Healthcare experience of adults with COPD during the COVID-19 pandemic: a rapid review of international literature
Background People living with chronic obstructive pulmonary disease (COPD) are a group who may be particularly vulnerable to COVID-19. This vulnerability has been associated with increased anxiety or fear about exposure to the virus, which may also impact upon experience in healthcare settings.Aim/o...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-07-01
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| Series: | BMJ Open Respiratory Research |
| Online Access: | https://bmjopenrespres.bmj.com/content/10/1/e001514.full |
| _version_ | 1826545222657507328 |
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| author | Chris Barton Sanduni Madawala Anthony Quach Jia Yi Lim Sanjay Varatharaj Bianca Perera Christian Osadnik |
| author_facet | Chris Barton Sanduni Madawala Anthony Quach Jia Yi Lim Sanjay Varatharaj Bianca Perera Christian Osadnik |
| author_sort | Chris Barton |
| collection | DOAJ |
| description | Background People living with chronic obstructive pulmonary disease (COPD) are a group who may be particularly vulnerable to COVID-19. This vulnerability has been associated with increased anxiety or fear about exposure to the virus, which may also impact upon experience in healthcare settings.Aim/objectives The aim of this narrative mixed-methods review was to systematically scope, identify and synthesise findings from peer-reviewed qualitative, quantitative and mixed-methods studies published in academic journals describing the healthcare experiences of adults living with COPD independently in the community, following the emergence of COVID-19 in December 2019–June 2022.Methods Databases including Ovid MEDLINE, PsychINFO, Ovid Emcare and CINAHL Plus were searched. Studies were uploaded to Covidence to support selection and appraisal of studies. Studies were appraised for quality using the Mixed Methods Appraisal Tool. A narrative synthesis of these themes was provided, and qualitative and quantitative findings are interpreted together in the discussion.Findings The quality and experience of care for patients with COPD was impacted through the COVID-19 pandemic. Innovations and adoption of technologies such as telehealth and telerehabilitation were well received and mitigated the potential implications of severe disruption to care access to some extent. Patients feared feeling forgotten and experienced isolation and anxiety; however, telerehabilitation and exercise through modalities such as Zoom classes help support social connection and physical activity.Implications These innovations are likely to be useful to be offered to patients on an ongoing basis, and education and standardised protocols around their use will benefit healthcare providers and patients alike.PROSPERO registration number CRD42022341168. |
| first_indexed | 2024-03-08T18:13:13Z |
| format | Article |
| id | doaj.art-f34eadb9ec144882b85279fa15045e60 |
| institution | Directory Open Access Journal |
| issn | 2052-4439 |
| language | English |
| last_indexed | 2025-03-14T05:14:26Z |
| publishDate | 2023-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Respiratory Research |
| spelling | doaj.art-f34eadb9ec144882b85279fa15045e602025-03-06T12:40:11ZengBMJ Publishing GroupBMJ Open Respiratory Research2052-44392023-07-0110110.1136/bmjresp-2022-001514Healthcare experience of adults with COPD during the COVID-19 pandemic: a rapid review of international literatureChris Barton0Sanduni Madawala1Anthony Quach2Jia Yi Lim3Sanjay Varatharaj4Bianca Perera5Christian Osadnik6Department of General Practice, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, AustraliaDepartment of General Practice, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, AustraliaDepartment of General Practice, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, AustraliaDepartment of General Practice, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, AustraliaDepartment of General Practice, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, AustraliaDepartment of Physiotherapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, AustraliaDepartment of Physiotherapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, AustraliaBackground People living with chronic obstructive pulmonary disease (COPD) are a group who may be particularly vulnerable to COVID-19. This vulnerability has been associated with increased anxiety or fear about exposure to the virus, which may also impact upon experience in healthcare settings.Aim/objectives The aim of this narrative mixed-methods review was to systematically scope, identify and synthesise findings from peer-reviewed qualitative, quantitative and mixed-methods studies published in academic journals describing the healthcare experiences of adults living with COPD independently in the community, following the emergence of COVID-19 in December 2019–June 2022.Methods Databases including Ovid MEDLINE, PsychINFO, Ovid Emcare and CINAHL Plus were searched. Studies were uploaded to Covidence to support selection and appraisal of studies. Studies were appraised for quality using the Mixed Methods Appraisal Tool. A narrative synthesis of these themes was provided, and qualitative and quantitative findings are interpreted together in the discussion.Findings The quality and experience of care for patients with COPD was impacted through the COVID-19 pandemic. Innovations and adoption of technologies such as telehealth and telerehabilitation were well received and mitigated the potential implications of severe disruption to care access to some extent. Patients feared feeling forgotten and experienced isolation and anxiety; however, telerehabilitation and exercise through modalities such as Zoom classes help support social connection and physical activity.Implications These innovations are likely to be useful to be offered to patients on an ongoing basis, and education and standardised protocols around their use will benefit healthcare providers and patients alike.PROSPERO registration number CRD42022341168.https://bmjopenrespres.bmj.com/content/10/1/e001514.full |
| spellingShingle | Chris Barton Sanduni Madawala Anthony Quach Jia Yi Lim Sanjay Varatharaj Bianca Perera Christian Osadnik Healthcare experience of adults with COPD during the COVID-19 pandemic: a rapid review of international literature BMJ Open Respiratory Research |
| title | Healthcare experience of adults with COPD during the COVID-19 pandemic: a rapid review of international literature |
| title_full | Healthcare experience of adults with COPD during the COVID-19 pandemic: a rapid review of international literature |
| title_fullStr | Healthcare experience of adults with COPD during the COVID-19 pandemic: a rapid review of international literature |
| title_full_unstemmed | Healthcare experience of adults with COPD during the COVID-19 pandemic: a rapid review of international literature |
| title_short | Healthcare experience of adults with COPD during the COVID-19 pandemic: a rapid review of international literature |
| title_sort | healthcare experience of adults with copd during the covid 19 pandemic a rapid review of international literature |
| url | https://bmjopenrespres.bmj.com/content/10/1/e001514.full |
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