COVID-19: The Untold Story - A Qualitative Exploration of the Impacts of the Pandemic on Older Adults with Multimorbidity
Notice bibliographique
Résumé
There are direct impacts of having COVID-19 infection as well as wide reaching indirect impacts for the general population who experienced the pandemic, such as social isolation. Older adults and those with multimorbidity were among the population most impacted. Thus this research explored the direct and indirect impacts of the COVID-19 pandemic on older adults with multimorbidity. Objective: To gain an in-depth understanding of the direct and indirect impacts of the pandemic on older adults with multimorbidity by exploring their lived experiences. Study Design and Analysis: A phenomenological approach was utilized. Seventeen in-depth interviews were conducted with older adults who had multimorbidity. Team members included researchers and a patient partner. Thematic analysis was conducted. Setting: Province of Ontario, Canada. Population studied: Adults 50+ years of age who had two or more chronic conditions. Results: Overall, participants described varied impacts and experiences that were linked with their own contexts and unique situations. Four main themes emerged from the data analysis. Experiences Are Individual: Participants had different overall experiences of living through the pandemic – ranging from “not so bad” to “truly awful”, some having contracted COVID-19. Social Isolation: Social isolation was a profound and defining pandemic experience for many participants. For others, it was not as great a challenge. Lives Disrupted: Disruptions occurred in participants’ lives; the degree of disruption ranged from inconvenient (difficulty getting groceries) to the dire (unable to be with family member at death). How to Cope: While some participants coped with the pandemic by taking it day by day, most described specific activities they used to cope including activities that were solitary (e.g., yoga, reading) and those that were interactive or social (e.g., virtual connections with family, friends, groups). Conclusion: This study revealed the impacts of the COVID-19 pandemic were highly variable depending on participants’ personal situations, with main impacts reported being social isolation and disruption in their lives. Many used coping strategies and, as with impacts, the nature, extent and usefulness of these strategies varied among participants. Our findings highlight the importance of understanding patients’ context when working with them to address on-going impacts such as social isolation and loneliness.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,010 | 0,014 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,009 | 0,008 |
| Communication savante | 0,004 | 0,006 |
| Science ouverte | 0,002 | 0,008 |
| Intégrité de la recherche | 0,002 | 0,003 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,004 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».