Home-Isolation Care in Newly COVID-19-Positive Elderly Patients: A Caregiver-Centric Explanatory Framework

• Published in: International journal of public health 2023-07, Vol.68, p.1606060-1606060
• Main Authors: Lahiri, Arista, Jha, Sweety Suman, Chakraborty, Arup, Dey, Abhijit, Dobe, Madhumita
• Format: Article
• Language: English
• Subjects: elderly; elders; health behavior; home isolation; mixed-methods; Public Health Archive
• ISSN: 1661-8564; 1661-8556; 1661-8564
• DOI: 10.3389/ijph.2023.1606060

This community-based study aimed to identify the effect of different behavioral factors of family caregivers on the decision for home-isolation-based treatment of a new COVID-19-diagnosed elderly individual. It also explored the facilitators and barriers contributing to the decision-making process. A mixed-methods design was adopted to study the role of behavioral constructs such as risk tolerance, risk aversion, regret aversion, loss aversion, self-efficacy, and risk perception in healthcare-seeking decisions. By integrating the findings from the quantitative and qualitative parts, a framework was developed. Self-efficacy, risk perception, and risk tolerance related to different issues were crucial factors behind the healthcare decision. However, regarding the various issues under consideration, risk perception followed by risk tolerance were the significant predictors for decision-making. To enhance appropriateness and equity in emergency healthcare-seeking, interventions should target risk tolerance and risk perception, taking into account the awareness levels of caregivers and the target population's risk and regret aversion. Such integrated approaches can improve the quality of care for elderly patients in home-based settings.