About: Telehealth Home Support During COVID-19 Confinement for Community-Dwelling Older Adults With Mild Cognitive Impairment or Mild Dementia: Survey Study

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About: Telehealth Home Support During COVID-19 Confinement for Community-Dwelling Older Adults With Mild Cognitive Impairment or Mild Dementia: Survey Study Goto Sponge NotDistinct Permalink

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Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Telehealth Home Support During COVID-19 Confinement for Community-Dwelling Older Adults With Mild Cognitive Impairment or Mild Dementia: Survey Study
Creator	Eysenbach, Gunther Snoswell, Centaine Burner, Elizabeth Cuesta-Vargas, Antonio Dura-Perez, Elena Goodman-Casanova, Jessica Guzman-Parra, Jose Mayoral-Cleries, Fermin Shubina, Ivanna
Source	Medline; PMC
abstract	BACKGROUND: The public health emergency of coronavirus disease (COVID-19) is rapidly evolving worldwide; some countries, including Spain, have implemented restrictive measures. Populations that are vulnerable to this outbreak and its physical and mental health effects include community-dwelling older adults with mild cognitive impairment or mild dementia. Telehealth is a potential tool to deliver health care and decrease exposure risk. OBJECTIVE: The aims of this study were to explore the impact of confinement on the health and well-being of community-dwelling older adults with mild cognitive impairment or mild dementia, to provide television-based and telephone-based health and social support, and to study the effects of a television-based assistive integrated technology, TV-AssistDem (TeleVision-based ASSistive Integrated Service to supporT European adults living with mild DEMentia or mild cognitive impairment). METHODS: A telephone-based survey was administered in Spain to 93 participants in the TV-AssistDem clinical trial from March 25 to April 6, 2020. RESULTS: Of the respondents, 60/93 (65%) were women. The mean age was 73.34 (SD 6.07), and 69/93 (74%) lived accompanied. Lockdown measures forced 17/93 respondents (18%) to change their living arrangements. Health status was found to be optimal in 89/93 respondents (96%), with no COVID-19 symptoms. Grocery and pharmacy outings were performed by family members of 68/93 participants (73%); 57 (61%) reported overall well-being, and 65 (70%) maintained their sleep quality. However, participants living alone reported greater negative feelings and more sleeping problems. Regarding leisure activities, 53/93 respondents (57%) took walks, 32 (35%) played memory games, 55 (60%) watched television, and 91 (98%) telephoned relatives. 58/93 (64%) respondents reported accessing moderate or too much COVID-19 information, 89 (97%) received it from television, and 56 (62%) stated that their understanding of the information was extreme. 39/93 (39%) respondents had contacted health and social services, while 29 (31%) requested information regarding these services during the telephone call. There were no significant differences in health and well-being between the intervention and control groups. Respondents with TV-AssistDem performed more memory exercises (24/93, 52% vs 8/93, 17.4%; P<.001) than control respondents. CONCLUSIONS: Our findings suggest that during COVID-19 confinement, the physical and mental health and well-being was optimal for the majority of our vulnerable population. However, those living alone reported greater negative psychological effects and sleeping problems. Measures adopted to address the negative experiences of confinement included keeping informed about the situation, accessing health and social services, having a support network that prevents risk of exposure to COVID-19 and guarantees food and medical supplies, a daily routine with maintained sleeping habits and leisure activities, staying physically and mentally active with cognitive stimulation exercises, and ensuring social connectedness using technology. Television sets were preferred technological devices to access COVID-19 information, watch television as a recreational activity, and perform memory exercises as an intellectual activity. Television-based telehealth support using TV-AssistDem demonstrated potential for cognitive stimulation. TRIAL REGISTRATION: ClinicalTrials.gov NCT03653234; https://clinicaltrials.gov/ct2/show/NCT03653234
has issue date	2020-05-22(xsd:dateTime)
bibo:doi	10.2196/19434
bibo:pmid	32401215
has license	cc-by
schema:url	https://doi.org/10.2196/19434
resource representing a document's title	Telehealth Home Support During COVID-19 Confinement for Community-Dwelling Older Adults With Mild Cognitive Impairment or Mild Dementia: Survey Study
has PubMed Central identifier	PMC7247465
has PubMed identifier	32401215
schema:publication	J Med Internet Res
resource representing a document's body	covid:PMC7247465#body_text
is schema:about of	named entity 'Telehealth' named entity 'Study' named entity 'HOME SUPPORT' named entity 'COMMUNITY' named entity 'well-being' named entity 'population characteristics' named entity 'long-term' named entity 'control participants' named entity 'cognitive decline' named entity 'health care' named entity 'mild dementia' named entity 'social distancing' named entity 'telehealth' named entity 'Biomedical Research' named entity 'follow-up' named entity 'Health Education' named entity 'COVID-19' named entity 'older adults' named entity 'COVID-19 pandemic' named entity 'medical supplies' named entity 'COVID-19' named entity 'telehealth' named entity 'well-being' named entity 'cognition' named entity 'virtual assistants' named entity 'mild dementia' named entity 'mental health' named entity 'mental health' named entity 'quarantine' named entity 'well-being' named entity 'COVID-19' named entity 'chronic conditions' named entity 'Geriatric Depression Scale' named entity 'mild dementia' named entity 'mental health' named entity 'mild cognitive impairment' named entity 'social support' named entity 'mild DEMentia' named entity 'Spanish Ministry of Health' named entity 'recreational activity' named entity 'medical supplies' named entity 'COVID-19' named entity 'health status' named entity 'Spanish Ministry of Health' named entity 'mild cognitive impairment' named entity 'mental health' named entity 'Assisted Living' named entity 'mild dementia' named entity 'social isolation' named entity 'older adults' named entity 'telehealth' named entity 'mild dementia' named entity 'health professionals' named entity 'COVID-19' named entity 'royal decree' named entity 'cognitive impairment' named entity 'religious programs' named entity 'mild dementia' named entity 'mild dementia' named entity 'independent living' named entity 'Europe' named entity 'Recreational activities' named entity 'COVID-19' named entity 'social services' named entity 'mild cognitive impairment' named entity 'mild dementia' named entity 'clinical trial' named entity 'cognition' named entity 'health professionals' named entity 'Telehealth' named entity 'well-being' named entity 'mild cognitive impairment' named entity 'mild cognitive impairment' named entity 'COVID-19'

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