Quarantine experience of close contacts of COVID-19 patients in China: A qualitative descriptive study

Chen, Dandan; Song, Feng; Tang, Leiwen; Zhang, Hui; Shao, Jing; Qiu, Ruolin; Ye, Zhihong

doi:10.1016/j.genhosppsych.2020.07.006

Cited by 59 publications

(70 citation statements)

References 30 publications

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“…These experiences are similar to those reported in recent rapid reviews that noted a longer quarantine duration, infection fears, frustration, boredom, inadequate supplies, inadequate information, nancial loss, and stigma as key stressors in quarantine [10,16]. Such experiences can lead to feelings of isolation, anger, frustration, confusion and traumatic stress symptoms among others negatively impacting quarantined individuals [8,10,16,17] including in the long term [10,18,19] and their community. Quarantine though remains a key measure in the COVID-19 response with high potential to impact disease transmission and trends [20,21].…”

Section: Discussionsupporting

confidence: 78%

“…Fourteen study participants spent their quarantine in a private institution and only three were in quarantine for the stipulated 14 days with the rest spending over 14 days. All except one of our study participants were returning from outside the country, mostly from African (9), Middle Eastern (5) and European countries (4), and most had travelled for work-related reasons (17) or studies (3) (Table 1). Above Eighteen of our study participants traveled back to Uganda through organized ights and were thus aware of the requirement to undergo quarantine on their arrival.…”

Section: Characteristics Of Study Participantsmentioning

confidence: 99%

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Experiences of Persons in COVID-19 Institutional Quarantine in Uganda: A Qualitative Study

Ndejjo

Naggayi

Tibiita

et al. 2021

Preprint

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Background Quarantine has been adopted as a key public health measure to support the control of the Coronavirus disease (COVID-19) pandemic in many countries including Uganda. Uganda adopted institutional quarantine for individuals suspected of exposure to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) to be placed in institutions like hotels and/or hostels of institutions for at least 14 days. This study explored experiences of individuals who underwent institutional quarantine in Uganda to inform measures to increase its effectiveness and reduce its associated negative impact.Methods We conducted a qualitative description using in-depth interviews with 20 purposively selected individuals who had spent time in institutional quarantine facilities. These were mainly phone-based interviews that were audio recorded and transcribed verbatim. Electronic data coding was conducted using Atlas.ti 7 software. Thematic content analysis was used to synthesize the findings with similar codes grouped to form sub-themes and ultimately study themes. The findings are presented thematically with typical participant quotes.Results Study participants spent between 14 to 25 days in institutional quarantine. Four themes emerged describing the experiences of study participants during institutional quarantine, which determined whether participants’ experiences were positive or negative. These themes were: quarantine environment including facility related factors, compliance with COVID-19 measures; quarantine management factors of entity paying the costs, communication, days spent in quarantine; individual factors including attitude towards quarantine, fears during and post-quarantine and coping mechanisms; and linkage to other services such as health care and post-quarantine follow-up. Conclusion The planning, management and implementation of the quarantine process is a key determinant of the experiences of individuals who undergo the measure. To improve the experience of quarantined individuals and reduce its associated negative impact, the pre-quarantine process should be better managed to comply with standards, quarantined persons should be provided as much information as possible, their quarantine duration should kept short and costs of the process ought to be minimized. Furthermore, quarantine facilities should be assessed for suitability and monitored to comply with guidelines while avenues for access to healthcare for the quarantined need to be established and any potential stigma addressed.

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Section: Discussionsupporting

confidence: 78%

Section: Characteristics Of Study Participantsmentioning

confidence: 99%

Experiences of Persons in COVID-19 Institutional Quarantine in Uganda: A Qualitative Study

Ndejjo

Naggayi

Tibiita

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…These experiences are similar to those reported in recent rapid reviews that noted a longer quarantine duration, infection fears, frustration, boredom, inadequate supplies, inadequate information, financial loss, and stigma as key stressors in quarantine [ 10 , 16 ]. Such experiences can lead to feelings of isolation, anger, frustration, confusion and traumatic stress symptoms negatively impacting quarantined individuals [ 8 , 10 , 16 , 17 ] including in the long term [ 10 , 18 , 19 ] and their community. Quarantine though remains a key measure in the COVID-19 response with high potential to impact disease transmission and trends [ 20 , 21 ].…”

Section: Discussionmentioning

confidence: 99%

Experiences of persons in COVID-19 institutional quarantine in Uganda: a qualitative study

Ndejjo

Naggayi

Tibiita³

et al. 2021

BMC Public Health

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Background Quarantine has been adopted as a key public health measure to support the control of the Coronavirus disease (COVID-19) pandemic in many countries Uganda adopted institutional quarantine for individuals suspected of exposure to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) to be placed in institutions like hotels and/or hostels of institutions for at least 14 days. This study explored experiences of individuals who underwent institutional quarantine in Uganda to inform measures to increase its effectiveness and reduce its associated negative impact. Methods We conducted a qualitative description study using in-depth interviews with 20 purposively selected individuals who had spent time in institutional quarantine facilities. These were mainly phone-based interviews that were audio recorded and transcribed verbatim. Electronic data coding was conducted using Atlas.ti 7 software. Thematic content analysis was used to synthesize the findings with similar codes grouped to form sub-themes and ultimately study themes. The findings are presented thematically with typical participant quotes. Results Study participants spent between 14 to 25 days in institutional quarantine. Four themes emerged describing the experiences of study participants during institutional quarantine, which determined whether participants’ experiences were positive or negative. These themes were: quarantine environment including facility related factors and compliance with COVID-19 measures; quarantine management factors of entity paying the costs, communication and days spent in quarantine; individual factors comprising attitude towards quarantine, fears during and post-quarantine and coping mechanisms; and linkage to other services such as health care and post-quarantine follow-up. Conclusion The planning, management and implementation of the quarantine process is a key determinant of the experiences of individuals who undergo the measure. To improve the experience of quarantined individuals and reduce its associated negative impact, the pre-quarantine process should be managed to comply with standards, quarantined persons should be provided as much information as possible, their quarantine duration should kept short and costs of the process ought to be minimised. Furthermore, quarantine facilities should be assessed for suitability and monitored to comply with guidelines while avenues for access to healthcare for the quarantined need to be arranged and any potential stigma associated with quarantine thoroughly addressed.

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“…Moreover, quarantine appeared to be an effective virus mitigation measure in several countries during previous SARS outbreaks in 2003 including Singapore, Canada and China [ 8 – 10 ]. There are various kinds of isolation and quarantine measures as well as systems to follow up on the implementation of these measures worldwide [ 11 ]. In Finland, isolation and quarantine measures are home based with an official notification about the measures and regular phone-based follow up by health officials.…”

Section: Introductionmentioning

confidence: 99%

Learning about COVID-19-related stigma, quarantine and isolation experiences in Finland

et al. 2021

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Background The COVID-19 pandemic has intensely changed the everyday lives of people worldwide. This study explores the forms and outcomes of coronavirus and COVID-19-related social stigma and the experiences of people who were home quarantined or isolated in Finland during the spring 2020. The findings of this study can be used to improve support for those quarantined or isolated and to develop strategies to reduce the stigma associated with coronavirus and COVID-19. Methods The study is based on qualitative one-to-one interviews with households with at least two members and at least one PCR confirmed COVID-19 case. Recruitment took place via website or SMS messages sent to PCR confirmed cases in the capital area of Helsinki. Sampling was based on maximum variation to acquire different types of respondents. The framework of health stigma was used to develop question guides and analyze stigma. Quarantine and isolation experiences were explored through open-ended questions. The analysis was based on thematic analysis. Results The study included 64 participants from 24 households. Perceived stigma among respondents was driven by fear and blame for infection, and it manifested in various ways leading to a reluctance to disclose their coronavirus status to others. Self-stigma developed from conflicting information and advice about coronavirus and COVID-19 led to difficulties interacting with others outside of the house and reluctance to meet people after quarantine and isolation. Quarantine and isolation experiences included uncertainty, health concerns, and boredom. Communication with others in similar situations was perceived vital, whereas discussions with family members about worries and fears related to coronavirus and COVID-19 was not preferred. Conclusions This study shed light on the lives of those quarantined or isolated at home and provided a set of operational recommendations to minimize coronavirus and COVID-19-associated stigma and to reduce challenges faced by those in quarantine or isolation.

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Quarantine experience of close contacts of COVID-19 patients in China: A qualitative descriptive study

Cited by 59 publications

References 30 publications

Experiences of Persons in COVID-19 Institutional Quarantine in Uganda: A Qualitative Study

Experiences of Persons in COVID-19 Institutional Quarantine in Uganda: A Qualitative Study

Experiences of persons in COVID-19 institutional quarantine in Uganda: a qualitative study

Learning about COVID-19-related stigma, quarantine and isolation experiences in Finland

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