Abstract：
BACKGROUND: 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: 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.
BACKGROUND: 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.
METHODS: 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.
BACKGROUND: 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.
摘要：
背景：养老院中的老年人因SARS-CoV-2在全球范围内经历了一些最高的死亡率，并受到严格而漫长的非药物干预，严重影响了他们的日常生活。VIVALDIASCOT和人种学研究旨在评估呼吸道暴发对养老院居民生活质量的影响，心理健康，孤独,功能能力和使用空间。这项研究与VIVALDI-CT有关，护理院工作人员无症状检测和疾病支付支持的随机对照试验(ISRCTN13296529)。
方法：这是一种混合方法，英格兰东南部养老院居民(65岁以上)的纵向研究。第1组暴露者包括最近爆发COVID-19或其他呼吸道感染的养老院居民。第2组非暴露者包括来自养老院的居民，最近没有爆发。该研究有两个组成部分：（a）对100名居民进行混合方法的纵向面对面访谈（第1组n=50，第2组n=50），以评估疫情对居民生活质量的影响，心理健康，孤独,在时间1（研究基线）和时间2（首次访问后3-4周）的功能能力和空间使用；（b）在多达10个护理院的公共空间中进行人种学观察，以了解疫情以及对空间使用和社交活动的相关限制如何影响居民的福祉。该研究将仅采访具有同意心理能力的养老院居民。将对数据进行比较和整合，以更全面地了解疫情对居民生活质量和福祉的影响。
背景：VIVALDIASCOT和人种学研究获得了卫生研究局（HRA）SocialCareREC的伦理批准（24/IEC08/0001）。只有具有同意能力的居民才会被纳入研究。研究结果将在科学期刊上发表。
方法：这是一种混合方法，英格兰东南部养老院居民(65岁以上)的纵向研究。第1组暴露者包括最近爆发COVID-19或其他呼吸道感染的养老院居民。第2组非暴露者包括来自养老院的居民，最近没有爆发。该研究有两个组成部分：（a）对100名居民进行混合方法的纵向面对面访谈（第1组n=50，第2组n=50），以评估疫情对居民生活质量的影响，心理健康，孤独,在时间1（研究基线）和时间2（首次访问后3-4周）的功能能力和空间使用；（b）在多达10个护理院的公共空间中进行人种学观察，以了解疫情以及对空间使用和社交活动的相关限制如何影响居民的福祉。该研究将仅采访具有同意心理能力的养老院居民。将对数据进行比较和整合，以更全面地了解疫情对居民生活质量和福祉的影响。
背景：VIVALDIASCOT和人种学研究获得了卫生研究局（HRA）SocialCareREC的伦理批准（24/IEC08/0001）。只有具有同意能力的居民才会被纳入研究。研究结果将在科学期刊上发表。
