Using Voice and Touchscreen Controlled Smart Speakers to Protect Vulnerable Clients in Long-Term Care Facilities

Innovation in Aging, Journal Year: 2022, Volume and Issue: 6(4)

Published: April 15, 2022

The Centers for Medicare and Medicaid Services restricted long-term care facility visitation to only essential personnel during the coronavirus disease 2019 pandemic. Maryland Department of Human distributed Amazon Echoshow 8 voice touchscreen controlled smart speakers (VTCSS) a sample their institutionalized guardianship clients enhance caseworker access pandemic.This pilot study focused on understanding VTCSS use challenges effects clients' safety well-being. Two focus groups were conducted with caseworkers (N = 16) who piloted devices. interviews recorded, transcribed, analyzed using open axial coding.Four themes identified, including providing casework pandemic (e.g., technology gaps), device installation privacy concerns), strategies overcoming alert features), benefits stimulation, monitoring) uses enhanced access, entertainment).VTCSS show great promise engage client, maintain visual monitor quality care. However, facilitating such requires planning training before installation.

Language: Английский

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Loneliness and its correlates among Bangladeshi older adults during the COVID-19 pandemic

Scientific Reports, Journal Year: 2022, Volume and Issue: 12(1)

Published: Sept. 2, 2022

Abstract The present study aims to investigate the prevalence of loneliness and its associated factors among older adults during COVID-19 pandemic in Bangladesh. This cross-sectional was conducted October 2020 1032 Bangladeshi aged 60 years above through telephone interviews. A semi-structured questionnaire used collect information on participants’ characteristics COVID-19-related information. Meanwhile, level measured using a 3-item UCLA Loneliness scale. More than half (51.5%) experienced loneliness. We found that participants formally schooled [adjusted odds ratio (aOR = 0.62, 95% CI 0.43–0.88)] received from health workers 0.33, 0.22–0.49) had lower being lonely pandemic. However, living alone (aOR: 2.57, 1.34–4.94), residing distant facility 1.46, 1.02–2.08) rural areas 1.53, 1.02–2.23) higher their counterparts. Likewise, were those overwhelmed by 1.93, 1.29–2.86), who faced difficulty earning 1.77, 1.18–2.67) receiving routine medical care 2.94, 1.78–4.87), perceiving requiring additional 6.01, 3.80–9.49). findings suggest policies plans should be directed reduce require care.

Language: Английский

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Immunogenicity and SARS-CoV-2 Infection following the Fourth BNT162b2 Booster Dose among Health Care Workers

Vaccines, Journal Year: 2023, Volume and Issue: 11(2), P. 283 - 283

Published: Jan. 28, 2023

The fourth SARS-CoV-2 vaccine dose was found to protect against infection and more importantly severe disease death. It also shown that the risk of symptomatic or related antibody levels after vaccination infection, with lower protection BA.4 BA.5 Omicron variants. aim our study assess impact on perception illness seriousness among healthcare workers (HCWs) at a tertiary health care campus in Haifa, Israel, investigate possible protective effect infection.We conducted prospective cohort fully vaccinated HCWs retired employees Rambam Healthcare Campus (RHCC), hospital northern Israel. Participants underwent serial serological tests 1, 3, 6, 9, 12 18 months following second BNT162b2 dose. Only part participants chose receive vaccine. A multivariable logistic regression test adjusted association between vaccination, SARS-CoV-2. Kaplan-Meier free "survival" analysis compare waning first second, third vaccines. Receiver Operating Characteristic (ROC) curve plotted for different values sixth serology identify disease.Disease occurrence frequent females, people age 40-50 years old those background chronic lung disease. have better compared vaccine; however, it had faster immunity Antibody titer 955 AU/mL as cutoff protecting from effect, but shorter than Cutoff point recognized illness. decision vaccinate population booster should consider other factors, including spread point, comorbidities age, especially during shortage supply.

Language: Английский

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What is the ‘voltage drop’ when an effective health promoting intervention for older adults—Choose to Move (Phase 3)—Is implemented at broad scale?

PLoS ONE, Journal Year: 2023, Volume and Issue: 18(5), P. e0268164 - e0268164

Published: May 5, 2023

Background Choose to Move (CTM), an effective health-promoting intervention for older adults, was scaled-up across British Columbia, Canada. Adaptations that enable implementation at scale may lead ‘voltage drop’—diminished positive effects of the intervention. For CTM Phase 3 we assessed: i. implementation; ii. impact on physical activity, mobility, social isolation, loneliness and health-related quality life (impact outcomes); iii. whether were maintained; iv) voltage drop, compared with previous phases. Methods We conducted a type 2 hybrid effectiveness-implementation pre-post study CTM; adult participants (n = 1012; mean age 72.9, SD 6.3 years; 80.6% female) recruited by community delivery partners. assessed indicators outcomes via survey 0 (baseline), (mid-intervention), 6 (end-intervention) 18 (12-month follow-up) months. fitted mixed-effects models describe change in younger (60–74 years) (≥ 75 participants. quantified drop as percent effect size (change from baseline 3- 6-months) retained Phases 1–2. Results Adaptation did not compromise fidelity program components delivered intended. PA increased during first months (+1 days/week) (+0.9 (p<0.001), maintained 6- 18-months. In all participants, isolation decreased intervention, but follow-up. Mobility improved only. Health-related according EQ-5D-5L score significantly or However, visual analog this increase Across outcomes, median difference size, between 1–2 52.6%. declines almost two times greater 3, Conclusion Benefits interventions—like CTM—can be when implemented broad scale. Diminished reflects how adapted enhance opportunities adults socially connect. Thus, although reduced scale-up, is inevitable.

Language: Английский

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Analyzing the use of videoconference by and for older adults in nursing homes: an interdisciplinary approach to learn from the pandemic

Frontiers in Psychology, Journal Year: 2023, Volume and Issue: 14

Published: May 5, 2023

During the Covid-19 pandemic and resulting visitation restrictions, digital tools were used in many nursing homes France to allow older adults their relatives maintain social contact via videoconferencing. This article adopts an interdisciplinary approach analyze processes that affect use of technologies.Drawing on concept "mediation," it seeks shed light how individuals embrace these a relational situation. The interviews observations undertaken among residents, relatives, professionals, management head seven 2021, make possible outline different forms practices uses identify factors leading variations observed.While key objective technical technological is compensate - functional level for communication problems isolation order promote residents' "quality life" by maintaining "social contact," our study reveals tools' largely differ. It also shows considerable inequalities terms acquisition subjective feelings ownership tools. These are never attributed isolated physical, cognitive, psychic, difficulties, but influenced specific organizational, interactional, psychic configurations. Some structures analyzed revealed situations which mediation failed, occasionally exposing risk associated with seeking "ties at all costs," or revealing disturbing strangeness when residents placed front screens. configurations, however, showed was set up intermediate space experience unfold, turn opened where individuals, groups, institutions could experiment, allowing them develop this experience.This discusses configurations failed process reveal need assess representations care assistance relationships between adults, loved ones, home professionals. Indeed, certain situations, videoconferencing, while produce positive effect, risks displacing increasing effects "negative" dependency, may worsen individuals' difficulties within homes. failure take into account requests consent explain why important discuss renew dilemma concerns protection, one hand, respect autonomy other.

Language: Английский

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