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 Article Swipe
Mélanie Plazy
,
Marie‐Hélène Doucet
,
Christine Timbo Songbono
,
Anselme Sanon
,
Bamba Issiaka
,
Caroline Martin
,
Inès Da
,
Anthony L’hostellier
,
Olivier Marcy
,
Denis Malvy
,
Armel Poda
,
Alexandre Délamou
,
Abdramane Berthé
,
Joanna Orne‐Gliemann
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1371/journal.pgph.0001545
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1371/journal.pgph.0001545
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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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1371/journal.pgph.0001545
- OA Status
- gold
- References
- 45
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4384025140
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4384025140Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1371/journal.pgph.0001545Digital Object Identifier
- Title
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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 trialWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
-
2023-07-12Full publication date if available
- Authors
-
Mélanie Plazy, Marie‐Hélène Doucet, Christine Timbo Songbono, Anselme Sanon, Bamba Issiaka, Caroline Martin, Inès Da, Anthony L’hostellier, Olivier Marcy, Denis Malvy, Armel Poda, Alexandre Délamou, Abdramane Berthé, Joanna Orne‐GliemannList of authors in order
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https://doi.org/10.1371/journal.pgph.0001545Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
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https://doi.org/10.1371/journal.pgph.0001545Direct OA link when available
- Concepts
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Medicine, Thematic analysis, Family medicine, Descriptive statistics, Clinical trial, Likert scale, Motivational interviewing, Qualitative research, Nursing, Psychological intervention, Psychology, Internal medicine, Social science, Developmental psychology, Sociology, Statistics, MathematicsTop concepts (fields/topics) attached by OpenAlex
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0Total citation count in OpenAlex
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45Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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