Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

The Validity and Reliability of the Chula COVID-19 Psychosocial Home Isolation Evaluation Tool (CCPHIET)

Version 1 : Received: 14 October 2021 / Approved: 15 October 2021 / Online: 15 October 2021 (14:46:23 CEST)

How to cite: Thisayakorn, P.; Thipakorn, Y.; Suwanpimolkul, G.; Taechawiwat, T.; Prasartpornsirichoke, J.; Suraphaphairoj, C.; Sirinimnuamkul, N. The Validity and Reliability of the Chula COVID-19 Psychosocial Home Isolation Evaluation Tool (CCPHIET). Preprints 2021, 2021100230 (doi: 10.20944/preprints202110.0230.v1). Thisayakorn, P.; Thipakorn, Y.; Suwanpimolkul, G.; Taechawiwat, T.; Prasartpornsirichoke, J.; Suraphaphairoj, C.; Sirinimnuamkul, N. The Validity and Reliability of the Chula COVID-19 Psychosocial Home Isolation Evaluation Tool (CCPHIET). Preprints 2021, 2021100230 (doi: 10.20944/preprints202110.0230.v1).

Abstract

Background: The cumulative number of patients during the COVID-19 pandemic led to a significant shortage of hospital beds. Many patients may not require hospitalization and can be clinically observed in home settings. However, some psychosocial factors are correlated with unsuccessful home isolation (HI), which might negatively affect the transmission control in the community. Therefore, we developed a new psychosocial screening tool (CCPHIET) for assessing HI suitability and examined its validity and reliability.Methods: This cross-sectional descriptive study included COVID-19 patients who were deemed to be medically safe for 14 days of HI. The CCPHIET is comprised of 8 clinical domains pertinent to HI behavioral compliance and risk. We explored its statistical validity and reliability and discussed the potential utility of this tool. Results: A total of 65 COVID-19 patients participated in this study. Most patients (58.5%) were evaluated as good candidates for HI. The CCPHIET has an acceptable content validity (IOC index > 0.5), moderate internal consistency (Cronbach’s alpha = 0.611) and substantial to excellent inter-rater reliability (Intraclass correlation coefficient = 0.944, Cohen’s kappa= 0.627).Conclusions: To compromise between strict and costly absolute institutional quarantine and the potentially unsuccessful absolute HI, the CCPHIET may help to identify good candidates for HI in mild and asymptomatic COVID-19 patients. This psychosocial information would support the physicians in matching each patient to the most suitable setting. Therefore, safe medical care is provided, unnecessary use of medical resources is spared, and local transmission is contained.

Keywords

COVID-19; Patient isolation; Self-quarantine; Reliability and validity; Psychosocial assessment

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