Understanding the impact of initial COVID-19 restrictions on physical activity, wellbeing and quality of life in shielding adults with end-stage renal disease in the United Kingdom Dialysing at home versusIn-Centre and their experiences with telemedicine

Antoun, J. ORCID: https://orcid.org/0000-0002-9678-4326, Brown, D. J. ORCID: https://orcid.org/0000-0002-2210-3225, Jones, D. J. W., Sangala, N. C. ORCID: https://orcid.org/0000-0003-3997-2512, Lewis, R. J., Shepherd, A. I. ORCID: https://orcid.org/0000-0001-6392-7944, McNarry, M. A. ORCID: https://orcid.org/0000-0003-0813-7477, Mackintosh, K. A. ORCID: https://orcid.org/0000-0003-0355-6357, Mason, L. ORCID: https://orcid.org/0000-0002-9679-7063, Corbett, J. and Saynor, Z. L. ORCID: https://orcid.org/0000-0003-0674-8477 (2021) Understanding the impact of initial COVID-19 restrictions on physical activity, wellbeing and quality of life in shielding adults with end-stage renal disease in the United Kingdom Dialysing at home versusIn-Centre and their experiences with telemedicine. International Journal of Environmental Research and Public Health, 18 (6). 3144. ISSN 1660-4601 doi: 10.3390/ijerph18063144

Abstract/Summary

Early in the coronavirus-2019 (COVID-19) containment strategy, people with end-stage renal disease (ESRD) were identified as extremely clinically vulnerable and subsequently asked to ‘shield’ at home where possible. The aim of this study was to investigate how these restrictions and the transition to an increased reliance on telemedicine within clinical care of people living with kidney disease impacted the physical activity (PA), wellbeing and quality of life (QoL) of adults dialysing at home (HHD) or receiving in-centre haemodialysis (ICHD) in the UK. Individual semistructured telephone interviews were conducted with adults receiving HHD (n = 10) or ICHD (n = 10), were transcribed verbatim and, subsequently, thematically analysed. As result of the COVID-19 restrictions, PA, wellbeing and QoL of people with ESRD were found to have been hindered. However, widespread support for the continued use of telemedicine was strongly advocated and promoted independence and satisfaction in patient care. These findings highlight the need for more proactive care of people with ESRD if asked to shield again, as well as increased awareness of safe and appropriate PA resources to help with home-based PA and emotional wellbeing.

Item Type	Article
URI	https://reading-clone.eprints-hosting.org/id/eprint/97017
Identification Number/DOI	10.3390/ijerph18063144
Refereed	Yes
Divisions	Life Sciences > School of Psychology and Clinical Language Sciences > Department of Psychology
Publisher	MDPI
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