Psychological impact of the COVID-19 pandemic on people with asthma: A co-produced mixed-methods study

Tracy Jackson; Kirstie McClatchey; Amy Hai Yan Chan; Noelle  Morgan; Emma Kinley; Hilary Pinnock

doi:10.1080/08870446.2023.2256784

Psychological impact of the COVID-19 pandemic on people with asthma: A co-produced mixed-methods study

Tracy Jackson, Kirstie McClatchey^*, Amy Hai Yan Chan, Noelle Morgan, Emma Kinley, Hilary Pinnock

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract / Description of output

Objective: When COVID-19 was declared a pandemic there was concern that people living with asthma were at high-risk of poor outcomes. We aimed to explore the psychological impact of living with asthma in the United Kingdom during the pandemic.
Methods and Measures: Our mixed methods study, co-designed with patient and public involvement colleagues, included an online survey to detect anxiety/depression/post-traumatic stress disorder (PTSD) and health beliefs; and qualitative interviews. We recruited 849 participants for the survey and interviewed 26 between May and June 2020. Audio-recorded interviews were transcribed verbatim, and analysed thematically.
Results: The survey identified that 77% of respondents were experiencing symptoms of anxiety, 77% were experiencing symptoms of depression, and PTSD was of concern for 61%. Two-thirds of respondents felt the pandemic had changed how they managed their asthma (n=568, 66.9%), and over half felt that they had not been given adequate health information about COVID-19 (n=495, 58.3%). Qualitative interviews identified five themes 1) health communication 2) interaction with healthcare 3) COVID-19 related concerns 4) impact on mental health 5) behaviour change.
Conclusion: Psychological distress was prevalent in people with asthma during the early stage of the pandemic. Understanding this may be useful to inform future healthcare/policy planning.
Keywords:
COVID-19; coronavirus; asthma; anxiety; depression; mental health; lockdown; survey; qualitative; mixed methods; patient experience

Original language	English
Number of pages	23
Journal	Psychology & Health
Early online date	11 Sept 2023
DOIs	https://doi.org/10.1080/08870446.2023.2256784
Publication status	E-pub ahead of print - 11 Sept 2023

Keywords / Materials (for Non-textual outputs)

COVID-19
coronavirus
asthma
anxiety
depression
mental health
lockdown
survey
qualitative
mixed methods
patient experience

Access to Document

10.1080/08870446.2023.2256784Licence: Creative Commons: Attribution-NonCommercial-NoDerivatives (CC BY-NC-ND)

Psychological impact of the COVID 19 pandemic on people with asthma a co produced mixed methods studyFinal published version, 1.91 MBLicence: Creative Commons: Attribution-NonCommercial-NoDerivatives (CC BY-NC-ND)

https://www.tandfonline.com/doi/full/10.1080/08870446.2023.2256784Licence: Creative Commons: Attribution-NonCommercial-NoDerivatives (CC BY-NC-ND)

Implementing supported asthma self-management in routine clinical care: designing, refining, piloting and evaluating clinical and cost-effectiveness of a whole systems implementation strategy (IMP2ART)
Pinnock, H.
Other
1/10/18 → 31/03/24
Project: Research

Cite this

@article{b3200b2a8f7943e7bd5dac616332dfa7,

title = "Psychological impact of the COVID-19 pandemic on people with asthma: A co-produced mixed-methods study",

abstract = "Objective: When COVID-19 was declared a pandemic there was concern that people living with asthma were at high-risk of poor outcomes. We aimed to explore the psychological impact of living with asthma in the United Kingdom during the pandemic.Methods and Measures: Our mixed methods study, co-designed with patient and public involvement colleagues, included an online survey to detect anxiety/depression/post-traumatic stress disorder (PTSD) and health beliefs; and qualitative interviews. We recruited 849 participants for the survey and interviewed 26 between May and June 2020. Audio-recorded interviews were transcribed verbatim, and analysed thematically.Results: The survey identified that 77% of respondents were experiencing symptoms of anxiety, 77% were experiencing symptoms of depression, and PTSD was of concern for 61%. Two-thirds of respondents felt the pandemic had changed how they managed their asthma (n=568, 66.9%), and over half felt that they had not been given adequate health information about COVID-19 (n=495, 58.3%). Qualitative interviews identified five themes 1) health communication 2) interaction with healthcare 3) COVID-19 related concerns 4) impact on mental health 5) behaviour change.Conclusion: Psychological distress was prevalent in people with asthma during the early stage of the pandemic. Understanding this may be useful to inform future healthcare/policy planning.Keywords:COVID-19; coronavirus; asthma; anxiety; depression; mental health; lockdown; survey; qualitative; mixed methods; patient experience",

keywords = "COVID-19, coronavirus, asthma, anxiety, depression, mental health, lockdown, survey, qualitative, mixed methods, patient experience",

author = "Tracy Jackson and Kirstie McClatchey and Chan, {Amy Hai Yan} and Noelle Morgan and Emma Kinley and Hilary Pinnock",

note = "No funding was received for this work. Tracy Jackson is supported by Asthma UK as part of the Asthma UK Centre for Applied Research (grant nos. AUK-AC-2012-01 and AUK-AC-2018-01), outside the current work. Kirstie McClatchey is supported by the National Institute for Health Research (NIHR) IMP2ART (IMProving IMPlementation of Asthma self-management as RouTine) programme of work (grant no. RP-PG-1016-20008), outside the current work. Amy Hai Yan Chan reports grants from Innovate UK, A+Charitable Trust (Auckland District Health Board), Maurice and Phyllis Paykel Trust, Universitas 21, New Zealand Pharmacy Education Research Fund, Oakley Mental Health Foundation, Chorus Ltd, Auckland Academic Health Alliance, Asthma UK as part of the Asthma UK Centre for Applied Research (grant nos. AUK-AC-2012-01 and AUK-AC-2018-01, Health Research Council and the University of Auckland; consultancy fees from UCL-Business spin-out company Spoonful of Sugar Ltd; and is the recipient of the Robert Irwin Postdoctoral Fellowship and the Auckland Medical Research Foundation Senior Research Fellowship, outside the submitted work.",

year = "2023",

month = sep,

day = "11",

doi = "10.1080/08870446.2023.2256784",

language = "English",

journal = "Psychology & Health",

issn = "0887-0446",

publisher = "Taylor & Francis",

}

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T1 - Psychological impact of the COVID-19 pandemic on people with asthma: A co-produced mixed-methods study

AU - Jackson, Tracy

AU - McClatchey, Kirstie

AU - Chan, Amy Hai Yan

AU - Morgan, Noelle

AU - Kinley, Emma

AU - Pinnock, Hilary

N1 - No funding was received for this work. Tracy Jackson is supported by Asthma UK as part of the Asthma UK Centre for Applied Research (grant nos. AUK-AC-2012-01 and AUK-AC-2018-01), outside the current work. Kirstie McClatchey is supported by the National Institute for Health Research (NIHR) IMP2ART (IMProving IMPlementation of Asthma self-management as RouTine) programme of work (grant no. RP-PG-1016-20008), outside the current work. Amy Hai Yan Chan reports grants from Innovate UK, A+Charitable Trust (Auckland District Health Board), Maurice and Phyllis Paykel Trust, Universitas 21, New Zealand Pharmacy Education Research Fund, Oakley Mental Health Foundation, Chorus Ltd, Auckland Academic Health Alliance, Asthma UK as part of the Asthma UK Centre for Applied Research (grant nos. AUK-AC-2012-01 and AUK-AC-2018-01, Health Research Council and the University of Auckland; consultancy fees from UCL-Business spin-out company Spoonful of Sugar Ltd; and is the recipient of the Robert Irwin Postdoctoral Fellowship and the Auckland Medical Research Foundation Senior Research Fellowship, outside the submitted work.

PY - 2023/9/11

Y1 - 2023/9/11

N2 - Objective: When COVID-19 was declared a pandemic there was concern that people living with asthma were at high-risk of poor outcomes. We aimed to explore the psychological impact of living with asthma in the United Kingdom during the pandemic.Methods and Measures: Our mixed methods study, co-designed with patient and public involvement colleagues, included an online survey to detect anxiety/depression/post-traumatic stress disorder (PTSD) and health beliefs; and qualitative interviews. We recruited 849 participants for the survey and interviewed 26 between May and June 2020. Audio-recorded interviews were transcribed verbatim, and analysed thematically.Results: The survey identified that 77% of respondents were experiencing symptoms of anxiety, 77% were experiencing symptoms of depression, and PTSD was of concern for 61%. Two-thirds of respondents felt the pandemic had changed how they managed their asthma (n=568, 66.9%), and over half felt that they had not been given adequate health information about COVID-19 (n=495, 58.3%). Qualitative interviews identified five themes 1) health communication 2) interaction with healthcare 3) COVID-19 related concerns 4) impact on mental health 5) behaviour change.Conclusion: Psychological distress was prevalent in people with asthma during the early stage of the pandemic. Understanding this may be useful to inform future healthcare/policy planning.Keywords:COVID-19; coronavirus; asthma; anxiety; depression; mental health; lockdown; survey; qualitative; mixed methods; patient experience

AB - Objective: When COVID-19 was declared a pandemic there was concern that people living with asthma were at high-risk of poor outcomes. We aimed to explore the psychological impact of living with asthma in the United Kingdom during the pandemic.Methods and Measures: Our mixed methods study, co-designed with patient and public involvement colleagues, included an online survey to detect anxiety/depression/post-traumatic stress disorder (PTSD) and health beliefs; and qualitative interviews. We recruited 849 participants for the survey and interviewed 26 between May and June 2020. Audio-recorded interviews were transcribed verbatim, and analysed thematically.Results: The survey identified that 77% of respondents were experiencing symptoms of anxiety, 77% were experiencing symptoms of depression, and PTSD was of concern for 61%. Two-thirds of respondents felt the pandemic had changed how they managed their asthma (n=568, 66.9%), and over half felt that they had not been given adequate health information about COVID-19 (n=495, 58.3%). Qualitative interviews identified five themes 1) health communication 2) interaction with healthcare 3) COVID-19 related concerns 4) impact on mental health 5) behaviour change.Conclusion: Psychological distress was prevalent in people with asthma during the early stage of the pandemic. Understanding this may be useful to inform future healthcare/policy planning.Keywords:COVID-19; coronavirus; asthma; anxiety; depression; mental health; lockdown; survey; qualitative; mixed methods; patient experience

KW - COVID-19

KW - coronavirus

KW - asthma

KW - anxiety

KW - depression

KW - mental health

KW - lockdown

KW - survey

KW - qualitative

KW - mixed methods

KW - patient experience

U2 - 10.1080/08870446.2023.2256784

DO - 10.1080/08870446.2023.2256784

M3 - Article

SN - 0887-0446

JO - Psychology & Health

JF - Psychology & Health

ER -

Psychological impact of the COVID-19 pandemic on people with asthma: A co-produced mixed-methods study

Abstract / Description of output

Keywords / Materials (for Non-textual outputs)

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Implementing supported asthma self-management in routine clinical care: designing, refining, piloting and evaluating clinical and cost-effectiveness of a whole systems implementation strategy (IMP2ART)

Cite this