A randomized controlled trial of the impact of support visits on self-isolation compliance: The Havering winter/spring support trial.
COVID-19
mixed methods
quarantine
self-isolation
support visits
Journal
British journal of health psychology
ISSN: 2044-8287
Titre abrégé: Br J Health Psychol
Pays: England
ID NLM: 9605409
Informations de publication
Date de publication:
17 Dec 2023
17 Dec 2023
Historique:
revised:
22
04
2023
received:
23
12
2022
accepted:
25
09
2023
medline:
18
12
2023
pubmed:
18
12
2023
entrez:
17
12
2023
Statut:
aheadofprint
Résumé
Limited evidence exists on the policies to increase self-isolation compliance, with no experimental evidence. This trial aimed to evaluate the effect of a home visiting intervention in the London Borough of Havering on compliance with self-isolation guidance, relative to positive COVID-19 cases who received no home visits. Mixed method evaluation involving a two-arm randomized controlled trial (RCT) with an implementation and process evaluation. A total of 3878 cases who tested positive for COVID-19 were randomly allocated with equal probability to receive home visits from Havering outreach team staff (n = 1946) or to a control group (n = 1932) who did not receive home visits. Randomization was implemented through a spreadsheet consisting of random numbers generated online that was used to randomly allocate cases to treatment and control. Check-in calls were conducted by a separate blinded contact tracing team on day six of isolation to measure successful self-isolation compliance. The primary intention-to-treat (ITT) analysis was conducted on 3860 cases as 18 patients were excluded from analysis because of the missing outcome data. For the implementation and process evaluation, qualitative, semi-structured, one-to-one interviews were conducted with trial participants in the treatment arm of the RCT (n = 15) and stakeholders within the London Borough of Havering's Adult Social Care and Health Team (n = 8). Qualitative data was analysed thematically using a framework approach. Positive cases who were allocated to receive the home visiting intervention (n = 1933) were more likely to report successful self-isolation compared to those allocated to the control group (n = 1927), an effect that was statistically significant (odds ratio 1.204 [95% CI: 1.052, 1.377]; absolute probability difference: 4.1 percentage points [95% CI: 1.2-6.9]). The implementation and process evaluation found that a key driver of compliance was altruistic motivation based on its perceived importance for protecting the community with some participants also reporting the potential of being caught not complying as a driving factor. Participants also reported that the intervention helped them 'feel supported', provided them with information about practical and financial support, and clarified their understanding or increased their awareness of self-isolation and COVID-19 guidance. No harms were reported from this trial. The trial was registered at the ISRCTN registry, number ISRCTN10030612. A home-visiting intervention conducted between January and March 2022 increased the self-isolation compliance of positive COVID-19 cases allocated to receive home visits. The implementation and process evaluation highlighted that the intervention increased individuals' motivation to comply with guidance, and addressed some barriers associated with opportunity and capability to comply. This trial provides much-needed evidence to inform the policy and intervention design to support public health and social measures in future outbreak scenarios.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023 The Authors. British Journal of Health Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society.
Références
American Psychological Association. (2019). APA style. https://apastyle.apa.org/jars/qualitative
Angrist, J. D., Imbens, G. W., & Rubin, D. B. (1996). Identification of causal effects using instrumental variables. Journal of the American Statistical Association, 91, 444-455. https://doi.org/10.1080/01621459.1996.10476902
Arad, M., Goli, R., Parizad, N., Vahabzadeh, D., & Baghaei, R. (2021). Do the patient education program and nurse-led telephone follow-up improve treatment adherence in hemodialysis patients? A randomised controlled trial. BMC Nephrology, 22, 119. https://doi.org/10.1186/s12882-021-02319-9
Braun, V., & Clarke, V. (2013). Successful qualitative research: A practical guide for beginners. Sage.
Cañigueral, R., & Hamilton, A. F. C. (2019). Being watched: Effects of an audience on eye gaze and prosocial behaviour. Acta Psychologica, 195, 50-63. https://doi.org/10.1016/j.actpsy.2019.02.002
Cardwell, K., O'Neill, S. M., Tyner, B., Broderick, N., O'Brien, K., Smith, S. M., Harrington, P., Ryan, M., & O'Neill, M. (2021). A rapid review of quarantine and/or other public health measures to control COVID-19. Reviews in Medical Virology, 32, 1. https://doi.org/10.1002/rmv.2244
Cheatley, J., Vuik, S., Devaux, M., Scarpetta, S., Pearson, M., Colombo, F., & Cecchini, M. (2020). The effectiveness of non-pharmaceutical interventions in containing epidemics: A rapid review of the literature and quantitative assessment. medRxiv. https://doi.org/10.1101/2020.04.06.20054197
Creswell, J. W. (2013). Qualitative inquiry and research design: Choosing among five approaches. Sage Publications.
Department of Health and Social Care. (2020). New legal duty to self-isolate comes into force today - GOV.UK. https://www.gov.uk/government/news/new-legal-duty-to-self-isolate-comes-into-force-today
French, C., Pinnock, H., Forbes, G., Skene, I., & Taylor, S. J. (2020). Process evaluation within pragmatic randomised controlled trials: What is it, why is it done, and can we find it? A systematic review. Trials, 21(1), 1-16.
Ghimire, A., Allison, R., Lichtemberg, Y., Vempilly, J. J., & Jain, V. V. (2021). A single home visit improves adherence and reduces healthcare utilization in patients with frequent exacerbations of severe asthma and COPD. Respiratory Medicine: X, 3, 100026. https://doi.org/10.1016/j.yrmex.2021.100026
Gupta, S. K. (2011). Intention-to-treat concept: A review. Perspectives in Clinical Research, 2, 109-112. 10.4103%2F2229-3485.83221.
Higgins, J. P. T., Altman, D. G., Gøtzsche, P. C., Jüni, P., Moher, D., Oxman, A. D., Savovic, J., Schulz, K. F., Weeks, L., Sterne, J. A., & Cochrane Bias Methods Group; Cochrane Statistical Methods Group. (2011). The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ, 343, d5928. https://doi.org/10.1136/bmj.d5928
Hoddinott, P., Pollock, A., O'Cathain, A., Boyer, I., Taylor, J., & MacDonald, C. (2016). How to incorporate patient and public perspectives into the design and conduct of research. The FAB-GGRIP study. PLoS One, 11(4), e0152893.
Kendall, J. M. (2003). Designing a research project: Randomised controlled trials and their principles. Emergency Medicine Journal, 20, 164-168. https://doi.org/10.1136/emj.20.2.164
Lawlor, M., Kealy, S., Agnew, M., Korn, B., Quinn, J., Cassidy, C., Silke, B., O'Connell, F., & O'Donnell, R. (2009). Early discharge care with ongoing follow-up support may reduce hospital readmissions in COPD. International Journal of Chronic Obstructive Pulmonary Disease, 4, 55-60. https://doi.org/10.2147/COPD.S4069
Lutge, E. E., Wiysonge, C. S., Knight, S. E., Sinclair, D., & Volmink, J. (2015). Incentives and enablers to improve adherence in tuberculosis. Cochrane Database of Systematic Reviews, 9, CD007952. https://doi.org/10.1002/14651858.CD007952.pub3
McDermott, M. S., Oliver, M., Iverson, D., & Sharma, R. (2016). Effective techniques for changing physical activity and healthy eating intentions and behaviour: A systematic review and meta-analysis. British Journal of Health Psychology, 21, 827-841. https://doi.org/10.1111/bjhp.12199
Michie, S., van Stralen, M. M., & West, R. (2011). The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implementation Science, 6, 42. https://doi.org/10.1186/1748-5908-6-42
Michie, S., West, R., Pidgeon, N., Reicher, S., Amlôt, R., & Bear, L. (2021). Staying ‘Covid-safe’: Proposals for embedding behaviours that protect against Covid-19 transmission in the UK. British Journal of Health Psychology, 26, 1238-1257. https://doi.org/10.1111/bjhp.12557|
Moher, D., Schulz, K. F., Altman, D. G., & the CONSORT Group. (2001). The CONSORT Statement: Revised recommendations for improving the quality of reports of parallel-group randomized trials. Annals of Internal Medicine, 134, 657-662. https://doi.org/10.7326/0003-4819-134-8-200104170-00011
Moore, G. F., Audrey, S., Barker, M., Bond, L., Bonell, C., Hardeman, W., Bonell, C., Hardeman, W., Moore, L., O'Cathain, A., Tinati, T., Wight, D., & Baird, J. (2015). Process evaluation of complex interventions: Medical Research Council guidance. BMJ, 350, h1258 https://doi.org/10.1136/bmj.h1258
Nussbaumer-Streit, B., Mayr, V., Dobrescu, A. I., Chapman, A., Persad, E., Klerings, I., Wagner, G., Siebert, U., Christof, C., Zachariah, C., & Gartlehner, G. (2020). Quarantine alone or in combination with other public health measures to control COVID-19: A rapid review. Cochrane Database of Systematic Reviews, 2020, 9. https://doi.org/10.1002/14651858.CD013574.pub2
Office for National Statistics. (2021). Coronavirus and self-isolation after testing positive in England - Office for National Statistics (ons.gov.uk). https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthandwellbeing/bulletins/coronavirusandselfisolationaftertestingpositiveinengland/1februaryto13february2021
Patel, J., Fernandes, G., & Sridhar, D. (2021). How can we improve self-isolation and quarantine for Covid-19? BMJ, 372, n625. https://doi.org/10.1136/bmj.n625
Ritchie, J., & Spencer, L. (1993). Qualitative data analysis for applied policy research. In A. Bryman & R. G. Burgess (Eds.), Analysing qualitative data (pp. 173-194). Routledge.
Shelledy, D. C., Legrand, T. S., Gardner, D. G., & Peters, J. I. (2009). A randomized, controlled study to evaluate the role of an In-home asthma disease management program provided by respiratory therapists in improving outcomes and reducing the cost of care. Journal of Asthma, 46, 194-201. https://doi.org/10.1080/02770900802610068
Smith, L. E., Amlȏt, R., Lambert, H., Oliver, I., Robin, C., Yardley, L., & Rubin, G. J. (2020). Factors associated with adherence to self-isolation and lockdown measures in the UK: A cross-sectional survey. Public Health, 187, 41-52. https://doi.org/10.1016/j.puhe.2020.07.024
Smith, L. E., Potts, H. W. W., Amlȏt, R., Fear, N. T., Michie, S., & Rubin, G. J. (2021). Intention to adhere to test, trace, and isolate during the COVID−19 pandemic (the COVID-19 rapid survey of adherence to interventions and responses study). British Journal of Health Psychology, 27, 1100-1118. https://doi.org/10.1111/bjhp.12576
Smith, L. E., West, R., Amlȏt, R., Fear, N. T., Rubin, G. J., & Michie, S. (2022). Knowledge of self-isolation rules in the UK for those who have symptoms of Covid-19: A repeated cross-sectional survey study. OSF Preprints. https://osf.io/dx26j https://doi.org/10.31219/osf.io/dx26j
Steckler, A. B., & Linnan, L. (2002). Process evaluation for public health interventions and research. Jossey-Bass San Francisco.
Swain, L. T., Malouff, J. M., Meynadier, J., & Schutte, N. S. (2023). Psychological interventions decrease unintended pregnancies: A meta-analysis of randomized controlled trials. British Journal of Health Psychology, 00, 1-19.
Trilla, F., DeCastro, T., Harrison, N., Mowry, D., Croke, A., Bicket, B., & Buechner, J. S. (2018). Nurse practitioner home-based primary care program improves patient outcomes. The Journal for Nurse Practitioners, 14, e185-e188. https://doi.org/10.1016/j.nurpra.2018.08.003
UK Health Security Agency. (2020). [Withdrawn] Claiming financial support under the Test and Trace Support Payment scheme - GOV.UK. https://www.gov.uk/government/publications/test-and-trace-support-payment-scheme-claiming-financial-support/claiming-financial-support-under-the-test-and-trace-support-payment-scheme.
UK Health Security Agency. (2022). Public reminded to stay safe as COVID-19 England restrictions lift - GOV.UK. https://www.gov.uk/government/news/public-reminded-to-stay-safe-as-covid-19-england-restrictions-lift
Webster, R. K., Brooks, S. K., Smith, L. E., Woodland, L., Wessely, S., & Rubin, G. J. (2020). How to improve adherence with quarantine: Rapid review of the evidence. Public Health, 182, 163-169. https://doi.org/10.1016/j.puhe.2020.03.007
Whatley, M. A., Webster, J. M., Smith, R. H., & Rhodes, A. (1999). The effect of a favor on public and private compliance: How internalized is the norm of reciprocity? Basic and Applied Social Psychology, 21, 251-259. https://doi.org/10.1207/S15324834BASP2103_8