关键词: COVID-19 impact PTE, Post-traumatic epilepsy PWE, people with epilepsy Qualitative methods REDCap, Research Electronic Data Capture SDOH, social determinants of health TBI, traumatic brain injury Thematic analysis USAMRDC, United States Army Medical Research & Development Command VA, Veteran Affairs VR-12, Veteran’s RAND 12 item health survey Veteran health Veteran well-being mTBI, mild traumatic brain injury

来  源:   DOI:10.1016/j.pecinn.2022.100096   PDF(Pubmed)

Abstract:
UNASSIGNED: Assess potential impacts of the COVID-19 pandemic on a subset of Post-9/11 U.S. Veterans included in a study of post-traumatic epilepsy (PTE).
UNASSIGNED: Two measures were added to a structured health interview for Veterans during temporary pandemic research shutdown: a validated health questionnaire [1] previously completed by survey, and a semi-structured instrument developed to assess whether pandemic conditions affected responses to the health questionnaire and identify unique impacts. Interviews were conducted between August 2020 - February 2021. Scaled items were calculated and t-tests used to compare results. Open-ended items were coded using thematic analyses.
UNASSIGNED: Veterans identified eight major areas of impact with negative and positive impacts: mental health, family, social, work/employment, access to resources, physical health, finances, and education.
UNASSIGNED: The temporary shut-down of a large health study for Post-9/11 Veterans provided an opportunity to devise an instrument to assess COVID-19\'s impact on health and well-being. The instrument was accepted as of the first Veteran instrument in a pandemic SDOH research repository [2], and is being used in other studies.
UNASSIGNED: This study highlights the need to assess and understand interrelated relationships of factors impacting health and well-being, especially as COVID-19 moves from pandemic to endemic with reverberating effects across multiple social determinants of health (SDOH).
摘要:
未经评估:评估COVID-19大流行对创伤后癫痫(PTE)研究中包括的9/11后美国退伍军人子集的潜在影响。
UNASSIGNED:在临时大流行研究关闭期间,对退伍军人进行的结构化健康访谈中增加了两项措施:先前通过调查完成的经过验证的健康问卷[1],开发了一种半结构化工具,以评估大流行状况是否影响对健康问卷的回应,并确定独特的影响。面试时间为2020年8月至2021年2月。计算缩放项目,并使用t检验比较结果。使用主题分析对开放式项目进行编码。
UNASIGNED:退伍军人确定了八个主要影响领域,具有负面和正面影响:心理健康,家庭,社会,工作/就业,访问资源,身体健康,金融,和教育。
UNASSIGNED:一项针对9/11后退伍军人的大型健康研究的暂时关闭提供了一个机会,可以设计一种工具来评估COVID-19对健康和福祉的影响。该仪器作为大流行SDOH研究库的第一个退伍军人仪器被接受[2],并被用于其他研究。
UNASSIGNED:这项研究强调了评估和理解影响健康和福祉的因素之间相互关联关系的必要性。特别是随着COVID-19从大流行转变为地方性流行,并在多个社会健康决定因素(SDOH)之间产生回响效应。
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