Digital delivery of non-pharmacological intervention programmes for people living with dementia during the COVID-19 pandemic

Quail, Zara; Bolton, Laura; Massey, Karina

doi:10.1136/bcr-2021-242550

Cited by 23 publications

(31 citation statements)

References 47 publications

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“…While some service offers moved online 11 , 12 , 13 there were fewer opportunities to arrange out of home breaks. In this context, we sought the views and expectations of family carers of people living with dementia about residential respite in a care home, and its post‐pandemic future.…”

Section: Introductionmentioning

confidence: 99%

Is it worth it? Carers' views and expectations of residential respite for people living with dementia during and beyond the COVID‐19 pandemic

Samsi

Cole

Orellana

et al. 2022

Int J Geriat Psychiatry

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Objectives The Covid‐19 pandemic has taken a heavy toll on many people living with dementia and carers. Caring for a person living with dementia at home with limited avenues for support and a break challenged many carers. Care homes in England closed to visitors, with very few offering opportunities for a short‐stay. We investigated impact of Covid‐19 on views and expectations of carers of people living with dementia about residential respite. Methods/Design Qualitative interviews with 35 carers were conducted March–December 2020: 30 women and 5 men, with ages ranging 30–83 years. Interviews explored experiences, views of residential respite, and expectations post‐Covid. Data were thematically analysed and salient concepts were drawn out and discussed within the research team and study advisers. Results Three themes were identified in transcripts, relating to impact of Covid‐19 on views and expectations of respite: (1) Carers described regularly negotiating risks and stresses of Covid, weighing up how to prevent infection and changing family arrangements to facilitate caring; (2) Carers were balancing different needs, prioritising needs of their relatives while bearing the impact of cumulative caregiving responsibilities. (3) Uncertainty about future residential respite continued, in terms of availability, ongoing restrictions and trustworthy information sources. Conclusions Residential respite is a positive, acceptable option for some carers to get a break from caring. Covid‐19 may have heighted some of caregiving stressors and there may be an increased need for a break. Views of care homes developed during the pandemic suggest that individual confidence to use respite may need to be rebuilt.

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Section: Introductionmentioning

confidence: 99%

Is it worth it? Carers' views and expectations of residential respite for people living with dementia during and beyond the COVID‐19 pandemic

Samsi

Cole

Orellana

et al. 2022

Int J Geriat Psychiatry

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“…In terms of the MODs, other modes exist for intervention delivery. This could be especially useful given the challenges of face-to-face delivery during the outbreak of the COVID-19 pandemic (Quail et al, 2021). Mobile phones have shown to be effective in promoting other health behaviors (Yang & Van Stee, 2019).…”

Section: Discussionmentioning

confidence: 99%

Behavior Change Techniques and Delivery Modes in Interventions Targeting Adolescent Gambling: A Systematic Review

et al. 2022

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Background Adolescent gambling can lead to significant harms, yet participation rates continue to rise. Interventions targeting gambling reduction have been implemented in this population. However, it is not clear which behavior change techniques (BCTs) and modes of delivery (MOD) are most effective at reducing gambling. Objective The objective of the study was to identify 'promising' BCTs and MODs by systematically reviewing interventions targeting adolescent gambling behavior. 'Promising' was defined as those present in at least 25% of all interventions and in at least two effective interventions. Methods Three databases were searched (PsycINFO, Medline, and Scopus) from database inception to May 2021. Interventions were eligible if they were randomized controlled trials; targeting adolescents (aged 10-25 years); and assessing gambling behavior post-intervention. BCTs were identified using the Behavior Change Technique Taxonomy v1. Results From the initial 3,315 studies, the removal of duplicates and ineligible articles resulted in sixteen studies included in the review. Eleven of these reported successfully reducing gambling behavior. Eighteen BCTs and six MODs were used across the interventions. The BCTs identified as promising were '4.2. Information about antecedents', '4.4. Behavioral experiments', '5.3. Information about social and environmental consequences', and '5.6. Information about emotional consequences'. Promising MODs were 'face-toface', 'computer', and 'playable electronic storage'. Conclusions The study reviewed the content of interventions targeting adolescent gambling behavior. Four BCTs were identified as promising and should therefore be adopted in future interventions. To facilitate the delivery of these techniques, the study also identified three promising MODs. Interventions developed using these BCTs and MODs may successfully reduce adolescent gambling behavior. KeywordsGambling • Behavior change techniques • Delivery mode • Adolescents 1 3 MethodsWe followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. The study was registered with PROSPERO, CRD42021254657. Eligibility CriteriaStudies were included if they were randomized controlled trials of interventions targeting a reduction in adolescent (aged 10-25 years) gambling behavior. Gambling behavior was assessed using self-report or objective measures of gambling frequency or gambling expenditure. Studies assessing problem gambling were also included given the importance of this construct in the target literature. The intervention measured differences between the experimental condition and a control group. We excluded studies measuring only gambling cognitions such as urges or desires, unless accompanied by behavioral measures. Studies not published in English language and only including reviews, abstracts, opinion pieces, and letters to the editor were also excluded.

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“…In response to the adverse effects of the COVID-19 pandemic on both persons with dementia and their primary caregivers as indicated by the aforementioned literature, many researchers have provided support for the Tele-Health intervention program, which digitally delivers supportive care services to persons with dementia or MCI and their primary caregivers, as a policy instrument designed to mitigate such effects [ 24 , 25 , 26 ]. Nevertheless, previous studies exploring whether or not the Tele-Health intervention program could benefit persons with dementia, or MCI and their caregivers, have demonstrated ambiguous results.…”

Section: Introductionmentioning

confidence: 99%

The Effect of a Tele-Health Intervention Program on Home-Dwelling Persons with Dementia or MCI and on Their Primary Caregivers during the Stay-at-Home-Order Period in the COVID-19 Pandemic Outbreak: Evidence from Taiwan

et al. 2022

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Background: The Taiwanese government implemented a stay-at-home order that restricted all community-based health promotion activities for the elderly by shutting down all community care centers from May 2021 to August 2021 to control the spread of COVID-19. Community-based dementia care centers were barely able to provide dementia care services during that period. Methods: The data used in this study were collected from a community-based dementia care center that was able to continue their dementia care services through a Tele-Health intervention program. The difference-in-differences methodology was applied to evaluate the effects of the Tele-Health intervention program on home-dwelling persons with dementia or mild cognitive impairment and on their primary caregivers during the COVID-19 pandemic. Results: The Tele-Health intervention program significantly increased the well-being of the participants and their primary caregivers, but the negative correlations between the Tele-Health intervention program and family functioning were also found to be significant. Conclusions: The significant substitution (negative) effects between the Tele-Health intervention program and family functioning raises the concern that promotion of the Tele-Health intervention program comes at the potential cost of a loss of family functioning. Policymakers should be cautious when considering the Tele-Health intervention program in response to pandemics and demographic transitions.

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Digital delivery of non-pharmacological intervention programmes for people living with dementia during the COVID-19 pandemic

Cited by 23 publications

References 47 publications

Is it worth it? Carers' views and expectations of residential respite for people living with dementia during and beyond the COVID‐19 pandemic

Is it worth it? Carers' views and expectations of residential respite for people living with dementia during and beyond the COVID‐19 pandemic

Behavior Change Techniques and Delivery Modes in Interventions Targeting Adolescent Gambling: A Systematic Review

The Effect of a Tele-Health Intervention Program on Home-Dwelling Persons with Dementia or MCI and on Their Primary Caregivers during the Stay-at-Home-Order Period in the COVID-19 Pandemic Outbreak: Evidence from Taiwan

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