Your browser doesn't support javascript.
The psychological burden of waiting for procedures and patient-centred strategies that could support the mental health of wait-listed patients and caregivers during the COVID-19 pandemic: A scoping review.
Gagliardi, Anna R; Yip, Cindy Y Y; Irish, Jonathan; Wright, Frances C; Rubin, Barry; Ross, Heather; Green, Robin; Abbey, Susan; McAndrews, Mary Pat; Stewart, Donna E.
  • Gagliardi AR; Toronto General Hospital Research Institute, University Health Network, Toronto, Canada.
  • Yip CYY; University of British Columbia, Vancouver, Canada.
  • Irish J; Surgical Oncology Program/Access to Care-Surgery, Ontario Health-Cancer Care Ontario, Toronto, Canada.
  • Wright FC; Department of Surgery, Sunnybrook Health Sciences Centre, Toronto, Canada.
  • Rubin B; Peter Munk Cardiac Centre, University Health Network, Toronto, Canada.
  • Ross H; Ted Rogers Centre of Excellence in Heart Function, University Health Network, Toronto, Canada.
  • Green R; Toronto Rehabilitation Institute, University Health Network, Toronto, Canada.
  • Abbey S; Medical Psychiatry & Psychosocial Oncology, University Health Network, Toronto, Canada.
  • McAndrews MP; Krembil Research Institute, University Health Network, Toronto, Canada.
  • Stewart DE; University Health Network Centre for Mental Health, University of Toronto, Toronto, Canada.
Health Expect ; 24(3): 978-990, 2021 06.
Article in English | MEDLINE | ID: covidwho-1153493
Semantic information from SemMedBD (by NLM)
1. IMPACT gene ASSOCIATED_WITH COVID-19
Subject
IMPACT gene
Predicate
ASSOCIATED_WITH
Object
COVID-19
2. mental health PROCESS_OF Woman
Subject
mental health
Predicate
PROCESS_OF
Object
Woman
3. mental health PROCESS_OF Immigrant (person)
Subject
mental health
Predicate
PROCESS_OF
Object
Immigrant (person)
4. Patients DIAGNOSES COVID-19
Subject
Patients
Predicate
DIAGNOSES
Object
COVID-19
5. Caregiver DIAGNOSES COVID-19
Subject
Caregiver
Predicate
DIAGNOSES
Object
COVID-19
6. IMPACT gene ASSOCIATED_WITH COVID-19
Subject
IMPACT gene
Predicate
ASSOCIATED_WITH
Object
COVID-19
7. mental health PROCESS_OF Woman
Subject
mental health
Predicate
PROCESS_OF
Object
Woman
8. mental health PROCESS_OF Immigrant (person)
Subject
mental health
Predicate
PROCESS_OF
Object
Immigrant (person)
9. Patients DIAGNOSES COVID-19
Subject
Patients
Predicate
DIAGNOSES
Object
COVID-19
10. Caregiver DIAGNOSES COVID-19
Subject
Caregiver
Predicate
DIAGNOSES
Object
COVID-19
ABSTRACT

BACKGROUND:

Waiting for procedures delayed by COVID-19 may cause anxiety and related adverse consequences.

OBJECTIVE:

To synthesize research on the mental health impact of waiting and patient-centred mitigation strategies that could be applied in the COVID-19 context.

METHODS:

Using a scoping review approach, we searched 9 databases for studies on waiting lists and mental health and reported study characteristics, impacts and intervention attributes and outcomes.

RESULTS:

We included 51 studies that focussed on organ transplant (60.8%), surgery (21.6%) or cancer management (13.7%). Most patients and caregivers reported anxiety, depression and poor quality of life, which deteriorated with increasing wait time. The impact of waiting on mental health was greater among women and new immigrants, and those of younger age, lower socio-economic status, or with less-positive coping ability. Six studies evaluated educational strategies to develop coping skills 2 reduced depression (2 did not), 1 reduced anxiety (2 did not) and 2 improved quality of life (2 did not). In contrast, patients desired acknowledgement of concerns, peer support, and periodic communication about wait-list position, prioritization criteria and anticipated procedure date.

CONCLUSIONS:

Findings revealed patient-centred strategies to alleviate the mental health impact of waiting for procedures. Ongoing research should explore how to optimize the impact of those strategies for diverse patients and caregivers, particularly in the COVID-19 context. PATIENT OR PUBLIC CONTRIBUTION Six patients and four caregivers waiting for COVID-19-delayed procedures helped to establish eligibility criteria, plan data extraction and review a draft and final report.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Waiting Lists / Caregivers / Patient-Centered Care / Pandemics / COVID-19 Type of study: Reviews Limits: Female / Humans Language: English Journal: Health Expect Journal subject: Health Services Research / Public Health Year: 2021 Document Type: Article Affiliation country: Hex.13241

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Waiting Lists / Caregivers / Patient-Centered Care / Pandemics / COVID-19 Type of study: Reviews Limits: Female / Humans Language: English Journal: Health Expect Journal subject: Health Services Research / Public Health Year: 2021 Document Type: Article Affiliation country: Hex.13241