While quarantine measures are a necessity to protect residents of long-term care facilities, we are seeking to understand the impacts these measures are having on the residents, outside of protection from COVID-19, so that we may formulate ways to address any problems secondary to quarantine measures during similar future quarantine scenarios.

This survey is voluntary and anonymous. You will not be asked for your name or anyone else's name. You are not required to participate and may stop at any time. Completing this survey should take about ten minutes. The information from this survey will be used to determine if there are any secondary negative effects of COVID-19 quarantine measures on residents or long-term care workers and to identify possible solutions to these problems in future quarantine scenarios.

After completing this survey you will be asked if you would like to follow up and complete an anonymous telephone interview with researchers to offer more information on how COVID-19 quarantine measures in long-term care facilities are affecting residents and workers in those facilities. This too is optional and voluntary.

Questions about this research should be directed to Dr. Hunter Manasco at mhmanasco@muw.edu

This research has been approved by the Institutional Review Board of Mississippi University for Women. 

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* 1. How did you interact with your family member living in long-term care/nursing home before the COVID-19 quarantine?

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* 2. How do you interact with your family member living in long-term care/nursing during the COVID-19 quarantine?

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* 3. How much per week did you interact with your family member living in long-term care/nursing home before the COVID-19 quarantine?

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* 4. How much per week do you interact with your family member living in long-term care/nursing home during the COVID-19 quarantine?

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* 5. What quarantine measures have you noticed in the long-term care facility where your family member or loved one resides?

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* 6. Does your family member or loved one living in the long-term care/nursing home have dementia?

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* 7. What is the most positive impact quarantine measures have had on your family member living in long-term care/nursing home?

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* 8. What is the most negative impact quarantine measures have had on your family member living in long-term care/nursing home?

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* 9. Rate the negative impact of quarantine measures on enjoyment of life of your family member living in long-term care.

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* 10. Rate the negative impact of quarantine measures on emotional state of your family member living in long-term care.

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* 11. Rate the negative impact of quarantine measures on social life of your family member living in long-term care.

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* 12. Rate the negative impact of quarantine measures on access to family of your family member living in long-term care.

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* 13. Rate the negative impact of quarantine measures on access to friends of your family member living in long-term care.

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* 14. Rate the negative impact of quarantine measures on access to healthcare workers (such as nurses) in the facility of your family member living in long-term care.

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* 15. Rate the negative impact of quarantine measures on depression level of your family member living in long-term care.

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* 16. Rate the negative impact of quarantine measures on stress/anxiety level of your family member living in long-term care.

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* 17. Rate the negative impact of quarantine measures on medical status (the general health) of your family member living in long-term care.

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* 18. Rate the negative impact of quarantine measures on physical status of your family member living in long-term care (has their physical strength declined) .

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* 19. Rate the negative impact of quarantine measures on cognitive status (level of alertness/arousal, memory, attention, etc..) of your family member living in long-term care.

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* 20. Rate the negative impact of quarantine measures on level/amount of communication of your family member living in long-term care (has the amount they talk declined)?

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* 21. Rate the negative impact of quarantine measures on hydration and nutrition of your family member living in long-term care (are they eating and drinking less)?

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* 22. Rate the negative impact of quarantine measures on access to appropriate medical care of your family member living in long-term care.

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* 23. Rate the negative impact of quarantine measures on access to therapies (physical therapy, occupational therapy, speech therapy) of your family member living in long-term care.

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* 24. Rate the negative impact of quarantine measures on access to recreational activities inside the facility of your family member living in long-term care.

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* 25. Rate the negative impact of quarantine measures on access to recreational activities outside of the facility of your family member living in long-term care.

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* 26. Rate the positive impact of quarantine measures on protection from COVID-19 of your family member living in long-term care.

Thank you for your participation.

If you would like to take part in an additional anonymous interview with the researchers to give us more specific information we would love to hear from you.  Please call Dr. Manasco at 662-329-7265 or email at mhmanasco@muw.edu to set up a time to talk.

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