Evidence map›Paper›PMID 34083347›Full record

ArticleBMJ open2021

Impact of COVID-19 pandemic social restriction measures on people with rheumatic and musculoskeletal diseases in the UK: a mixed-methods study.

Toby O Smith, Pippa Belderson, Jack R Dainty, Linda Birt, Karen Durrant, Jacqueline R Chipping, Jordan Tsigarides, Max Yates, Felix Naughton, Sarah Werry and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 27 citations in OpenAlex.

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  9. Exploring Barriers and Facilitators to Physical Activity during the COVID-19 Pandemic: A Qualitative Study.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

Toby O SmithNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, Oxfordshire, UK.ORCID 0000-0003-1673-2954
Pippa BeldersonFaculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK.
Jack R DaintyFaculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK.ORCID 0000-0002-0056-1233
Linda BirtFaculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK.ORCID 0000-0002-4527-4414
Karen DurrantFaculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK.
Jacqueline R ChippingFaculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK.
Jordan TsigaridesFaculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK.
Max YatesFaculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK.
Felix NaughtonFaculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK.ORCID 0000-0001-9790-2796
Sarah WerryFaculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK.
Caitlin NotleyFaculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK.ORCID 0000-0003-0876-3304
Lee ShepstoneFaculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK.
Alex J MacGregorFaculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK a.macgregor@uea.ac.uk.ORCID 0000-0003-2163-2325
University of East Anglia · GB

Funding

Versus Arthritis 21229
6 · The paper itself

Abstract

objectivesTo determine the impact of COVID-19 pandemic social restriction measures on people with rheumatic and musculoskeletal diseases (RMDs) and to explore how people adapted to these measures over time.

designMixed-methods investigation comprising a national online longitudinal survey and embedded qualitative study.

settingUK online survey and interviews with community-dwelling individuals in the East of England.

participantsPeople in the UK with RMDs were invited to participate in an online survey. A subsection of respondents were invited to participate in the embedded qualitative study. PRIMARY AND SECONDARY OUTCOME MEASURES: The online survey, completed fortnightly over 10 weeks from April 2020 to August 2020, investigated changes in symptoms, social isolation and loneliness, resilience and optimism. Qualitative interviews were undertaken assessing participant's perspectives on changes in symptoms, exercising, managing instrumental tasks such a shopping, medication and treatment regimens and how they experienced changes in their social networks.

results703 people with RMDs completed the online survey. These people frequently reported a deterioration in symptoms as a result of COVID-19 pandemic social restrictions (52% reported increase vs 6% reported a decrease). This was significantly worse for those aged 18-60 years compared with older participants (p=0.017). The qualitative findings from 26 individuals with RMDs suggest that the greatest change in daily life was experienced by those in employment. Although some retired people reported reduced opportunity for exercise outside their homes, they did not face the many competing demands experienced by employed people and people with children at home.

conclusionsPeople with RMDs reported a deterioration in symptoms when COVID-19 pandemic social restriction measures were enforced. This was worse for working-aged people. Consideration of this at-risk group, specifically for the promotion of physical activity, changing home-working practices and awareness of healthcare provision is important, as social restrictions continue in the UK.

Indexed as

COVID-19Musculoskeletal DiseasesChildEnglandHumansPandemicsSARS-CoV-2United KingdomCOVID-19musculoskeletal disorderspain managementrheumatology

Identifiers

PMID34083347
PMCPMC8182755
OpenAlexW3165121315

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.