Evidence map›Paper›PMID 35354630›Full record

ArticleBMJ open2022

Psychosocial impact of the COVID-19 pandemic and shielding in adults and children with early-onset neuromuscular and neurological disorders and their families: a mixed-methods study.

Lydia Spurr, Hui-Leng Tan, Ruth Wakeman, Michelle Chatwin, Zachary Hughes, Anita Simonds

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04581577 (Perceptions of the Clinical and Psychosocial Impact of Covid-19 in Patients With Neuromuscular and Neurological Disorders), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 26% 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.

NCT04581577 completednot on this map

Perceptions of the Clinical and Psychosocial Impact of Covid-19 in Patients With Neuromuscular and Neurological Disorders

TypeobservationalSponsorRoyal Brompton & Harefield NHS Foundation TrustRan2020 to 2020Enrolled40ConditionsNeuromuscular Diseases, Neurological Diseases or ConditionsArmsSemi-structured telephone questionnaire
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Lydia SpurrAcademic and Clinical Department of Sleep and Ventilation, Royal Brompton Hospital, London, UK l.spurr@nhs.net.ORCID 0000-0002-0386-0802
Hui-Leng TanDepartment of Paediatric Respiratory Medicine, Royal Brompton Hospital, London, UK.
Ruth WakemanDepartment of Paediatric Respiratory Medicine, Royal Brompton Hospital, London, UK.
Michelle ChatwinAcademic and Clinical Department of Sleep and Ventilation, Royal Brompton Hospital, London, UK.
Zachary HughesMyotubular Trust, London, UK.
Anita SimondsAcademic and Clinical Department of Sleep and Ventilation, Royal Brompton Hospital, London, UK.ORCID 0000-0001-9637-491X
Royal Brompton Hospital · GBMyotubular Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo describe and evaluate the psychosocial impact of the COVID-19 pandemic and measures to reduce the risk of transmission on patients with early-onset neuromuscular and neurological disorders (NMDs) and their families.

designA mixed-methods study in which data were collected between 17 September 2020 and 31 December 2020 using a semi-structured telephone questionnaire developed specifically to meet research aims, and were analysed using quantitative methods and qualitative inductive thematic analysis.

participantsForty questionnaires were completed by patients with NMDs (eg, muscular dystrophies, spinal muscular atrophy) or their parent. 70% (n=28) of patients were male, aged 2-48 years. 90% (n=36) were wheelchair users; 72.5% (n=29) required long-term non-invasive or tracheostomy ventilation.

resultsStrict adherence to risk mitigation strategies, for example, shielding, were reported at the start of the pandemic. Over half continued some or all measures after official limitations were relaxed. 67.5% (n=27) reported changes to personal care assistance arrangements including temporary cessation of outside carers. Three themes were identified: (1) Concern regarding the health impact of COVID-19; (2) Perceptions of strategies to prevent SARS-CoV-2 transmission; (3) Psychological impact of the COVID-19 pandemic. The level and pervasiveness of frequently reported negative psychological effects, for example, anxiety and fear fluctuated, and were related to the perceived risk of COVID-19, concern about attending hospital, and perceived lack of access to intensive care management if severe COVID-19 infection occurred. Support, particularly from family and healthcare services, were considered to have positive psychosocial effects.

conclusionsMeasures to reduce transmission of COVID-19 have greatly affected patients with NMDs and their families. For most, negative psychosocial impacts have and will continue to improve, but this may depend on the incidence of further pandemic waves. Consistent, up-to-date and accessible information on clinical outcomes and risk mitigation must be provided to support patients' physical and mental well-being.

Indexed as

COVID-19Nervous System DiseasesAdolescentAdultChildChild, PreschoolHumansMaleMiddle AgedPandemicsParentsSARS-CoV-2Young AdultCOVID-19MENTAL HEALTHNeuromuscular diseasePaediatric neurologyQUALITATIVE RESEARCHRisk management

Identifiers

PMID35354630
PMCPMC8968110
OpenAlexW4221094647

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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Registered trials

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.