Living on the Edge of the Community: Factors Associated with Discontinuation of Community Living Among People with Cognitive Impairment

Ura, Chiaki; Okamura, Tsuyoshi; Sugiyama, Mika; Miyamae, Fumiko; Yamashita, Mari; Nakayama, Riko; Edahiro, Ayako; Taga, Tsutomu; Inagaki, Hiroki; Ogawa, Madoka; Awata, Shuichi

doi:10.21203/rs.3.rs-87784/v1

Cited by 3 publications

(7 citation statements)

References 12 publications

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“…Much evidence in the current review indicates that the raised prevalence of frailty and the incidence of transition to a frailty state during the COVID-19 pandemic can be due to the implementation of constraints during the crisis [41,42,50,54,60,62,72,74]. It has been reported that frail seniors' social activities and interaction with friends and family declined during the pandemic [52].…”

Section: Social Consequencesmentioning

confidence: 92%

“…There was an increase in the transition rate of elderly individuals to the social frailty group, which can result from implementing the stay-at-home order [54]. The frailty prevalence increased from 10% to 16% between spring 2018 to spring 2020 [50]. The prevalence of frailty is significantly higher during the 1 st wave of COVID-19 compared to the results of an earlier study approximately 10 years before the pandemic [60].…”

Section: Incidencementioning

confidence: 99%

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An Integrative Review of the Psychosocial Impacts of COVID-19 on Frail Older Adults: Lessons to Be Learned in Pandemics

Hamedanchi,

Khankeh,

Abolfathi Momtaz

et al. 2023

HDQ

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Background: The COVID-19 pandemic has inflicted tremendous pressure on people, including older adults. Frail older adults are more susceptible to the adverse consequences of the pandemic. Although many studies have investigated the susceptibility and poor medical outcomes of COVID-19 in frail people, a few studies have explored the psychosocial effects of the pandemic on this group of vulnerable people. This study overviews the psychosocial consequences of the pandemic and necessary public interventions for frail older adults. Materials and Methods: An integrative review method was utilized to gather, analyze, and structure the study data. PubMed, Web of Science, and Scopus databases were searched to extract the published English papers based on a designed strategy. The keywords and used Boolean operators in their titles or abstracts were ([“COVID-19” OR “CORONA” OR “SARS-CoV-2”] AND [“frail” OR “frailty”]). A total of 50 articles (47 quantitative, 2 qualitative, and 1 mixed method) were selected for the final analysis. Results: Anxiety and depression were reported as the most significant psychological consequences in the related studies. The results also indicated the social relations of older frail people and their access to health services noticeably reduced during the pandemic. On the other hand, physical exercise programs, telemedicine, and reading activities were the most preventive measures to mitigate the impacts of public restrictions during the pandemic. Conclusion: The results of this review can assist policymakers in reflecting appropriate psychosocial support for frail seniors during the pandemic. As most studies on the psychosocial aspects of the COVID-19 pandemic among frail older adults are quantitative and have been performed in developed countries, it is suggested to conduct further qualitative studies. These studies should explore frail older adults’ experiences and perceptions and their challenges during the pandemic, particularly in developing countries.

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Section: Social Consequencesmentioning

confidence: 92%

Section: Incidencementioning

confidence: 99%

An Integrative Review of the Psychosocial Impacts of COVID-19 on Frail Older Adults: Lessons to Be Learned in Pandemics

Hamedanchi,

Khankeh,

Abolfathi Momtaz

et al. 2023

HDQ

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“…Since 2016, our research team has been conducting epidemiological and action research on large-scale housing complexes in the Tokyo metropolitan area to build an urban-scale model of dementia-friendly communities [22,23]. For the present study, a community center was established in 2017 with services such as a community café, medical consultation, raising awareness of dementia, and human resource development.…”

Section: Recruitment and Participantsmentioning

confidence: 99%

GO Revisited: Qualitative Analysis of the Starting and Continuing Factors of GO Activity Among Older Adults

Iizuka

Yamashita

Ura

et al. 2021

Preprint

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Background GO is one of the most popular board games among older adults in Asian countries. Some studies have shown that playing GO helps maintain cognitive function and brain activity. However, the factors that facilitate older adults to start playing GO and their reasons for continuing it remain unclear. This study explored the starting and continuing factors of playing GO among older adults and found concrete methods for social implementation of GO activity aimed at the prevention of and living well with dementia. Methods In the field of large community-based interdisciplinary research, we conducted semi-structured interviews using a qualitative descriptive approach with six amateur GO players who began playing when they were 65 years or older. The contents of the interviews were the starting and continuing factors of playing GO. Results Six categories were generated for exploring the starting and continuing factors of playing GO. The participants felt motivated to start playing GO due to their interest and impression of GO and to cope with their anxieties about aging. The continuing factors represented feelings of pleasure and relaxation and fostering human relationships through GO. Age-friendly staff and user-oriented tasks were of particular importance in both starting and continuing to play GO. Conclusions GO is not just a board game; it is an effective tool in coping with aging issues, cultivating peace of mind, and facilitating interaction among people; therefore it may be useful to the community as a socially prescribed intervention. The keys to its implementation are fostering comfortable relationships between the participants and staff and allowing self-controlled task difficulty.

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“…Receiving support from others could allow those with cognitive impairment to continue living in the community. 3 Therefore, identification of those with cognitive impairment in community settings is important before they need to reside in a care facility.…”

Section: Introductionmentioning

confidence: 99%

“…The framework also discusses inclusiveness, implying that people should continue to live in a place where they are used to living, even if they have cognitive impairment or dementia. Receiving support from others could allow those with cognitive impairment to continue living in the community 3 . Therefore, identification of those with cognitive impairment in community settings is important before they need to reside in a care facility.…”

Section: Introductionmentioning

confidence: 99%

Simple screening models for cognitive impairment in community settings: The IRIDE Cohort Study

Abe

Kitamura

Yamashita

et al. 2022

Geriatrics Gerontology Int

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Aim: Community settings often need simple screening, rather than detailed tests, to identify cognitive impairment. This study aimed to develop models to screen older adults with cognitive impairment.Methods: This study used data from the Integrated Research Initiative for Living Well with Dementia Cohort Study and included 5830 older adults. Individuals were considered cognitively impaired if their Mini-Mental State Examination score was less than 24. Three screening models were developed: the simple model (age, sex, and education), the base model comprising 13 candidate variables available in the questionnaire, and the enhanced model, where grip strength and gait speed were added to the base model. We performed binary logistic regression analysis with stepwise backward elimination (P < 0.1 for retention in the model) to develop each model. Then, we calculated integer scores from coefficients to develop scorebased models. The area under the receiver operating characteristic curve (AUC) was used to evaluate discrimination.Results: Participants with cognitive impairment accounted for 4.0% (n = 233) of the total. The score-based simple model comprised three variables (AUC = 0.72, sensitivity: 72%, specificity: 61%). The score-based base model included nine variables (AUC = 0.76, sensitivity: 70%, specificity: 67%). The score-based enhanced model comprised eight variables, including grip strength and gait speed (AUC = 0.79, sensitivity: 73%, specificity: 70%).Conclusions: This study developed three screening models with acceptable discriminant validity for cognitive impairment. These models comprised simple questionnaire-based items and common physical performance measurements. These models could enable screening of older adults suspected of cognitive impairment without the need to conduct cognitive tests in community settings.

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Living on the Edge of the Community: Factors Associated with Discontinuation of Community Living Among People with Cognitive Impairment

Cited by 3 publications

References 12 publications

An Integrative Review of the Psychosocial Impacts of COVID-19 on Frail Older Adults: Lessons to Be Learned in Pandemics

An Integrative Review of the Psychosocial Impacts of COVID-19 on Frail Older Adults: Lessons to Be Learned in Pandemics

GO Revisited: Qualitative Analysis of the Starting and Continuing Factors of GO Activity Among Older Adults

Simple screening models for cognitive impairment in community settings: The IRIDE Cohort Study

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