Older Adults' Daily Activity and Mood Changes Detected During the COVID-19 Pandemic Using Remote Unobtrusive Monitoring Technologies.
Older Adults' Daily Activity and Mood Changes Detected During the COVID-19 Pandemic Using Remote Unobtrusive Monitoring Technologies.
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DOI：
10.1093/geroni/igab032
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发表时间：
2021
影响因子：
7
通讯作者：
Hughes AM
中科院分区：
文献类型：
--
作者：
Leese MI;Bernstein JPK;Dorociak KE;Mattek N;Wu CY;Beattie Z;Dodge HH;Kaye J;Hughes AM
2019冠状病毒病（COVID-19）大流行限制了老年人获得面对面医疗护理的机会，包括认知和功能衰退的筛查。远程的、基于技术的工具最近在评估老年人日常活动和情绪的变化方面显示出了希望，这可以作为潜在的健康相关变化的指标（例如，认知能力下降）。这项研究使用不显眼的监测技术和远程在线调查，研究了在COVID-19紧急声明之前和之后老年人驾驶、计算机使用、情绪和旅行事件的变化。作为探索性目的，评估了轻度认知障碍（MCI）对这些变化的影响。参与者为59名老年人（41名认知完整，18名MCI），参加了一项纵向老化研究。参与者在5个月内（COVID紧急声明前75天和后76天）使用不显眼的技术记录了他们的驾驶和计算机使用行为。每周还通过远程在线调查收集情绪、过夜客人和过夜旅行频率的测量结果。根据广义估计方程模型，在调整了年龄、性别和教育程度后，与COVID-19前相比，COVID-19后参与者的每日驾驶距离、驾驶旅行次数、高速公路驾驶和夜间驾驶显著减少（p < .001）。此外，参与者在COVID-19后每天花在电脑上的时间更多（p = 0.03）。参与者赞同从COVID-19之前到之后，蓝色情绪（p <.01）和孤独感（p <.001）增加，离家旅行和过夜游客减少（p < .001）。认知状态不影响这些关系。从COVID-19紧急声明之前到之后，参与者开车和旅行更少，使用电脑更多，过夜游客更少，并报告了更大的心理困扰。这些结果突出了呆在家里的命令对认知完整的老年人和MCI患者的行为和心理影响。
The coronavirus disease 2019 (COVID-19) pandemic has limited older adults’ access to in-person medical care, including screenings for cognitive and functional decline. Remote, technology-based tools have shown recent promise in assessing changes in older adults’ daily activities and mood, which may serve as indicators of underlying health-related changes (e.g., cognitive decline). This study examined changes in older adults’ driving, computer use, mood, and travel events prior to and following the COVID-19 emergency declaration using unobtrusive monitoring technologies and remote online surveys. As an exploratory aim, the impact of mild cognitive impairment (MCI) on these changes was assessed. Participants were 59 older adults (41 cognitively intact and 18 MCI) enrolled in a longitudinal aging study. Participants had their driving and computer use behaviors recorded over a 5-month period (75 days pre- and 76 days post-COVID emergency declaration) using unobtrusive technologies. Measures of mood, overnight guests, and frequency of overnight travel were also collected weekly via remote online survey. After adjusting for age, gender, and education, participants showed a significant decrease in daily driving distance, number of driving trips, highway driving, and nighttime driving, post-COVID-19 as compared to pre-COVID-19 (p < .001) based on generalized estimating equation models. Further, participants spent more time on the computer per day post-COVID-19 (p = .03). Participants endorsed increases in blue mood (p < .01) and loneliness (p < .001) and decreases in travel away from home and overnight visitors (p < .001) from pre- to post-COVID-19. Cognitive status did not impact these relationships. From pre- to post-COVID-19 emergency declaration, participants drove and traveled less, used their computer more, had fewer overnight visitors, and reported greater psychological distress. These results highlight the behavioral and psychological effects of stay-at-home orders on older adults who are cognitively intact and those with MCI.
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影响因子：
2.1
作者：
Weintraub S;Besser L;Dodge HH;Teylan M;Ferris S;Goldstein FC;Giordani B;Kramer J;Loewenstein D;Marson D;Mungas D;Salmon D;Welsh-Bohmer K;Zhou XH;Shirk SD;Atri A;Kukull WA;Phelps C;Morris JC
通讯作者：
Morris JC
DOI：
10.1080/13825585.2021.1917503
发表时间：
2022-09
期刊：
Neuropsychology, development, and cognition. Section B, Aging, neuropsychology and cognition
影响因子：
--
作者：
Bernstein JPK;Dorociak K;Mattek N;Leese M;Trapp C;Beattie Z;Kaye J;Hughes A
通讯作者：
Hughes A
DOI：
10.1093/geronb/gbaa074
发表时间：
2021-02-01
影响因子：
6.2
作者：
de Bruin, Wandi Bruine
通讯作者：
de Bruin, Wandi Bruine
DOI：
10.1177/0733464820966516
发表时间：
2021-03
期刊：
Journal of applied gerontology : the official journal of the Southern Gerontological Society
影响因子：
--
作者：
Roe CM;Rosnick CB;Colletta A;Babulal GM
通讯作者：
Babulal GM
DOI：
10.1093/geronb/gbaa110
发表时间：
2021-02-01
影响因子：
6.2
作者：
Krendl, Anne C.;Perry, Brea L.
通讯作者：
Perry, Brea L.