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The shift from face-to-face to remote care during the Covid-19 pandemic

A qualitative survey analysis of users of UK drug and alcohol services

Bibliographic Data

ID21605402
AuthorsKaren P Hayhurst (0000-0002-8976-2356, Centre for Mental Health and Safety, Division of Psychology and Mental Health, School of Health Sciences, The University of Manchester, corresponding author), Zoë Welch (0000-0002-4358-4048, Head of Research, Change Grow Live), Chris Barnes (0000-0002-1528-1795, National Service User Involvement Coordinator, Change Grow Live), Mark Pryke (National Service User Involvement Lead, Change Grow Live), Tim Millar (0000-0003-4630-2357, Centre for Mental Health and Safety, Division of Psychology and Mental Health, School of Health Sciences, The University of Manchester)
Year2022
Volume29
Issue5
Pages632-640
Publication date2022-09-03
Open AccessNo
TypeARTICLE
VenueDrugs Education Prevention and Policy (JOURNAL)
Journal identifiersISSN: 0968-7637 • E-ISSN: 1465-3370
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09687637.2022.2085078
OpenAlexW4283795915
LanguageEN
References cited22

The provision of publicly funded UK drug and alcohol services moved from a predominantly face-to-face to a remote care model in response to COVID-19. This major natural experiment can inform policy and practice in service delivery. The self-reported experiences of N = 2723 receiving remotely provided services during the pandemic were collected via an anonymous online survey. The survey was available for completion June to November 2020. Cross-sectional survey data were analyzed, using thematic analysis, at five consecutive timepoints. This allowed for information on changing perspectives and experiences to be fed back to services in real time to underpin service user-informed practice. Experiences of the switch to remote care were characterized by both positive themes: (1) feeling safe; (2) feeling supported; (3) greater convenience; (4) the positive impact of remote care on my progress, and by negative themes: (1) limits of remote care; (2) missing face-to-face care; (3) loneliness and isolation; (4) not enough support; and (5) lack of person-centered focus. Informed suggestions to improve the remote care offer, post-COVID comprised: (1) leave remote care in place; (2) increase support; (3) new models of working. Longer-term provision of remote care will be welcomed by some, but not all, service users. Work to tailor remote care to account for preferences and personal circumstances has the potential to provide greater choice and expand capacity—potentially necessary to absorb an anticipated surge in new treatment starters post-COVID

Business · Feeling · Health care · Internet privacy · Loneliness · Pandemic · Political science · Public relations · Qualitative research · Service provider · Sociology · Telemedicine · Thematic analysis · Computer Science · COVID-19 and Mental Health · Engineering · Long-Term Effects of COVID-19 · Medicine · Nursing · Psychology · Social Psychology · Telemedicine and Telehealth Implementation · Marketing

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Highly citedNo

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