COVID‐19 and community‐based care services: Experiences of people living with dementia and their informal carers in Italy DOI
Ilaria Chirico, Giovanni Ottoboni, Clarissa Giebel

et al.

Health & Social Care in the Community, Journal Year: 2022, Volume and Issue: 30(5)

Published: Feb. 20, 2022

The COVID-19 pandemic has significantly limited access to health and social care support systems for people with dementia their carers, compounding the severe restrictions. aim of this study was investigate experiences among community-dwelling informal carers in Italy. Specifically, we focused on community-based services adopted solutions provide during exceptional times. Informal caring someone attending Italy, participated remote semi-structured interviews between October November 2020. Participants were asked about effects isolation closure in-person daily lives as well challenges care. Transcripts analysed using inductive thematic analysis. 22 interviewed. Three themes emerged: (1) Disruptions dementia's health; (2) an additional stressor carers; (3) New ways COVID-19. Face-to-face suddenly interrupted restrictions distancing introduced, thus leading impaired increased behavioural psychological symptoms. Not only amount but also intensity increased, no chance respite carers. Overall activities provided participants emotional benefits, while allowing continuity relationships staff users However, according a combination virtual face-to-face could better counterbalance multiple adverse outcomes Public measures should be designed carefully consider safety needs physical, dementia. Within holistic approach, need enabled guarantee high-quality even

Language: Английский

Integrated care for optimizing the management of stroke and associated heart disease: a position paper of the European Society of Cardiology Council on Stroke DOI
Gregory Y.H. Lip, Deirdre A. Lane, Radosław Lenarczyk

et al.

European Heart Journal, Journal Year: 2022, Volume and Issue: 43(26), P. 2442 - 2460

Published: April 28, 2022

The management of patients with stroke is often multidisciplinary, involving various specialties and healthcare professionals. Given the common shared risk factors for cardiovascular disease, input may also be required from teams, as well patient caregivers next-of-kin. Ultimately, central to all this, requiring a coordinated uniform approach priorities post-stroke management, which can consistently implemented by different multidisciplinary professionals, part 'journey' or 'patient pathway,' supported appropriate education tele-medicine approaches. All these aspects would ultimately aid delivery care improve (and caregiver) engagement empowerment. need address holistic integrated heart disease stroke, European Society Cardiology Council on Stroke convened Task Force, remit propose consensus Integrated optimizing associated disease. present position paper summarizes available evidence proposes statements that help define gaps simple practical approaches assist in everyday clinical practice. A ABC pathway proposed, more care, include three pillars management: A: Appropriate Antithrombotic therapy.B: Better functional psychological status.C: Cardiovascular Comorbidity optimization (including lifestyle changes).

Language: Английский

Citations

87

The Impact of COVID-19 on Informal Caregiving and Care Receiving Across Europe During the First Phase of the Pandemic DOI Creative Commons
Michael Bergmann, Mélanie Wagner

Frontiers in Public Health, Journal Year: 2021, Volume and Issue: 9

Published: June 16, 2021

Purpose: We analyzed the effects of COVID-19 as well its accompanying epidemiological control measures on health-related outcomes (physical and mental health) unmet care needs both caregivers recipients across Europe Israel by taking into account country differences. Methods: applied comparisons adjusted predictions, controlling for a large set relevant respondent characteristics, to investigate changes in physical health due COVID-19. Furthermore, multilevel regression models were used analyze effect individual contextual indicators probability reporting difficulties receiving care. For analyses, we data from 26 countries with 51,983 respondents over 50 years based eighth wave Survey Health, Aging Retirement (SHARE), which had be suspended March 2020, SHARE Corona fielded June August 2020. Results: During first phase pandemic spring/summer frequency providing personal parents increased almost all European countries, while children, turn, decreased. Parental who reported significantly more strains, that is, feeling sad/depressed anxious/nervous often since outbreak pandemic. With respect care, about one out five difficulty obtaining adequate outside household during The perception was associated differences regarding duration stay-at-home orders. In contrast, number confirmed deaths did not have significant perceiving related Conclusions: Our findings show extent burden exposed unintended consequences COVID-19-related measures. There is great need within this population interventions, effectively reduce symptoms anxiety or depression recipients. This should recognized (health) policymakers social organizations.

Language: Английский

Citations

95

The use of digital technologies by people with mild-to-moderate dementia during the COVID-19 pandemic: A positive technology perspective DOI Creative Commons
Catherine V. Talbot, Pam Briggs

Dementia, Journal Year: 2022, Volume and Issue: 21(4), P. 1363 - 1380

Published: March 25, 2022

A growing body of research has shown that people with dementia are using digital technologies to enhance lived experience. The COVID-19 pandemic brought new opportunities and challenges so provides a unique opportunity understand how have adapted this landscape. Semi-structured interviews were conducted 19 analysed thematically. We generated five themes, showing participants used means combat the stresses by facilitating social connection, self-actualisation, enhanced well-being assisting activities daily life. These helped reduce isolation, provide access support groups, create for cognitive stimulation self-development, engendered sense identity at time perceived loss. Despite these benefits, also reported regarding fatigue usability issues. recommend training on use is co-produced designers engage voices throughout design process. In turn, could promote connectedness, self-worth dementia.

Language: Английский

Citations

44

Impact of the COVID‐19 pandemic on family carers in the community: A scoping review DOI Open Access
Deborah Muldrew, Anne Fee, Vivien Coates

et al.

Health & Social Care in the Community, Journal Year: 2021, Volume and Issue: 30(4), P. 1275 - 1285

Published: Dec. 9, 2021

The COVID-19 pandemic has led to the closure or reduction in support services for family carers, resulting increased social isolation and stress this population. current scoping review aimed identify impact of upon carers provided them during pandemic. Four online databases (CINAHL, Medline, PsycINFO PubMed) were systematically searched on 16th December 2020 updated July 2021 articles written English published after January 2020, focused carer COVID-19. Google scholar reference lists relevant papers checked, key authors contacted further information. database searches identified 976 citations, which resulted 670 unique following removal duplicates. Title abstract screening 63 full-text review, 11 subsequently excluded, leaving 52 subject inductive thematic analysis. themes identified. Whilst a number issues that exacerbated by pandemic, others directly from it revealed. Few studies discussed measures only one trial evaluated an intervention. This identifies but there is dearth evidence inform appropriate tailored support. Governments need as priority group care reform commission co-produced, experience informed pathways reinstate services, potentially modelled plans example currently being considered paid healthcare workforce.

Language: Английский

Citations

47

Aging in Place During a Pandemic: Neighborhood Engagement and Environments Since the COVID-19 Pandemic Onset DOI Open Access
Jessica Finlay, Gabriella Meltzer, Melissa Cannon

et al.

The Gerontologist, Journal Year: 2021, Volume and Issue: 62(4), P. 504 - 518

Published: Nov. 10, 2021

The coronavirus disease 2019 (COVID-19) pandemic may fundamentally change neighborhood environments and ways of aging in place. This research aimed to investigate perceptions engagement neighborhoods since the onset among Americans.

Language: Английский

Citations

43

A Preliminary Study of COVID-19-related Stressors, Parenting Stress, and Parental Psychological Well-being Among Parents of School-age Children DOI Open Access
Yung-Chi Chen,

Elena Byrne,

Tanya Vélez

et al.

Journal of Child and Family Studies, Journal Year: 2022, Volume and Issue: 31(6), P. 1558 - 1569

Published: April 27, 2022

Language: Английский

Citations

32

Effect of the COVID-19 pandemic on depression in older adults: A panel data analysis DOI Creative Commons
Alessio Gaggero, Ángel Fernández-Pérez, Dolores Jiménez‐Rubio

et al.

Health Policy, Journal Year: 2022, Volume and Issue: 126(9), P. 865 - 871

Published: July 10, 2022

This paper investigates the impact of COVID-19 pandemic on depression in older population, an especially vulnerable group for which to date there is limited empirical research.We employ a panel data consisting seven waves English Longitudinal Study Ageing (2010-2020). The breadth and depth considered enabled us control individual fixed effects, adjust pre-pandemic trends levels perform heterogeneity analysis, depending intensity lockdown measures implemented relevant socioeconomic characteristics.We find that, following pandemic, study participants reported statistically significant increase depressive symptoms by around 0.7 over 8 points as measured Centre Epidemiologic Studies Depression (CES-D) index. estimated coefficients were larger November than July, individuals who lost their job, retired women. Interestingly, we observed that mental health has worsened substantially relative period across all income groups suggesting role protective mechanism health.Our findings provide compelling evidence amongst adults have considerably factors other income, such social interactions, may be highly well-being later life.

Language: Английский

Citations

30

The impact of social isolation from COVID-19-related public health measures on cognitive function and mental health among older adults: A systematic review and meta-analysis DOI Creative Commons
Prapichaya Prommas,

Kaung Suu Lwin,

Yi Chi Chen

et al.

Ageing Research Reviews, Journal Year: 2022, Volume and Issue: 85, P. 101839 - 101839

Published: Dec. 31, 2022

We aimed to estimate the impact of social isolation on cognitive function and mental health among older adults during two-year-and-a-half COVID-19 period. Pubmed Central, Medline, CINAHL Plus PsychINFO were searched between March 1, 2020, September 30, 2022. included all studies that assessed proportions with mean or median a minimum age above 60 reporting worsening health. Thirty-two from 18 countries met eligibility criteria for meta-analyses. found dementia who experienced impairment exacerbation new onset behavioral psychological symptoms (BPSD) approximately twice larger than HC experiencing SCD Stage dementia, care options, severity mobility restriction measures did not yield significant differences in number BPSD, while length BPSD but impairment. Our study highlights adults. Public strategies should prioritize efforts promote healthy lifestyles proactive assessments.

Language: Английский

Citations

30

Altered place engagement since COVID-19: A multi-method study of community participation and health among older americans DOI Creative Commons
Jessica Finlay, Gabriella Meltzer, Brendan O’Shea

et al.

Wellbeing Space and Society, Journal Year: 2024, Volume and Issue: 6, P. 100184 - 100184

Published: Jan. 1, 2024

Little is known about longer-term changes to community participation since the COVID-19 pandemic onset and potential implications for health wellbeing in later life. This multi-method investigation analyzes national data from Coping Study. Statistical analyses of survey (n=1,630; mean age 67.9 years; collected April/May, 2022) identified that adults residing US still tended stay inside their homes more often onset. Overall, participants decreased engagement with amenities such as eateries, gyms, arts cultural sites. Reflexive thematic analysis semi-structured in-depth interviews (n=57; 70.7 May-July, 2021) altered perceived long-term impacts on physical, mental, social wellbeing. The results provide novel insights critical nature 'third places' support life, policy strengthen environments. Investment outdoor, well-ventilated, distanced third places may

Language: Английский

Citations

6

COVID-19 and UK family carers: policy implications DOI Creative Commons
Juliana Onwumere, Cathy Creswell, Gill Livingston

et al.

The Lancet Psychiatry, Journal Year: 2021, Volume and Issue: 8(10), P. 929 - 936

Published: Sept. 17, 2021

Informal (unpaid) carers are an integral part of all societies and the health social care systems in UK depend on them. Despite valuable contributions key worker status informal carers, their lived experiences, wellbeing, needs have been neglected during COVID-19 pandemic. In this Health Policy, we bring together a broad range clinicians, researchers, people with experience as to share thoughts impact pandemic many whom felt abandoned services closed. We focus children young adults older mental diagnoses, intellectual disability or neurodevelopmental conditions across different settings over lifespan. provide policy recommendations aim improving outcomes for carers.

Language: Английский

Citations

29