The Impact of the SARS-CoV-2 Outbreak on the Psychological Flexibility and Behaviour of Cancelling Medical Appointments of Italian Patients with Pre-Existing Medical Condition: The “ImpACT-COVID-19 for Patients” Multi-Centre Observational Study

Deledda, Giuseppe; Riccardi, Niccolò; Gori, Stefania; Poli, Sara; Giansante, M.; Geccherle, Eleonora; Mazzi, C; Silva, Ronaldo; Desantis, Nicoletta; Giovannetti, Ambra Mara; Solari, Alessandra; Grazzi, Licia; Sarcletti, Elena; Biffa, Gabriella; Biagio, Antonio Di; Sestito, Carlo; Keim, Roland; Hermis, Alida M R Di Gangi; Mazzoldi, Mariantonietta; Failo, Alessandro; Scaglione, Anna; Faldetta, Naida; Dorangricchia, Patrizia; Moschetto, Maria; Parra, Héctor Soto; Faietti, Jennifer; Profio, Anna Di; Rusconi, Stefano; Giacomelli, Andrea; Marchioretto, Fabio; Alongi, Filippo; Marchetta, Antonio; Molon, Giulio; Bisoffi, Zeno; Angheben, Andrea

doi:10.3390/ijerph18010340

Cited by 17 publications

(26 citation statements)

References 38 publications

(80 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Specifically, the fear of infection with COVID-19 accounted for one third of postponed or canceled appointments, which has also been observed in other medical sectors (48,49). This patient group may have tried to cope with the perceived risk due to pre-existing health conditions by a general avoidance behavior toward situations with potentially elevated infection risk-such as doctor's offices -, which has also been reported in other studies (50,51).…”

Section: Cad Patients' Use Of Health Care During the Covid-19 Pandemicsupporting

confidence: 61%

“…We further found that a decrease in family visits and a lower frequency of leaving homes since the pandemic were associated with decreased GP consultations, worsening of CAD symptoms, more anxiety and depressive symptoms, as well as a higher individual risk perception. It might be possible that reduced family visits and/or staying at home increased loneliness ( 64 ), which has been found recently to be associated with an increased likelihood of canceling medical appointments ( 50 ). Further, mental health was more impaired in individuals who reduced their social contacts and who belonged officially to a COVID-19 risk group ( 62 , 64 ).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Impact of the COVID-19 Pandemic on Avoidance of Health Care, Symptom Severity, and Mental Well-Being in Patients With Coronary Artery Disease

et al. 2021

View full text Add to dashboard Cite

The COVID-19 pandemic affected regular health care for patients with chronic diseases. However, the impact of the pandemic on primary care for patients with coronary artery disease (CAD) who are enrolled in a structured disease management program (DMP) in Germany is not clear. We investigated whether the pandemic affected primary care and health outcomes of DMP-CAD patients (n = 750) by using a questionnaire assessing patients' utilization of medical care, CAD symptoms, as well as health behavior and mental health since March 2020. We found that out of concern about getting infected with COVID-19, 9.1% of the patients did not consult a medical practitioner despite having CAD symptoms. Perceived own influence on infection risk was lower and anxiety was higher in these patients compared to symptomatic CAD patients who consulted a physician. Among the patients who reported chest pain lasting longer than 30 min, one third did not consult a medical practitioner subsequently. These patients were generally more worried about COVID-19. Patients with at least one worsening CAD symptom (chest pain, dyspnea, perspiration, or nausea without apparent reason) since the pandemic showed more depressive symptoms, higher anxiety scores, and were less likely to consult a doctor despite having CAD symptoms out of fear of infection. Our results provide evidence that the majority of patients received sufficient medical care during the COVID-19 pandemic in Germany. However, one in ten patients could be considered particularly at risk for medical undersupply and adverse health outcomes. The perceived infection risk with COVID-19 might have facilitated the decision not to consult a medical doctor.

show abstract

Section: Cad Patients' Use Of Health Care During the Covid-19 Pandemicsupporting

confidence: 61%

Section: Discussionmentioning

confidence: 99%

The Impact of the COVID-19 Pandemic on Avoidance of Health Care, Symptom Severity, and Mental Well-Being in Patients With Coronary Artery Disease

et al. 2021

View full text Add to dashboard Cite

show abstract

“…These findings confirmed the results of two recent online cross-sectional surveys ( 12 , 32 ) and highlighted that those difficulties in receiving MS-related healthcare services, psychological assistance, and rehabilitation therapy are related to negative psychological outcomes for PwMS, as it is reported for people with other chronic conditions. Interestingly, however, people with chronic diseases have been reported to exhibit a high likelihood of medical appointment cancellation during the pandemic and this behavior correlates with levels of COVID-19-related anxiety ( 36 ).…”

Section: Discussionmentioning

confidence: 99%

A National Representative, Cross-Sectional Study by the Hellenic Academy of NeuroImmunology (HEL.A.NI.) on COVID-19 and Multiple Sclerosis: Overall Impact and Willingness Toward Vaccination

et al. 2021

View full text Add to dashboard Cite

Background: In the context of the coronavirus disease 2019 (COVID-19) pandemic, the constant needs of people with multiple sclerosis (PwMS) and their caregivers were urgently highlighted.Aim: The present study aims to capture the effects of the COVID-19 pandemic in several aspects of the quality of life of PwMS, in perception and behavior to COVID-19 and multiple sclerosis (MS), as well as concerning healthcare, working conditions, and the willingness toward COVID-19 vaccination.Methods: This study is an initiative of the Hellenic Academy of Neuroimmunology (HEL.A.NI.) and it has been included in the MS Data Alliance (MSDA) Catalog, which can be accessed after creating an account on https://msda.emif-catalogue.eu/login. Two online questionnaires were administered: (i) impact of the COVID-19 pandemic on the quality of life, behavior, and healthcare of PwMS (Questionnaire A) and (ii) vaccination against COVID-19 (Questionnaire B). People with MS were invited to participate by the Hellenic Federation of Persons with Multiple Sclerosis (HFoPwMS).Results: Three-hundred-ninety PwMS responded to Questionnaire A, whereas 176 PwMS provided answers for Questionnaire B. Older age, longer disease duration, and higher MS-related disability were associated with the increased perceived sensitivity toward severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, as well as the increased perceived severity of COVID-19 upon potential infection. A significant proportion of PwMS experienced restricted access to MS-related health professionals, disease-modifying therapy (DMT) prescription, and/or to MS-related laboratory examination due to the pandemic. Subgroups of PwMS reported exacerbated symptoms (i.e., chronic MS-related symptoms, fatigue and/or worsening of pre-existing fatigue, and sexual dysfunction and or/worsening of pre-existing sexual dysfunction). Overall, the majority of the participants reported either a strong willingness to get vaccinated against COVID-19 or a likeliness to undergo vaccination. Being aware of the HEL.A.NI. recommendations regarding COVID-19 vaccination for PwMS were reported to increase the willingness of the participants to receive the vaccine.Conclusions: Our results highlight the necessity of scientific and patient organizations in taking joint action to increase awareness on health-related issues during the pandemic and to provide accurate and up-to-date guidance for PwMS. Online information and communications technology (ICT) tools for polling public belief and behavior may prove valuable as means of retaining active routes of communication between stakeholders.

show abstract

“…These results could be attributed to the different therapeutic techniques performed in the physiological systems affected ( 3 , 5 ). The DASS-21 test showed an improvement in the mental health status of the population enrolled in this study, obtaining an increase of 26% related to the mild score for anxiety, 44% in the mild stress score, and 18% in the mild depression score; however, the use of a single technique or test in the psycho-emotional evaluation must be interpreted with caution due to the reliability in the answers given by the patients ( 16 ).…”

Section: Discussionmentioning

confidence: 81%

A Physiotherapy Treatment Plan for Post-COVID-19 Patients That Improves the FEV1, FVC, and 6-Min Walk Values, and Reduces the Sequelae in 12 Sessions

Ponce-Campos

Dı́az

Moreno-Agundis

et al. 2022

Front. Rehabilit. Sci.

View full text Add to dashboard Cite

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the causal agent of Coronavirus disease 2019 (COVID-19), a pandemic disease declared in 2020. The clinical manifestations of this pathology are heterogeneous including fever, cough, dyspnea, anosmia, headache, fatigue, taste dysfunction, among others. Survivors of COVID-19 have demonstrated several persistent symptoms derived from its multisystemic physiopathology. These symptoms can be fatigue, dyspnea, chest pain, dry and productive cough, respiratory insufficiency, and psychoemotional disturbance. To reduce and recover from the post-COVID-19 sequelae is fundamental an early and multifactorial medical treatment. Integral post-COVID-19 physiotherapy is a tool to reduce dyspnea, improve lung capacity, decrease psychoemotional alterations, as well as increase the muscle strength affected by this disease. Thus, the aim of this study was to establish a novel physiotherapeutic plan for post-COVID-19 patients, evaluating the effect of this treatment in the reduction of the sequelae in terms of lung capacity, cardio-respiratory, and muscular strength improvements. This was a cross-sectional study in which a protocol of 12 sessions in 4 weeks of physiotherapy was implemented in the patients enrolled. We conducted a medical assessment, an interview, a DASS-21 test, a spirometry, a 6-min walk test, and a hand dynamometer test to evaluate the post-COVID condition of patients before and after the sessions. A total of 42 patients participated in the program. Results of this work showed a decrease of around 50% of post-COVID-19 sequelae and an improvement in the psychoemotional status of patients. Also, we observed an increase of 7.16% in the FEV1 value and 7.56% for FVC. In addition, the maximal functional capacity increased by 0.577 METs, the 6-min walk test performance increased by 13%, and the SpO2 improved by 1.40%. Finally, the handgrip strength test showed an improvement in the left hand and right hand of 2.90 and 2.24 Kg, respectively. We developed this study to propose a novel methodology to provide information for a better treatment and management of post-COVID-19 patients.

show abstract

The Impact of the SARS-CoV-2 Outbreak on the Psychological Flexibility and Behaviour of Cancelling Medical Appointments of Italian Patients with Pre-Existing Medical Condition: The “ImpACT-COVID-19 for Patients” Multi-Centre Observational Study

Cited by 17 publications

References 38 publications

The Impact of the COVID-19 Pandemic on Avoidance of Health Care, Symptom Severity, and Mental Well-Being in Patients With Coronary Artery Disease

The Impact of the COVID-19 Pandemic on Avoidance of Health Care, Symptom Severity, and Mental Well-Being in Patients With Coronary Artery Disease

A National Representative, Cross-Sectional Study by the Hellenic Academy of NeuroImmunology (HEL.A.NI.) on COVID-19 and Multiple Sclerosis: Overall Impact and Willingness Toward Vaccination

A Physiotherapy Treatment Plan for Post-COVID-19 Patients That Improves the FEV1, FVC, and 6-Min Walk Values, and Reduces the Sequelae in 12 Sessions

Contact Info

Product

Resources

About