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Sharing positive changes made during COVID-19 national lockdown: a multi-method co-production study
medRxiv - Public and Global Health Pub Date : 2021-03-05 , DOI: 10.1101/2021.03.03.21252809
Lynn Williams , Bradley MacDonald , Lesley Rollins , Xanne Janssen , Leanne Fleming , Madeleine Grealy , Alison Kirk , David Young , Paul Flowers

Objectives: A multi-method co-production study was designed to share psychosocial insights into the adoption of positive changes made during COVID-19 national lockdown in Scotland. We examined: i) the psychosocial patterning of positive changes, ii) the psychosocial processes by which positive change was realised, and worked with partner organizations to share our insights. Method: A sequential multi-method design included an online survey (n=2445) assessing positive changes in sleep and physical activity patterns, socio-demographics, mood, social support, coping, and resilience, with multivariate logistic regression analysis. We also employed interviews with a purposive diverse sub-sample of people self-reporting high levels of positive change (n=48) and used thematic analysis. Finally, partnership work translated insights into positive change-sharing targeted resources. Results: The survey identified positive change was significantly patterned by age, gender and vulnerability to COVID-19. Higher positive reframing and higher active coping were associated with higher levels of cross-domain positive change. Higher symptoms of depression, planning, and self-distraction were associated with less cross-domain positive change. Thematic analysis showed the centrality of perceptions of time, opportunities to self-reflect and engage with the natural world, access support in diverse ways, actively build routine and purposefully build self-efficacy and a sense of control were key to initiating positive change. Our partner organizations focused on the rapid co-production of a series of online resources that shared study insights. Conclusions: Our study, based around a salutogenic ethos and the constraints of COVID-19, sought to identify and share insights into achieving positive changes at a time of international crisis.

中文翻译:

分享COVID-19国家封锁期间的积极变化:一项多方法联合制作研究

目标:一项多方法联合制作研究旨在分享对采纳COVID-19全国禁闭期在苏格兰期间做出的积极改变的社会心理见解。我们研究了:i)积极变化的社会心理模式,ii)实现积极变化的社会心理过程,并与合作伙伴组织一起分享了我们的见解。方法:一项循序渐进的多方法设计包括一项在线调查(n = 2445),该调查通过多因素逻辑回归分析评估睡眠和身体活动模式,社会人口统计学,情绪,社会支持,应对和韧性的积极变化。我们还采用了有针对性的,有针对性的子样本进行的访谈,这些样本自我报告了高水平的积极变化(n = 48),并使用了主题分析。最后,伙伴关系的工作将见解转化为积极的,共享改变的目标资源。结果:该调查发现,积极变化的显着特征是年龄,性别和对COVID-19的脆弱性。较高的阳性重构和较高的积极应对与较高水平的跨域阳性变化相关。抑郁,计划和自我分神的较高症状与较少的跨域阳性变化相关。专题分析表明,时间观念的中心性,自我反思和与自然世界互动的机会,以各种方式获得支持,积极建立常规并有目的地建立自我效能感和控制感是启动积极变革的关键。我们的合作伙伴组织致力于快速共同制作共享研究见解的一系列在线资源。
更新日期:2021-03-05
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