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Jalbert L, Hautin AS, Baron M, Dubé È, Gagné M, Girard C, Larochelle C, LeBlanc A, Sasseville M, Décary S, Tremblay K. Motivation to participate and attrition factors in a COVID-19 biobank: A qualitative study. J Infect Public Health 2024; 17:421-429. [PMID: 38262079 DOI: 10.1016/j.jiph.2024.01.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Revised: 12/05/2023] [Accepted: 01/02/2024] [Indexed: 01/25/2024] Open
Abstract
BACKGROUND The Biobanque québécoise de la COVID-19 (Quebec Biobank for COVID-19, or BQC19) is a provincial initiative that aims to manage the longitudinal collection, storage, and sharing of biological samples and clinical data related to COVID-19. During the study, BQC19 investigators reported a high loss-to-follow-up rate. The current study aimed to explore motivational and attrition factors from the perspective of BQC19 participants and health care and research professionals. METHODS This was an inductive exploratory qualitative study. Using a theoretical sampling approach, a sample of BQC19 participants and professionals were invited to participate via semi-structured interviews. Topics included motivations to participate; participants' fears, doubts, and barriers to participation; and professionals' experiences with biobanking during the COVID-19 pandemic. RESULTS Interviews were conducted with BQC19 participants (n = 23) and professionals (n = 17) from 8 clinical data collection sites. Motivations included the contribution to science and society in crisis, self-worth, and interactions with medical professionals. Reasons for attrition included logistical barriers, negative attitudes about public health measures or genomic studies, fear of clinical settings, and a desire to move on from COVID-19. Motivations and barriers seemed to evolve over time and with COVID-19 trends and surges. Certain situations were associated with attrition, such as when patients experienced indirect verbal consent during hospitalization. Barriers related to human and material resources and containment/prevention measures limited the ability of research teams to recruit and retain participants, especially in the ever-evolving context of crisis. CONCLUSION The pandemic setting impacted participation and attrition, either by influencing participants' motivations and barriers or by affecting research teams' ability to recruit and retain participants. Longitudinal and/or biobanking studies in a public health crisis setting should consider these factors to limit attrition.
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Affiliation(s)
- Laura Jalbert
- VITAM - Centre de recherche en santé durable, Québec, QC, Canada
| | | | - Marie Baron
- Direction scientifique, Institut national de la recherche scientifique (INRS), Canada
| | - Ève Dubé
- Département d'anthropologie, Faculté des Sciences sociales, Université Laval, Québec, QC, Canada
| | - Myriam Gagné
- Division of Respirology, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada
| | - Catherine Girard
- Centre intersectoriel en santé durable (CISD), Département des sciences fondamentales, Université du Québec à Chicoutimi, Saguenay, QC, Canada
| | - Catherine Larochelle
- Centre Hospitalier de l'Université de Montréal, Département des neurosciences, Montréal, QC, Canada
| | - Annie LeBlanc
- VITAM - Centre de recherche en santé durable, Québec, QC, Canada
| | - Maxime Sasseville
- VITAM - Centre de recherche en santé durable, Québec, QC, Canada; Nursing faculty, Université Laval, Québec, QC, Canada; Centre Intégré Universitaire de Santé et de Services Sociaux (CIUSSS) du Saguenay-Lac-Saint-Jean, Saguenay, QC, Canada
| | - Simon Décary
- School of Rehabilitation, Medicine and Health Sciences Faculty, Université de Sherbrooke, Sherbrooke, QC, Canada
| | - Karine Tremblay
- Centre Intégré Universitaire de Santé et de Services Sociaux (CIUSSS) du Saguenay-Lac-Saint-Jean, Saguenay, QC, Canada,; Department of Pharmacology-Physiology, Medicine and Health Sciences Faculty, Université de Sherbrooke, Sherbrooke, QC, Canada.
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Plazy M, Doucet MH, Timbo Songbono C, Sanon A, Issiaka B, Martin C, Da I, L'hostellier A, Marcy O, Malvy D, Poda A, Delamou A, Berthé A, Orne-Gliemann J. Acceptability and feasibility of home and hospital follow-up in Burkina Faso and Guinea: A mixed-method study among patients of the COVID-19 Coverage-Africa clinical trial. PLOS GLOBAL PUBLIC HEALTH 2023; 3:e0001545. [PMID: 37437024 DOI: 10.1371/journal.pgph.0001545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Accepted: 06/18/2023] [Indexed: 07/14/2023]
Abstract
Patient experiences and perspectives on trial participation and follow-up may influence their compliance with research procedures or negatively impact their well-being. We aimed to explore the acceptability and feasibility of home-based and hospital-based follow-up modalities among COVID-19 patients enrolled in the ANTICOV ANRS COV33 Coverage-Africa trial in Burkina Faso and Guinea. The trial (2021-2022) evaluated the efficacy of treatments to prevent clinical worsening among COVID-19 patients with mild to moderate symptoms. Patients were either based at home or hospitalized, as per national recommendations, and followed-up through face-to-face visits and phone calls. We conducted a mixed-methods sub-study administering a questionnaire to all consenting participants and individually interviewing purposively selected participants. We performed descriptive analyses of Likert scale questions for the questionnaires and thematic analysis for the interviews. We conducted framework analysis and interpretation. Of the 400 trial patients, 220 completed the questionnaire (n = 182 in Burkina Faso, n = 38 in Guinea) and 24 were interviewed (n = 16 and n = 8, respectively). Participants were mostly followed-up at home in Burkina Faso; all patients from Guinea were first hospitalized, then followed-up at home. Over 90% of participants were satisfied with follow-up. Home follow-up was considered acceptable if (i) participants perceived they were not severely ill, (ii) it was combined with telemedicine, and (iii) the risk of stigma could be avoided. Hospital-based follow-up was viewed as a way to prevent contamination of family members, but could be badly experienced when mandatory and conflicting with family responsibilities and commitments. Phone calls were seen as reassuring and as a way to ensure continuity of care. These overall positive findings support the development of home-based follow-up for mildly ill patients in West-Africa, provided that both emotional and cognitive factors at individual, familial/inter-relational, healthcare and national levels be addressed when planning the implementation of a trial, or developing any public health strategy.
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Affiliation(s)
- Mélanie Plazy
- University of Bordeaux, National Institute for Health and Medical Research (INSERM) UMR 1219, Research Institute for Sustainable Development (IRD) EMR 271, Bordeaux Population Health Research Centre, Bordeaux, France
| | - Marie-Hélène Doucet
- University of Bordeaux, National Institute for Health and Medical Research (INSERM) UMR 1219, Research Institute for Sustainable Development (IRD) EMR 271, Bordeaux Population Health Research Centre, Bordeaux, France
| | - Christine Timbo Songbono
- African Centre of Excellence in the Prevention and Control of Communicable Diseases (CEA-PCMT), Faculty of Sciences and Health Techniques, Gamal Abdel Nasser University, Conakry, Republic of Guinea
- The Alliance for International Medical Action (ALIMA), Conakry, Republic of Guinea
| | - Anselme Sanon
- Muraz Centre, Department of Public Health, Bobo-Dioulasso, Burkina Faso
| | - Bamba Issiaka
- Muraz Centre, Department of Public Health, Bobo-Dioulasso, Burkina Faso
| | - Caroline Martin
- The Alliance for International Medical Action (ALIMA), Conakry, Republic of Guinea
| | - Inès Da
- Muraz Centre, Department of Public Health, Bobo-Dioulasso, Burkina Faso
| | - Anthony L'hostellier
- University of Bordeaux, National Institute for Health and Medical Research (INSERM) UMR 1219, Research Institute for Sustainable Development (IRD) EMR 271, Bordeaux Population Health Research Centre, Bordeaux, France
| | - Olivier Marcy
- University of Bordeaux, National Institute for Health and Medical Research (INSERM) UMR 1219, Research Institute for Sustainable Development (IRD) EMR 271, Bordeaux Population Health Research Centre, Bordeaux, France
| | - Denis Malvy
- University of Bordeaux, National Institute for Health and Medical Research (INSERM) UMR 1219, Research Institute for Sustainable Development (IRD) EMR 271, Bordeaux Population Health Research Centre, Bordeaux, France
- Division of Tropical Medicine and Clinical International Health, Department of Infectious Diseases and Tropical Medicine, CHU Pellegrin, Bordeaux, France
| | - Armel Poda
- Superior Institute of Health Sciences, Nazi Boni University, CHU Sourô Sanou, Bobo Dioulasso, Burkina Faso
| | - Alexandre Delamou
- African Centre of Excellence in the Prevention and Control of Communicable Diseases (CEA-PCMT), Faculty of Sciences and Health Techniques, Gamal Abdel Nasser University, Conakry, Republic of Guinea
| | - Abdramane Berthé
- Muraz Centre, Department of Public Health, Bobo-Dioulasso, Burkina Faso
| | - Joanna Orne-Gliemann
- University of Bordeaux, National Institute for Health and Medical Research (INSERM) UMR 1219, Research Institute for Sustainable Development (IRD) EMR 271, Bordeaux Population Health Research Centre, Bordeaux, France
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Pan A, Zhao Y, Yu W, Chen L, Wu X, Liu J, Zhao Y, Wang Y, Wang J, Zhang L. The construction and practice of a standardized nursing service system based on the designated hospital for the treatment of COVID-19 in China. Arch Med Sci 2023; 19:292-297. [PMID: 36817665 PMCID: PMC9897101 DOI: 10.5114/aoms/158550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/15/2022] [Accepted: 12/26/2022] [Indexed: 01/18/2023] Open
Affiliation(s)
- Aihong Pan
- Nursing Department, The First People’s Hospital of Hefei, Hefei, China
| | - Yu Zhao
- Gerontology Department, Binhu District of The First People’s Hospital of Hefei, Hefei, China
| | - Weihua Yu
- Dean’s Office, The First People’s Hospital of Hefei, Hefei, China
| | - Lili Chen
- Infection Department, Binhu District of The First People’s Hospital of Hefei, Hefei, China
| | - Xufeng Wu
- Department of Critical Care Medicine, Binhu District of The First People’s Hospital of Hefei, Hefei, China
| | - Jing Liu
- Emergency Department, Binhu District of The First People’s Hospital of Hefei, Hefei, China
| | - Yating Zhao
- Graduate School, Wannan Medical College, Wuhu, China
| | - Yuqing Wang
- Graduate School, Wannan Medical College, Wuhu, China
| | - Jin Wang
- Department of Cardiology, The First People’s Hospital of Hefei, Hefei, China
| | - Linmei Zhang
- Infection Department, The First People’s Hospital of Hefei, Hefei, China
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