Respiratory patient experience of measures to reduce risk of COVID-19: findings from a descriptive cross-sectional UK wide survey

Objectives To assess the experience of people with long-term respiratory conditions regarding the impact of measures to reduce risk of COVID-19.Design Analysis of data (n=9515) from the Asthma UK and British Lung Foundation partnership COVID-19 survey collected online between 1 and 8 April 2020.Sett...

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Main Authors: Andrew Cumella, Nicholas S Hopkinson, Michael Laffan, Joe Farrington-Douglas, Keir EJ Philip
Format: Article
Language:English
Published: BMJ Publishing Group 2020-09-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/9/e040951.full
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author Andrew Cumella
Nicholas S Hopkinson
Michael Laffan
Joe Farrington-Douglas
Keir EJ Philip
author_facet Andrew Cumella
Nicholas S Hopkinson
Michael Laffan
Joe Farrington-Douglas
Keir EJ Philip
author_sort Andrew Cumella
collection DOAJ
description Objectives To assess the experience of people with long-term respiratory conditions regarding the impact of measures to reduce risk of COVID-19.Design Analysis of data (n=9515) from the Asthma UK and British Lung Foundation partnership COVID-19 survey collected online between 1 and 8 April 2020.Setting Community.Participants 9515 people with self-reported long-term respiratory conditions. 81% female, age ranges from ≤17 years to 80 years and above, from all nations of the UK. Long-term respiratory conditions reported included asthma (83%), chronic obstructive pulmonary disease (10%), bronchiectasis (4%), interstitial lung disease (2%) and ‘other’ (<1%) (eg, lung cancer and pulmonary endometriosis).Outcome measures Study responses related to impacts on key elements of healthcare, as well as practical, psychological and social consequences related to the COVID-19 pandemic and social distancing measures.Results 45% reported disruptions to care, including cancellations of appointments, investigations, pulmonary rehabilitation, treatment and monitoring. Other practical impacts such as difficulty accessing healthcare services for other issues and getting basic necessities such as food were also common. 36% did not use online prescriptions, and 54% had not accessed online inhaler technique videos. Psychosocial impacts including anxiety, loneliness and concerns about personal health and family were prevalent. 81% reported engaging in physical activity. Among the 11% who were smokers, 48% reported they were planning to quit smoking because of COVID-19.Conclusions COVID-19 and related social distancing measures are having profound impacts on people with chronic respiratory conditions. Urgent adaptation and signposting of services is required to mitigate the negative health consequences of the COVID-19 response for this group.
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spelling doaj-art-b5a8e597f89c4489ab020309980f90a92025-01-09T06:35:08ZengBMJ Publishing GroupBMJ Open2044-60552020-09-0110910.1136/bmjopen-2020-040951Respiratory patient experience of measures to reduce risk of COVID-19: findings from a descriptive cross-sectional UK wide surveyAndrew Cumella0Nicholas S Hopkinson1Michael Laffan2Joe Farrington-Douglas3Keir EJ Philip43 Asthma UK, London, UKNational Heart and Lung Institute, Imperial College London, London, UKHaemostasis and Thrombosis, Imperial College London Faculty of Medicine, London, UKAsthma UK and British Lung Foundation Partnership, London, UKNational Heart and Lung Institute, Imperial College London, London, UKObjectives To assess the experience of people with long-term respiratory conditions regarding the impact of measures to reduce risk of COVID-19.Design Analysis of data (n=9515) from the Asthma UK and British Lung Foundation partnership COVID-19 survey collected online between 1 and 8 April 2020.Setting Community.Participants 9515 people with self-reported long-term respiratory conditions. 81% female, age ranges from ≤17 years to 80 years and above, from all nations of the UK. Long-term respiratory conditions reported included asthma (83%), chronic obstructive pulmonary disease (10%), bronchiectasis (4%), interstitial lung disease (2%) and ‘other’ (<1%) (eg, lung cancer and pulmonary endometriosis).Outcome measures Study responses related to impacts on key elements of healthcare, as well as practical, psychological and social consequences related to the COVID-19 pandemic and social distancing measures.Results 45% reported disruptions to care, including cancellations of appointments, investigations, pulmonary rehabilitation, treatment and monitoring. Other practical impacts such as difficulty accessing healthcare services for other issues and getting basic necessities such as food were also common. 36% did not use online prescriptions, and 54% had not accessed online inhaler technique videos. Psychosocial impacts including anxiety, loneliness and concerns about personal health and family were prevalent. 81% reported engaging in physical activity. Among the 11% who were smokers, 48% reported they were planning to quit smoking because of COVID-19.Conclusions COVID-19 and related social distancing measures are having profound impacts on people with chronic respiratory conditions. Urgent adaptation and signposting of services is required to mitigate the negative health consequences of the COVID-19 response for this group.https://bmjopen.bmj.com/content/10/9/e040951.full
spellingShingle Andrew Cumella
Nicholas S Hopkinson
Michael Laffan
Joe Farrington-Douglas
Keir EJ Philip
Respiratory patient experience of measures to reduce risk of COVID-19: findings from a descriptive cross-sectional UK wide survey
BMJ Open
title Respiratory patient experience of measures to reduce risk of COVID-19: findings from a descriptive cross-sectional UK wide survey
title_full Respiratory patient experience of measures to reduce risk of COVID-19: findings from a descriptive cross-sectional UK wide survey
title_fullStr Respiratory patient experience of measures to reduce risk of COVID-19: findings from a descriptive cross-sectional UK wide survey
title_full_unstemmed Respiratory patient experience of measures to reduce risk of COVID-19: findings from a descriptive cross-sectional UK wide survey
title_short Respiratory patient experience of measures to reduce risk of COVID-19: findings from a descriptive cross-sectional UK wide survey
title_sort respiratory patient experience of measures to reduce risk of covid 19 findings from a descriptive cross sectional uk wide survey
url https://bmjopen.bmj.com/content/10/9/e040951.full
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