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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,...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
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.
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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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