VIVALDI ASCOT and Ethnography Study: protocol for a mixed-methods longitudinal study to evaluate the impact of COVID-19 and other respiratory infection outbreaks on care home residents’ quality of life and psychosocial well-being

Lavinia Bertini; Nicola Schmidt-Renfree; James Blackstone; Oliver Stirrup; Natalie Adams; Iona Cullen-Stephenson; Maria Krutikov; Ruth Leiser; Lara Goscé; Catherine Henderson; Paul Flowers; Laura Shallcross; Jackie A. Cassell; Dorina Cadar

doi:10.1136/bmjopen-2024-088685

VIVALDI ASCOT and Ethnography Study: protocol for a mixed-methods longitudinal study to evaluate the impact of COVID-19 and other respiratory infection outbreaks on care home residents’ quality of life and psychosocial well-being

Lavinia Bertini, Nicola Schmidt-Renfree, James Blackstone, Oliver Stirrup, Natalie Adams, Iona Cullen-Stephenson, Maria Krutikov, Ruth Leiser, Lara Goscé, Catherine Henderson, Paul Flowers, Laura Shallcross, Jackie A. Cassell, Dorina Cadar^*

^*Corresponding author for this work

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

1 Citation (Scopus)

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Abstract

Introduction
Older adults in care homes experienced some of the highest rates of mortality from SARS-CoV-2 globally and were subjected to strict and lengthy non-pharmaceutical interventions, which severely impacted their daily lives. The VIVALDI ASCOT and Ethnography Study aims to assess the impact of respiratory outbreaks on care home residents’ quality of life, psychological well-being, loneliness, functional ability and use of space. This study is linked to the VIVALDI-CT, a randomised controlled trial of staff’s asymptomatic testing and sickness payment support in care homes (ISRCTN13296529).

Methods and analysis
This is a mixed-methods, longitudinal study of care home residents (65+) in Southeast England. Group 1—exposed includes residents from care homes with a recent COVID-19 or other respiratory infection outbreak. Group 2—non-exposed includes residents from care homes without a recent outbreak. The study has two components: (a) a mixed-methods longitudinal face-to-face interviews with 100 residents (n=50 from group 1 and n=50 from group 2) to assess the impact of outbreaks on residents’ quality of life, psychological well-being, loneliness, functional ability and use of space at time 1 (study baseline) and time 2 (at 3–4 weeks after the first visit); (b) ethnographic observations in communal spaces of up to 10 care homes to understand how outbreaks and related restrictions to the use of space and social activities impact residents’ well-being. The study will interview only care home residents who have the mental capacity to consent. Data will be compared and integrated to gain a more comprehensive understanding of the impact of outbreaks on residents’ quality of life and well-being.

Ethics and dissemination
The VIVALDI ASCOT and Ethnography Study obtained ethical approval from the Health Research Authority (HRA) Social Care REC (24/IEC08/0001). Only residents with the capacity to consent will be included in the study. Findings will be published in scientific journals.

Original language	English
Article number	e088685
Number of pages	10
Journal	BMJ Open
Volume	14
Issue number	8
DOIs	https://doi.org/10.1136/bmjopen-2024-088685
Publication status	Published - 7 Aug 2024

Funding

The study is supported by the NIHR Social Care Delivery Research (HSDR) Programme & UK Health Security Agency (UKHSA) Grant number 154310. The study is managed by a team of researchers based on Brighton and Sussex Medical School. DC and JC are the principal investigators of the VIVALDI ASCOT and Ethnography Study. DC is funded by the ESRC, grant numbers ES/T012091/1 & ES/S013830/1, NIHR & UKHSA, grant number 154310, and Alzheimer's Society, grant number 407. The VIVALDI ASCOT and Ethnography study is linked to the VIVALDI CT hosted at University College London (UCL) and supported by the NIHR and UKHSA. LS and PF are the chief investigators of the VIVALDI CT. Costs associated with SARS-CoV-2 testing, including support payments for care home staff and for care homes to fund agency staff backfill, are funded by the UK Health Security Agency (UKHSA). The VIVALDI-CT is sponsored by University College London, represented by the UCL Comprehensive Clinical Trials Unit (UCL CCTU).

Keywords

quality in health care
depression & mood disorders
quality of Life
social support
respiratory infections
COVID-19

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Bertini, L., Schmidt-Renfree, N., Blackstone, J., Stirrup, O., Adams, N., Cullen-Stephenson, I., Krutikov, M., Leiser, R., Goscé, L., Henderson, C., Flowers, P., Shallcross, L., Cassell, J. A., & Cadar, D. (2024). VIVALDI ASCOT and Ethnography Study: protocol for a mixed-methods longitudinal study to evaluate the impact of COVID-19 and other respiratory infection outbreaks on care home residents’ quality of life and psychosocial well-being. BMJ Open, 14(8), Article e088685. https://doi.org/10.1136/bmjopen-2024-088685

@article{3f573607aa7141e980fbb78673d178df,

title = "VIVALDI ASCOT and Ethnography Study: protocol for a mixed-methods longitudinal study to evaluate the impact of COVID-19 and other respiratory infection outbreaks on care home residents{\textquoteright} quality of life and psychosocial well-being",

abstract = "IntroductionOlder adults in care homes experienced some of the highest rates of mortality from SARS-CoV-2 globally and were subjected to strict and lengthy non-pharmaceutical interventions, which severely impacted their daily lives. The VIVALDI ASCOT and Ethnography Study aims to assess the impact of respiratory outbreaks on care home residents{\textquoteright} quality of life, psychological well-being, loneliness, functional ability and use of space. This study is linked to the VIVALDI-CT, a randomised controlled trial of staff{\textquoteright}s asymptomatic testing and sickness payment support in care homes (ISRCTN13296529).Methods and analysisThis is a mixed-methods, longitudinal study of care home residents (65+) in Southeast England. Group 1—exposed includes residents from care homes with a recent COVID-19 or other respiratory infection outbreak. Group 2—non-exposed includes residents from care homes without a recent outbreak. The study has two components: (a) a mixed-methods longitudinal face-to-face interviews with 100 residents (n=50 from group 1 and n=50 from group 2) to assess the impact of outbreaks on residents{\textquoteright} quality of life, psychological well-being, loneliness, functional ability and use of space at time 1 (study baseline) and time 2 (at 3–4 weeks after the first visit); (b) ethnographic observations in communal spaces of up to 10 care homes to understand how outbreaks and related restrictions to the use of space and social activities impact residents{\textquoteright} well-being. The study will interview only care home residents who have the mental capacity to consent. Data will be compared and integrated to gain a more comprehensive understanding of the impact of outbreaks on residents{\textquoteright} quality of life and well-being.Ethics and disseminationThe VIVALDI ASCOT and Ethnography Study obtained ethical approval from the Health Research Authority (HRA) Social Care REC (24/IEC08/0001). Only residents with the capacity to consent will be included in the study. Findings will be published in scientific journals.",

keywords = "quality in health care, depression & mood disorders, quality of Life, social support, respiratory infections, COVID-19",

author = "Lavinia Bertini and Nicola Schmidt-Renfree and James Blackstone and Oliver Stirrup and Natalie Adams and Iona Cullen-Stephenson and Maria Krutikov and Ruth Leiser and Lara Gosc{\'e} and Catherine Henderson and Paul Flowers and Laura Shallcross and Cassell, {Jackie A.} and Dorina Cadar",

year = "2024",

month = aug,

day = "7",

doi = "10.1136/bmjopen-2024-088685",

language = "English",

volume = "14",

journal = "BMJ Open",

issn = "2044-6055",

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Bertini, L, Schmidt-Renfree, N, Blackstone, J, Stirrup, O, Adams, N, Cullen-Stephenson, I, Krutikov, M, Leiser, R, Goscé, L, Henderson, C, Flowers, P, Shallcross, L, Cassell, JA & Cadar, D 2024, 'VIVALDI ASCOT and Ethnography Study: protocol for a mixed-methods longitudinal study to evaluate the impact of COVID-19 and other respiratory infection outbreaks on care home residents’ quality of life and psychosocial well-being', BMJ Open, vol. 14, no. 8, e088685. https://doi.org/10.1136/bmjopen-2024-088685

VIVALDI ASCOT and Ethnography Study: protocol for a mixed-methods longitudinal study to evaluate the impact of COVID-19 and other respiratory infection outbreaks on care home residents’ quality of life and psychosocial well-being. / Bertini, Lavinia; Schmidt-Renfree, Nicola; Blackstone, James et al.
In: BMJ Open, Vol. 14, No. 8, e088685, 07.08.2024.

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

TY - JOUR

T1 - VIVALDI ASCOT and Ethnography Study

T2 - protocol for a mixed-methods longitudinal study to evaluate the impact of COVID-19 and other respiratory infection outbreaks on care home residents’ quality of life and psychosocial well-being

AU - Bertini, Lavinia

AU - Schmidt-Renfree, Nicola

AU - Blackstone, James

AU - Stirrup, Oliver

AU - Adams, Natalie

AU - Cullen-Stephenson, Iona

AU - Krutikov, Maria

AU - Leiser, Ruth

AU - Goscé, Lara

AU - Henderson, Catherine

AU - Flowers, Paul

AU - Shallcross, Laura

AU - Cassell, Jackie A.

AU - Cadar, Dorina

PY - 2024/8/7

Y1 - 2024/8/7

N2 - IntroductionOlder adults in care homes experienced some of the highest rates of mortality from SARS-CoV-2 globally and were subjected to strict and lengthy non-pharmaceutical interventions, which severely impacted their daily lives. The VIVALDI ASCOT and Ethnography Study aims to assess the impact of respiratory outbreaks on care home residents’ quality of life, psychological well-being, loneliness, functional ability and use of space. This study is linked to the VIVALDI-CT, a randomised controlled trial of staff’s asymptomatic testing and sickness payment support in care homes (ISRCTN13296529).Methods and analysisThis is a mixed-methods, longitudinal study of care home residents (65+) in Southeast England. Group 1—exposed includes residents from care homes with a recent COVID-19 or other respiratory infection outbreak. Group 2—non-exposed includes residents from care homes without a recent outbreak. The study has two components: (a) a mixed-methods longitudinal face-to-face interviews with 100 residents (n=50 from group 1 and n=50 from group 2) to assess the impact of outbreaks on residents’ quality of life, psychological well-being, loneliness, functional ability and use of space at time 1 (study baseline) and time 2 (at 3–4 weeks after the first visit); (b) ethnographic observations in communal spaces of up to 10 care homes to understand how outbreaks and related restrictions to the use of space and social activities impact residents’ well-being. The study will interview only care home residents who have the mental capacity to consent. Data will be compared and integrated to gain a more comprehensive understanding of the impact of outbreaks on residents’ quality of life and well-being.Ethics and disseminationThe VIVALDI ASCOT and Ethnography Study obtained ethical approval from the Health Research Authority (HRA) Social Care REC (24/IEC08/0001). Only residents with the capacity to consent will be included in the study. Findings will be published in scientific journals.

AB - IntroductionOlder adults in care homes experienced some of the highest rates of mortality from SARS-CoV-2 globally and were subjected to strict and lengthy non-pharmaceutical interventions, which severely impacted their daily lives. The VIVALDI ASCOT and Ethnography Study aims to assess the impact of respiratory outbreaks on care home residents’ quality of life, psychological well-being, loneliness, functional ability and use of space. This study is linked to the VIVALDI-CT, a randomised controlled trial of staff’s asymptomatic testing and sickness payment support in care homes (ISRCTN13296529).Methods and analysisThis is a mixed-methods, longitudinal study of care home residents (65+) in Southeast England. Group 1—exposed includes residents from care homes with a recent COVID-19 or other respiratory infection outbreak. Group 2—non-exposed includes residents from care homes without a recent outbreak. The study has two components: (a) a mixed-methods longitudinal face-to-face interviews with 100 residents (n=50 from group 1 and n=50 from group 2) to assess the impact of outbreaks on residents’ quality of life, psychological well-being, loneliness, functional ability and use of space at time 1 (study baseline) and time 2 (at 3–4 weeks after the first visit); (b) ethnographic observations in communal spaces of up to 10 care homes to understand how outbreaks and related restrictions to the use of space and social activities impact residents’ well-being. The study will interview only care home residents who have the mental capacity to consent. Data will be compared and integrated to gain a more comprehensive understanding of the impact of outbreaks on residents’ quality of life and well-being.Ethics and disseminationThe VIVALDI ASCOT and Ethnography Study obtained ethical approval from the Health Research Authority (HRA) Social Care REC (24/IEC08/0001). Only residents with the capacity to consent will be included in the study. Findings will be published in scientific journals.

KW - quality in health care

KW - depression & mood disorders

KW - quality of Life

KW - social support

KW - respiratory infections

KW - COVID-19

U2 - 10.1136/bmjopen-2024-088685

DO - 10.1136/bmjopen-2024-088685

M3 - Article

SN - 2044-6055

VL - 14

JO - BMJ Open

JF - BMJ Open

IS - 8

M1 - e088685

ER -

Bertini L, Schmidt-Renfree N, Blackstone J, Stirrup O, Adams N, Cullen-Stephenson I et al. VIVALDI ASCOT and Ethnography Study: protocol for a mixed-methods longitudinal study to evaluate the impact of COVID-19 and other respiratory infection outbreaks on care home residents’ quality of life and psychosocial well-being. BMJ Open. 2024 Aug 7;14(8):e088685. doi: 10.1136/bmjopen-2024-088685