agarwal, Arunika Fleming, Michelle Filip, Angelina Pottie, Kevin Health Equity Implications of the COVID-19 Lockdown and Visitation Strategies in Long-Term Care Homes in Ontario: A Mixed Method Study |
title | Health Equity Implications of the COVID-19 Lockdown and Visitation Strategies in Long-Term Care Homes in Ontario: A Mixed Method Study |
title_full | Health Equity Implications of the COVID-19 Lockdown and Visitation Strategies in Long-Term Care Homes in Ontario: A Mixed Method Study |
title_fullStr | Health Equity Implications of the COVID-19 Lockdown and Visitation Strategies in Long-Term Care Homes in Ontario: A Mixed Method Study |
title_full_unstemmed | Health Equity Implications of the COVID-19 Lockdown and Visitation Strategies in Long-Term Care Homes in Ontario: A Mixed Method Study |
title_short | Health Equity Implications of the COVID-19 Lockdown and Visitation Strategies in Long-Term Care Homes in Ontario: A Mixed Method Study |
title_sort | health equity implications of the covid-19 lockdown and visitation strategies in long-term care homes in ontario: a mixed method study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8998692/ https://www.ncbi.nlm.nih.gov/pubmed/35409954 http://dx.doi.org/10.3390/ijerph19074275 |
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