{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T16:40:03Z","timestamp":1792600803599,"version":"4.5.0"},"reference-count":15,"publisher":"Oxford University Press (OUP)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Outbreaks of infection in care homes can be mitigated by Public Health and Social Measures (PHSM) including isolation of cases, quarantine of exposed contacts, and shielding the most vulnerable. We aimed to assess the relevance and utility of Adult Social Care Outcomes Toolkit (ASCOT) in outbreak decision-making, with a view to reducing the adverse impact of control measures and informing pandemic planning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We worked with health protection practitioners (HPPs) to determine the relevance of ASCOT domains to health protection. The domains were adapted into a \u2018Wellbeing Checklist\u2019 and piloted with 5 HPPs over 8 weeks, followed by a focus group to evaluate its impact.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Use of the checklist depended on HPPs\u2019 pre-existing communication styles with care homes. The checklist was considered more relevant to larger or longer-lasting outbreaks. Feedback confirmed the relevance of wellbeing to outbreak decision-making, but highlighted the need for a framework integrated with routine risk assessments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The ASCOT domains have potential to enable explicit inclusion of wellbeing considerations in outbreak decision-making. ASCOT could be embedded in Health Protection Team outbreak advice and decision-making to help optimise quality of life outcomes. However, further development is needed to make the tool more practical for routine use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/pubmed\/fdag078","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T15:50:19Z","timestamp":1792597819000},"source":"Crossref","is-referenced-by-count":0,"title":["Is the adult social care outcomes toolkit (ASCOT) relevant to health protection teams? Development of an outbreak support tool"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-9175-488X","authenticated-orcid":false,"given":"Emily B","family":"Moseley","sequence":"first","affiliation":[{"name":"UKHSA South West Health Protection Team , 2 Rivergate, Temple Quay, Bristol BS1 6EH , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne","family":"Leaver","sequence":"additional","affiliation":[{"name":"UKHSA South West Health Protection Team , 2 Rivergate, Temple Quay, Bristol BS1 6EH , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jackie A","family":"Cassell","sequence":"additional","affiliation":[{"name":"UKHSA Division of Health Equity and Inclusion Health , 10 South Colonnade, Canary Wharf, London E14 4PU , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,10,21]]},"reference":[{"key":"2026102111501445600_ref1","doi-asserted-by":"publisher","first-page":"2862","DOI":"10.2337\/db15-1661","article-title":"One week of bed rest leads to substantial muscle atrophy and induces whole-body insulin resistance in the absence of skeletal muscle lipid accumulation","volume":"65","author":"Dirks","year":"2016","journal-title":"Diabetes"},{"key":"2026102111501445600_ref2","doi-asserted-by":"publisher","first-page":"337","DOI":"10.3390\/nu14020337","article-title":"Relationship between eating alone and poor appetite using the simplified nutritional appetite questionnaire","volume":"14","author":"Mikami","year":"2022","journal-title":"Nutrients"},{"key":"2026102111501445600_ref3","author":"Cassell","year":"2023"},{"key":"2026102111501445600_ref4","doi-asserted-by":"publisher","first-page":"3450","DOI":"10.3390\/ijerph19063450","article-title":"Social distancing and isolation strategies to prevent and control the transmission of COVID-19 and other infectious diseases in care homes for older people: an international review","volume":"19","author":"Sims","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"2026102111501445600_ref5","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3310\/hta16160","article-title":"Outcomes of social care for adults: developing a preference-weighted measure","volume":"16","author":"Netten","year":"2012","journal-title":"Health Technol Assess"},{"key":"2026102111501445600_ref6","author":"PSSRU","year":"2018"},{"key":"2026102111501445600_ref7","author":"Bunn","year":"2025"},{"key":"2026102111501445600_ref8","author":"UKHSA","year":"2026"},{"key":"2026102111501445600_ref9","author":"UKHSA","year":"2024"},{"key":"2026102111501445600_ref10","author":"UKHSA","year":"2024"},{"key":"2026102111501445600_ref11","doi-asserted-by":"publisher","first-page":"986","DOI":"10.1136\/bmjqs-2015-004411","article-title":"SQUIRE 2.0: revised publication guidelines from a detailed consensus process","volume":"25","author":"Ogrinc","year":"2016","journal-title":"BMJ Qual Saf"},{"key":"2026102111501445600_ref12","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups","volume":"19","author":"Tong","year":"2007","journal-title":"International J Qual Health Care"},{"key":"2026102111501445600_ref13","author":"UK.GOV","year":"2014"},{"key":"2026102111501445600_ref14","author":"UKHSA","year":"2024"},{"key":"2026102111501445600_ref15","author":"HRA","year":"2022"}],"container-title":["Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jpubhealth\/advance-article-pdf\/doi\/10.1093\/pubmed\/fdag078\/72257382\/fdag078.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jpubhealth\/advance-article-pdf\/doi\/10.1093\/pubmed\/fdag078\/72257382\/fdag078.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T15:50:20Z","timestamp":1792597820000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jpubhealth\/advance-article\/doi\/10.1093\/pubmed\/fdag078\/8965202"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,21]]},"references-count":15,"URL":"https:\/\/doi.org\/10.1093\/pubmed\/fdag078","relation":{},"ISSN":["1741-3842","1741-3850"],"issn-type":[{"value":"1741-3842","type":"print"},{"value":"1741-3850","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,21]]},"article-number":"fdag078"}}