PT  - JOURNAL ARTICLE
AU  - Rose Swain
AU  - Faye Forsyth
AU  - Ben Bowers
AU  - Frances Early
AU  - Isla Kuhn
AU  - Sagar Shrivastva
AU  - Rachel Tufnell
AU  - Jonathan Fuld
TI  - A critical interpretive synthesis of the lived experiences and health and patient-reported outcomes of people living with COPD who isolated during the COVID-19 pandemic
AID  - 10.1183/16000617.0031-2023
DP  - 2023 Sep 30
TA  - European Respiratory Review
PG  - 230031
VI  - 32
IP  - 169
4099  - http://err.ersjournals.com/content/32/169/230031.short
4100  - http://err.ersjournals.com/content/32/169/230031.full
SO  - EUROPEAN RESPIRATORY REVIEW2023 Sep 30; 32
AB  - Aims: To determine the lived experiences of people with COPD who isolated at home during the coronavirus disease 2019 (COVID-19) pandemic, and explore how these experiences affected health and patient-reported outcomes.Methods: Keyword searches were performed in five bibliographic databases. Critical interpretative synthesis (CIS) methods were used to interrogate and understand patterns across studies.Results: 23 studies were identified; three employed qualitative methods and 20 quantitative methods. Application of CIS methods highlighted a core synthetic concept that appeared to underpin experiences and outcomes, that of a heightened perception of risk. Using the Risk Perception Model as a framework, we found that cognitive factors such as knowledge of underlying health status and the transmissibility of COVID-19; experiential factors including previous episodes of breathlessness and hospitalisation; and sociocultural factors such as access to trusted sources of information, influenced perceptions of risk. In turn, this influenced behaviour, which translated to outcomes such as reduced hospitalisations, deconditioning and social isolation as people avoided “high-risk” situations and settings.Conclusions: Patients with COPD who isolated at home during the COVID-19 pandemic had a heightened perception of risk which was influenced by cognitive, experiential and sociocultural factors. The consequences of this were varied and included both positive (reduced exacerbations and hospitalisations) and negative (social isolation, deconditioning, diminished capacity for self-care) outcomes. Understanding risk and the impacts it can have could help clinicians to support people with COPD return to their pre-pandemic way of living and enable better communication of ongoing risk from respiratory viral illness.Perception of risk influenced the actions of people with COPD during COVID-19. The data from this review can help clinicians to better understand how risk perceptions are formed and communicate risk more effectively so as to optimise care going forward. https://bit.ly/42ycp1C