No of studies | Design | Risk of bias | Additional considerations | Certainty (overall score)a |
---|---|---|---|---|
Factor: Support (Community, social, team, government) [24, 37, 44, 46] | ||||
4 | 2 | 2 | No serious inconsistencies. | High |
Factor: Adequate personal protective equipment (PPE) [24, 46] | ||||
2 | 2 | 0 | Few studies assessed PPE directly as a protective factor. Many found it to be a risk factor when inadequate. | Low |
Factor: Being in a committed relationship [36] | ||||
1 | 2 | 0 | Only one study assessed this factor. | Very low |
Factor: Prior outbreak experience/COVID-19 Knowledge [22, 24, 46, 61] | ||||
4 | 2 | 1 | No serious inconsistencies, but the data also included one low quality uncontrolled pre and post exposure study, as well as a qualitative study. | Moderate |
3 | 2 | 1 | Resilience was empirically measured with validated scores | High |
Factor: Altruistic acts [37] | ||||
1 | 2 | 1 | Only one qualitative study assessed this factor. | Low |
Factor: Personal growth [37] | ||||
1 | 2 | 1 | Only one qualitative study assessed this factor. | Low |
2 | 2 | 1 | This factor was not empirically measured. | Low |
Factor: Sense of purpose [37] | ||||
1 | 2 | 1 | Only one qualitative study assessed this factor. | Low |
Factor: Safety of family [24] | ||||
1 | 2 | 0 | Only one study assessed this factor. | Very low |