Death and hospitalisation
death
ACs explained that some participants were lost to death or admitted to the hospital and were unable to continue participation:"There was one resident who went to hospital and was admitted to hospital. She was not able participate anymore after that."and:"We (care home) had two residents who passed away. Also, one was in the hospital for a few weeks as well."Moreover, the closure of care homes due to the COVID-19 outbreak disrupted participation in the programme as residents and care home staff were isolated for weeks. For example, an AC said:"Our home was closed for about four weeks with COVID, so we had residents at all times isolate in their bedrooms. As we were all in bubbles, we did try one to one sessions, but obviously we would have to be in PPE and if they had COVID, they were not feeling up to. It was about four- or five-weeks chunk that we were not able really to participate much at all in the programme".