Motivating and inhibitory factors in mask-wearing: Chronic patients’ experiences during the COVID-19 pandemic

In COVID-19 pandemic mask-wearing has emerged as a critical preventive measure to minimize the risk of virus transmission, particularly for those with underlying health conditions. Chronic patients may face unique challenges related to mask-wearing that can impact their willingness to adhere to recommended practices. This study explores the experiences of chronic patients regarding mask usability and adherence during the COVID-19 pandemic. This qualitative study utilized a conventional content analysis approach to explore the experiences of chronic patients regarding mask usage during the COVID-19 pandemic. Participants were purposively selected from chronic patients visiting healthcare centers in Maragheh, Iran. A total of 25 individuals with various chronic conditions were interviewed. Data were collected through semi-structured interviews. Conventional content analysis as described by Graneheim and Lundman was used to analysis the data. Findings led to the emergence of two categories: 1. Incentives for Mask Wearing with these subcategories: new habit formation and sense of security 2.Barriers to mask usage with these subcategories: uncertainty About the Effectiveness of Masks, Perceived invulnerability after vaccination, Ineffective training of caregivers and Challenges of mask usage. This study highlights that while participants acknowledged the importance of masks, barriers such as skepticism about their effectiveness and discomfort hindered adherence. The findings underscore the need for targeted educational initiatives to address these challenges and promote understanding of mask benefits. A comprehensive approach that combines education, community support, and open communication is essential for empowering chronic patients to protect their health in future public health crises.