Feasibility of a COVID-19 Rapid Response Telehealth Group Addressing Older Adult Worry and Social Isolation

Weiskittle, Rachel; Tsang, Wwn; Schwabenbauer, Anne; Andrew, Nathaniel; Mlinac, Michelle E.

doi:10.1080/07317115.2021.1906812

Cited by 15 publications

(26 citation statements)

References 73 publications

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“…31 34 36 In four studies, healthcare professionals and patients expressed the need for prolonged programmes to have more time to build social connections and trust relationships with other participants. 33 60 64 66 For instance, Voegepoel and Jarrold extended the intervention for longer than the pre-established 12 weeks to promote the effect on social relations. 66 Older adults reported benefits and increased participation due to extended sessions with the link workers because they could share their needs and be heard.…”

Section: Facilitatorsmentioning

confidence: 99%

“…30 Establishing connections between primary care and other health (ie, specialised care) and non-healthcare sectors (ie, third sector organisations, volunteer groups) could allow primary care professionals to complement medical treatments with additional resources to strengthen older adults’ social networks 31 32 or respond to underlying medical problems (ie, hearing loss limiting sociability). 33 34 Despite rising interest in these new approaches, the National Academies report emphasised that researchers are at the onset of comprehending how loneliness and social isolation interventions work. 30…”

Section: Introductionmentioning

confidence: 99%

“…For instance, a recent report from the US National Academies of Sciences, Engineering and Medicine recommended further implementation of evidence-based loneliness and social isolation assessment, prevention and interventions by healthcare professionals, enabled by more robust integration between primary care and community sectors 30. Establishing connections between primary care and other health (ie, specialised care) and non-healthcare sectors (ie, third sector organisations, volunteer groups) could allow primary care professionals to complement medical treatments with additional resources to strengthen older adults’ social networks31 32 or respond to underlying medical problems (ie, hearing loss limiting sociability) 33 34. Despite rising interest in these new approaches, the National Academies report emphasised that researchers are at the onset of comprehending how loneliness and social isolation interventions work 30…”

Section: Introductionmentioning

confidence: 99%

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Primary care-based interventions addressing social isolation and loneliness in older people: a scoping review

2022

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ObjectivesPrimary care is well positioned to identify and address loneliness and social isolation in older adults, given its gatekeeper function in many healthcare systems. We aimed to identify and characterise loneliness and social isolation interventions and detect factors influencing implementation in primary care.DesignScoping review using the five-step Arksey and O’Malley Framework.Data sourcesMEDLINE, CINAHL, EMBASE, COCHRANE databases and grey literature were searched from inception to June 2021.Eligibility criteriaEmpirical studies in English and Spanish focusing on interventions addressing social isolation and loneliness in older adults involving primary care services or professionals.Data extraction and synthesisWe extracted data on loneliness and social isolation identification strategies and the professionals involved, networks and characteristics of the interventions and barriers to and facilitators of implementation. We conducted a thematic content analysis to integrate the information extracted.Results32 documents were included in the review. Only seven articles (22%) reported primary care professionals screening of older adults’ loneliness or social isolation, mainly through questionnaires. Several interventions showed networks between primary care, health and non-healthcare sectors, with a dominance of referral pathways (n=17). Two-thirds of reports did not provide clear theoretical frameworks, and one-third described lengths under 6 months. Workload, lack of interest and ageing-related barriers affected implementation outcomes. In contrast, well-defined pathways, collaborative designs, long-lasting and accessible interventions acted as facilitators.ConclusionsThere is an apparent lack of consistency in strategies to identify lonely and socially isolated older adults. This might lead to conflicts between intervention content and participant needs. We also identified a predominance of schemes linking primary care and non-healthcare sectors. However, although professionals and participants reported the need for long-lasting interventions to create meaningful social networks, durable interventions were scarce. Sustainability should be a core outcome when implementing loneliness and social isolation interventions in primary care.

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Section: Facilitatorsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Primary care-based interventions addressing social isolation and loneliness in older people: a scoping review

2022

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“…ICT can facilitate the reasonable use of limited resources to provide timely specialist care 19 and can address concerns related to COVID-19 and social isolation. 20 Current systematic evaluations of integrated care have focused on patients with chronic diseases such as Parkinson's disease, 21 atrial fibrillation, 22 dementia 23 and chronic kidney disease 24 to provide a comprehensive overview of integrated care models, costs and effects. However, no studies have reviewed the current status of ICT-based implementation of integrated care for older people, and the models, barriers and facilitators related to such practice require further exploration.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

“…ICT can facilitate the reasonable use of limited resources to provide timely specialist care 19 and can address concerns related to COVID-19 and social isolation. 20 …”

Section: Introductionmentioning

confidence: 99%

Integrated care for older people based on information and communication technology: a scoping review protocol

et al. 2022

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IntroductionIntegrated care is an effective means of coping with the increasingly complex healthcare needs of elderly and alleviating pressure on national pension services. WHO regards integrated care as a method of providing high-quality healthcare and advocates integrated care based on digital technology. Against the backdrop of the COVID-19 pandemic, information and communication technology (ICT) has become a facilitator for the successful implementation of integrated care by providing a platform for information sharing, team communication and resource integration. This scoping review aims to assess internationally published evidence concerning experiences and practice of ICT-based implementation of integrated care for older people.Methods and analysisThe study will follow the research framework developed by Arksey and O’Malley for scoping reviews. We will conduct a systematic search of the literature published from January 2000 to March 2022 via electronic databases, grey literature databases, websites of key organisations and project funding sources, key journals and reference lists included in selected papers, employ the Joanna Briggs Institute Literature Quality Assessment Tool to assess the quality of the included literature and apply thematic analysis to sort and summarise the content of the included studies. This study will begin in March 2022 and will be completed in December 2022.Ethics and disseminationEthical approval for this scoping review was granted by the Academic Committee of Zhengzhou University (ZZUIRB2021-155). This study will summarise the modes of operation and effects, barriers and facilitators of ICT-based implementation of integrated care for older people. We propose to recruit older people and integrated care service providers in rural primary healthcare centres and use a structured process of concept mapping to consult and discuss the results of our scoping review to construct an integrated care model and service pathway for older adults that is appropriate to the Chinese social context.

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Descripción de un Programa de Telesalud Mental en el Marco de la Pandemia de COVID-19 en Colombia

Zapata-Ospina

Gil-Luján²,

López-Puerta³

et al. 2024

Revista Colombiana de Psiquiatría

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Feasibility of a COVID-19 Rapid Response Telehealth Group Addressing Older Adult Worry and Social Isolation

Cited by 15 publications

References 73 publications

Primary care-based interventions addressing social isolation and loneliness in older people: a scoping review

Primary care-based interventions addressing social isolation and loneliness in older people: a scoping review

Integrated care for older people based on information and communication technology: a scoping review protocol

Descripción de un Programa de Telesalud Mental en el Marco de la Pandemia de COVID-19 en Colombia

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