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This study examines these experiences and identifies barriers and facilitators related to COVID-19 testing and vaccination among people with SLE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participants were 25 SLE patients seeking care in two large medical centers in the US South recruited between October 2022 and April 2023. Fifteen one-on-one interviews were conducted; three were with dyads and one was with a group of four people. Sessions were recorded using Zoom Video Communications, which were transcribed and analyzed according to the guidelines of thematic analysis with NVivo 12.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Emerging themes were examined using the social-ecological framework and organized around the impact of COVID-19 and barriers and facilitators of testing and vaccination. Factors that facilitated testing included availability and convenience of home testing; barriers were unclear directions for home tests and lack of accuracy of tests, and lack of clarity about when to get tested. Fear of side effects was cited as a major barrier to vaccination. Healthcare communication about vaccine benefits, particularly in the context of being immunocompromised, were motivating factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Interventions may be implemented at multiple levels to address barriers to COVID-19 testing and vaccination among SLE patients. Clear and comprehensive guidelines for those with SLE, as well as efforts to enhance structural competency among providers, including a greater understanding of COVID-19 experiences in the context of SLE, may support protective behaviors in this patient population.<\/jats:p>\n                    <jats:p>\n                      <jats:table-wrap>\n                        <jats:table>\n                          <jats:tbody>\n                            <jats:tr>\n                              <jats:td align=\"left\" colspan=\"2\">\n                                <jats:bold>Key Points<\/jats:bold>\n                                \u2022\n                                <jats:italic>Accurate and up-to-date information from healthcare providers and other trusted sources that is tailored for SLE patients can facilitate testing and vaccination in response to novel infectious disease.<\/jats:italic>\n                                \u2022\n                                <jats:italic>Many SLE patients displayed resilience and drew from sources of support in response to unique challenges during the COVID-19 pandemic.<\/jats:italic>\n                              <\/jats:td>\n                            <\/jats:tr>\n                          <\/jats:tbody>\n                        <\/jats:table>\n                      <\/jats:table-wrap>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10067-025-07814-0","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T13:14:04Z","timestamp":1763730844000},"page":"821-829","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Qualitative analysis of COVID-19 experiences with testing and vaccination among people with systemic lupus erythematosus in the USA"],"prefix":"10.1007","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4705-165X","authenticated-orcid":false,"given":"Lori Brand","family":"Bateman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allyson","family":"Hall","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Somaia","family":"Khamess","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catanya G.","family":"Stager","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria I.","family":"Danila","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Candace H.","family":"Feldman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David H.","family":"Chae","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,11,21]]},"reference":[{"key":"7814_CR1","doi-asserted-by":"publisher","first-page":"491","DOI":"10.1093\/rheumatology\/ker368","volume":"51","author":"R Lopez","year":"2012","unstructured":"Lopez R, Davidson JE, Beeby MD et al (2012) Lupus disease activity and the risk of subsequent organ damage and mortality in a large lupus cohort. 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