(Vi)-rushed Into Online Group Schema Therapy Based Day-Treatment for Older Adults by the COVID-19 Outbreak in the Netherlands

Dijk, Silvia D M van; Bouman, Renske; Folmer, Ewa H; Held, Roos C den; Warringa, Janet E; Marijnissen, Radboud M.; Voshaar, Richard C. Oude

doi:10.1016/j.jagp.2020.05.028

Cited by 33 publications

(38 citation statements)

References 9 publications

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“…The use of technology to protect and improve mental health [ 179 ] and to maintain the health and independence [ 180 ] of older adults during this crisis was also discussed. The transformation of an on-site program into an online program for older populations [ 181 ] was found to be effective. Innovative programs should therefore be created with the goal of supporting vulnerable older adults and minimizing the long-term consequences and feelings of loneliness.…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on Older Adults: Rapid Review

Lebrasseur¹,

Fortin-Bédard²,

Lettre³

et al. 2021

JMIR Aging

260

183

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Background The COVID-19 pandemic has drastically changed the lives of countless members of the general population. Older adults are known to experience loneliness, age discrimination, and excessive worry. It is therefore reasonable to anticipate that they would experience greater negative outcomes related to the COVID-19 pandemic given their increased isolation and risk for complications than younger adults. Objective This study aims to synthesize the existing research on the impact of the COVID-19 pandemic, and associated isolation and protective measures, on older adults. The secondary objective is to investigate the impact of the COVID-19 pandemic, and associated isolation and protective measures, on older adults with Alzheimer disease and related dementias. Methods A rapid review of the published literature was conducted on October 6, 2020, through a search of 6 online databases to synthesize results from published original studies regarding the impact of the COVID-19 pandemic on older adults. The Human Development Model conceptual framework–Disability Creation Process was used to describe and understand interactions between personal factors, environmental factors, and life habits. Methods and results are reported following the Preferred Reporting Items for Systematic Reviews and Meta-analyses Statement. Results A total of 135 records were included from the initial search strategy of 13,452 individual studies. Of these, 113 (83.7%) studies were determined to be of level 4 according to the levels of evidence classification by the Centre for Evidence-Based Medicine. The presence of psychological symptoms, exacerbation of ageism, and physical deterioration of aged populations were reported in the included studies. Decreased social life and fewer in-person social interactions reported during the COVID-19 pandemic were occasionally associated with reduced quality of life and increased depression. Difficulties accessing services, sleep disturbances, and a reduction of physical activity were also noted. Conclusions Our results highlight the need for adequate isolation and protective measures. Older adults represent a heterogeneous group, which could explain the contradictory results found in the literature. Individual, organizational, and institutional strategies should be established to ensure that older adults are able to maintain social contacts, preserve family ties, and maintain the ability to give or receive help during the current pandemic. Future studies should focus on specific consequences and needs of more at-risk older adults to ensure their inclusion, both in public health recommendations and considerations made by policy makers.

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Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on Older Adults: Rapid Review

Lebrasseur¹,

Fortin-Bédard²,

Lettre³

et al. 2021

JMIR Aging

260

183

View full text Add to dashboard Cite

show abstract

“…Van Dijk et al assessed maintaining a telephone conversation program in a sample of older adults with chronic affective disorders. This study showed positive results in this group, especially in relation to the development of resilience and adaptation to the new phase [ 20 ]. Another study by Wei et al performed an internet-based intervention for relaxation and self-care, and found that patients exhibited significantly decreased levels of depression and anxiety symptoms vs. those in the control group during the COVID-19 pandemic [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Telehealth strategy to mitigate the negative psychological impact of the COVID-19 pandemic on type 2 diabetes: A randomized controlled trial

et al. 2021

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Aims To assess the impact of teleintervention on mental health parameters in type 2 diabetes patients during the coronavirus disease 2019 (COVID-19) pandemic. Methods This is a controlled randomized trial for a multidisciplinary telehealth intervention in Southern Brazil, with social distancing measures. Adults aged 18 years or older with previous diagnosis of type 2 diabetes were included in the study. The intervention performed was a set of strategies to help patients stay healthy during the COVID-19 pandemic and included the maintaining of telephone contacts and providing educational materials on issues related to mental health, healthy habits, and diabetes care. The primary outcome was a positive screening for mental health disorders (Self-Reporting Questionnaire) after 16 weeks of intervention. A positive screening for mental health disorders was considered when the survey scored greater than or equal to 7. Secondary outcomes included a positive screening for diabetes-related emotional distress (Problem Areas in Diabetes), eating (Eating Attitudes Test), and sleep disorders (Mini Sleep Questionnaire). Comparisons with χ 2 tests for dichotomous outcomes, along with the Mann–Whitney U test, was used for between group analyses. Results A total of 91 individuals agreed to participate (46 intervention group and 45 control group). There were no differences in demographic and clinical data at baseline. After 16 weeks of follow-up, a positive screening for mental health disorders was found in 37.0% of participants in the intervention group vs. 57.8% in the control group ( P = 0.04). Diabetes-related emotional distress was found in 21.7% of participants in the intervention group vs. 42.2% in the control group ( P = 0.03). No differences were found between groups with regard to eating and sleep disorders. Conclusion This study demonstrated that maintaining remote connections with health professionals during social distancing and quarantine have the potential to reduce the prevalence of positive screening for mental health disorders and diabetes-related emotional distress in adults with type 2 diabetes. Supplementary Information The online version contains supplementary material available at 10.1007/s00592-021-01690-1.

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“…can be trained as a self-regulation technique, W.A.R.A.’s more frequent practice might improve stress-resilience in vulnerable patients. For more extended online therapies such as Online Group Schema Therapy Based Day-Treatment ( van Dijk et al, 2020 ), W.A.R.A. remote therapy could be a welcome addition to teach patients with negative affect self-regulation.…”

Section: Discussionmentioning

confidence: 99%

Remote W.A.R.A. Compared With Face-to-Face W.A.R.A.: A Pilot Study

Weerkamp-Bartholomeus

Marazziti

Amelsvoort

2021

Front. Psychol.

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BackgroundSince the outbreak of the COVID-19 pandemic and its social restriction measures, online therapy is a life-saving possibility for patients with acute stress. Wiring Affect with ReAttach (W.A.R.A.) is a brief psychological intervention aiming to decrease negative affect, that can be offered online.MethodsWe assessed the effect of remote W.A.R.A. on negative affect in 37 patients. Consequently, we compared the effect of remote W.A.R.A. versus face-to-face W.A.R.A on negative affect in a cross-sectional design.ResultsW.A.R.A. remote therapy provoked a significant reduction of negative affect with a large effect size (d = 3.08, p < 0.001). However, the reduction on negative affect was smaller than with W.A.R.A. face-to-face. We found a substantial difference between W.A.R.A. remote therapy and W.A.R.A. face-to-face in decrease of negative affect (d = 1.36, p < 0.001).LimitationsThe major limitation of the pilot-study is the sample size of 37 patients. Besides, we designed a numeric rating scale for evaluating negative affect. We investigated the impact on negative affect by assessing “unpleasant feelings.” This conceptualization of negative affect might still be a point of discussion.ConclusionThe study’s findings indicated that W.A.R.A. remote therapy significantly reduced negative affect, but to a lesser extent than W.A.R.A. face-to-face. Nevertheless, W.A.R.A. remote therapy might offer a fast relief, especially when personal contact is difficult.

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(Vi)-rushed Into Online Group Schema Therapy Based Day-Treatment for Older Adults by the COVID-19 Outbreak in the Netherlands

Cited by 33 publications

References 9 publications

Impact of the COVID-19 Pandemic on Older Adults: Rapid Review

Impact of the COVID-19 Pandemic on Older Adults: Rapid Review

Telehealth strategy to mitigate the negative psychological impact of the COVID-19 pandemic on type 2 diabetes: A randomized controlled trial

Remote W.A.R.A. Compared With Face-to-Face W.A.R.A.: A Pilot Study

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