Experiences of supported isolation in returning travellers during the early COVID-19 response: an interview study

Carter, H.; Weston, D.; Greenberg, N.; Oliver, I.; Robin, C.; Rubin, G. J.; Wessely, S.; Amlot, R.

Objectives: To understand the experiences of those who underwent supported isolation as part of the response to the COVID-19 pandemic, after returning to the UK from Wuhan, China. Design: We used semi structured interviews to capture participants experiences and perceptions of supported isolation. Setting: Telephone interviews carried out within approximately one month of an individual leaving supported isolation. Participants: 26 people who underwent supported isolation at either Arrowe Park Hospital (n = 18) or Kents Hill Park Conference Centre (n = 8) after being repatriated from Wuhan in January to February 2020. Results: Participants were willing to undergo supported isolation because they understood that it would protect themselves and others. Positive treatment by staff was fundamental to participants willingness to comply with isolation procedures. Despite the high level of compliance, participants expressed some uncertainty about what the process would involve. Conclusions: As hotel quarantine is introduced across the UK for international arrivals, our findings suggest that those in charge should: communicate effectively before, during and after quarantine, emphasising why quarantine is important and how it will protect others; avoid enforcement and focus on supporting and promoting voluntary compliance; facilitate shared social experiences for those in quarantine; and ensure all necessary supplies are provided. Doing so will increase adherence and reduce any negative effects on wellbeing.