Table A5.
Frequencies of all impacts of avoidance and protective behaviors to avoid COVID-19 on all participants’ HRQoL.
| Impact, n (%) | Total Participant Sample (N = 14) |
Focus Group Sessions (N = 4) |
|---|---|---|
| Negative impacts | ||
| Family functioning | ||
| Problems with family relationships (e.g., family conflicts) or missing family interactions (e.g., weddings, funerals) | 10 (71) | 4 (100) |
| Living arrangements/lack of adequate housing | 3 (21) | 1 (25) |
| Disrupted routines | 2 (14) | 2 (50) |
| Loss of contact with vulnerable family members | 1 (7) | 1 (25) |
| Partner relationships | 1 (7) | 1 (25) |
| Social functioning | ||
| Impact on social relations/collapse of social contacts | 8 (57) | 4 (100) |
| Difficulties accessing shopping services | 3 (21) | 2 (50) |
| Overreliance on others | 1 (7) | 1 (25) |
| Emotional functioning | ||
| Anxiety/distress/worry | 7 (50) | 3 (75) |
| Fear and uncertainty | 6 (43) | 3 (75) |
| Depression/sadness | 5 (36) | 3 (75) |
| Loneliness/isolation | 5 (36) | 3 (75) |
| Fatigue due to reliance on virtual meetings for social contact | 4 (29) | 2 (50) |
| Frustration | 4 (29) | 2 (50) |
| Loss of confidence in own abilities | 3 (21) | 1 (25) |
| Feeling of being forgotten | 3 (21) | 3 (75) |
| Sense of shock and chaos/confusion | 3 (21) | 2 (50) |
| Emotional well-being problems (unspecified) | 3 (21) | 3 (75) |
| Anger/bad temper | 2 (14) | 1 (25) |
| Stress | 2 (14) | 2 (50) |
| Burnout and parental stress | 1 (7) | 1 (25) |
| Guilt (due to transmitting COVID; not being able to help) | 1 (7) | 1 (25) |
| Loss and grief | 1 (7) | 1 (25) |
| Concern | 1 (7) | 1 (25) |
| Loss of motivation | 1 (7) | 1 (25) |
| Work- and financial-related | ||
| Precarious employment and job instability | 5 (36) | 4 (100) |
| Loss of income and financial problems | 5 (36) | 4 (100) |
| Disruption to college/school life | 4 (29) | 2 (50) |
| Having to work home-based | 3 (21) | 3 (75) |
| Difficulty establishing relationships with peers/professors | 3 (21) | 2 (50) |
| Productivity loss in studying | 2 (14) | 2 (50) |
| Redefinition of roles within occupations | 1 (7) | 1 (25) |
| Unmet economic needs | 1 (7) | 1 (25) |
| Moving to home-based classes | 1 (7) | 1 (25) |
| Unmet education goals | 1 (7) | 1 (25) |
| Healthcare access | ||
| Difficulty accessing healthcare/lack of proper healthcare support | 6 (43) | 3 (75) |
| Isolation during doctor visits | 5 (36) | 2 (50) |
| Physical functioning | ||
| Lower levels of physical activity | 4 (29) | 3 (75) |
| Walking problems due to home isolation/lack of activity | 2 (14) | 2 (50) |
| Inability to do (physical, outdoor) hobbies | 1 (7) | 1 (25) |
| Positive impacts | ||
| Family functioning | ||
| Recognition of the importance of family | 5 (36) | 4 (100) |
| Healthcare access | ||
| Increased use of telehealth options | 8 (57) | 4 (100) |
| More engaged in own health/healthcare | 2 (14) | 2 (50) |
| Social functioning | ||
| Initiating new activities/learning new things | 3 (21) | 2 (50) |
| Ability to meet new people virtually | 1 (7) | 1 (25) |
| Work- and financial-related | ||
| Increase in productivity due to telework | 2 (14) | 1 (25) |
| Increased opportunities to do charity/voluntary work | 2 (14) | 2 (50) |
| Increased flexibility in work schedules | 1 (7) | 1 (25) |
| Development of new remote learning strategies | 1 (7) | 1 (25) |
| Physical functioning | ||
| Increased focus on physical health | 1 (7) | 1 (25) |
Concepts highlighted in grey indicate salient concepts reported by ≥30% of participants or mentioned by at least one patient or caregiver in all separate four focus group sessions.