Connecting During COVID-19: A Protocol of a Volunteer-Based Telehealth Program for Supporting Older Adults' Health.
Connecting During COVID-19: A Protocol of a Volunteer-Based Telehealth Program for Supporting Older Adults' Health.
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DOI：
10.3389/fpsyt.2020.598356
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发表时间：
2020
影响因子：
4.7
通讯作者：
Bukhari SN
中科院分区：
文献类型：
--
作者：
Dikaios E;Sekhon H;Allard A;Vacaflor B;Goodman A;Dwyer E;Lavin-Gonzalez P;Mahdanian A;Park H;Walsh C;Sasi N;Nazar R;Gruber J;Su CL;Hanganu C;Royal I;Schiavetto A;Cinalioglu K;Rigas C;Launay C;Beauchet O;McDonald E;Seitz D;Kumar S;Nair V;Miresco M;Bruneau MA;Alexopoulos G;Looper K;Vahia I;Rej S;Bukhari SN
导语：2019冠状病毒病导致的社交距离导致老年人的社会隔离、压力和心理健康问题，同时使世界各地的医疗保健系统不堪重负。由训练有素的志愿者打电话进行的远程保健尚未得到充分研究，可能是一种低成本、可扩展和有价值的精神卫生预防工具。在此背景下，从患者参与志愿者倡议，我们已经调整和开发了一个创新的基于志愿者的老年人远程医疗干预计划（TIP-OA）。方法和分析：为了评估TIP-OA，我们正在进行一项混合方法的纵向观察研究。参与者：TIP-OA客户是来自魁北克省蒙特利尔的老年人（年龄≥60岁）。干预措施：TIP-OA志愿者每周给老年人打友好电话，登记入住，建立联系，提供有关COVID-19的信息，并根据需要为客户提供社区资源。测量方法：感知压力、对COVID-19的恐惧、抑郁和焦虑将在基线、4周和8周时进行评估。将进行半结构化访谈和焦点小组，以评估客户、志愿者和利益相关者的经验。结果：截至2020年10月15日，已有150名志愿者接受了培训，为305名老年客户提供TIP-OA。我们将连续选择200名接受TIP-OA的客户进行定量数据收集，外加16名志愿者和8名临床医生进行焦点小组，15名志愿者、10名利益相关者和25名客户进行半结构化访谈。讨论：在2019冠状病毒病期间，预计医疗保健专业人员的可用性会减少，而与老年心理健康相关的需求会增加。如果成功且可扩展，基于志愿者的TIP-OA可能有助于预防和改善心理健康问题，提高社区参与，并降低医疗保健利用率。临床试验注册：ClinicalTrials.gov NCT04523610；https://clinicaltrials.gov/ct2/show/NCT04523610?term=NCT04523610&draw=2&rank=1
Introduction: Social-distancing due to COVID-19 has led to social isolation, stress, and mental health issues in older adults, while overwhelming healthcare systems worldwide. Telehealth involving phone calls by trained volunteers is understudied and may be a low-cost, scalable, and valuable preventive tool for mental health. In this context, from patient participatory volunteer initiatives, we have adapted and developed an innovative volunteer-based telehealth intervention program for older adults (TIP-OA). Methods and analysis: To evaluate TIP-OA, we are conducting a mixed-methods longitudinal observational study. Participants: TIP-OA clients are older adults (age ≥ 60) recruited in Montreal, Quebec. Intervention: TIP-OA volunteers make weekly friendly phone calls to seniors to check in, form connections, provide information about COVID-19, and connect clients to community resources as needed. Measurements: Perceived stress, fear surrounding COVID-19, depression, and anxiety will be assessed at baseline, and at 4- and 8-weeks. Semi-structured interviews and focus groups will be conducted to assess the experiences of clients, volunteers, and stakeholders. Results: As of October 15th, 2020, 150 volunteers have been trained to provide TIP-OA to 305 older clients. We will consecutively select 200 clients receiving TIP-OA for quantitative data collection, plus 16 volunteers and 8 clinicians for focus groups, and 15 volunteers, 10 stakeholders, and 25 clients for semi-structured interviews. Discussion: During COVID-19, healthcare professionals' decreased availability and increased needs related to geriatric mental health are expected. If successful and scalable, volunteer-based TIP-OA may help prevent and improve mental health concerns, improve community participation, and decrease healthcare utilization. Clinical Trial Registration: ClinicalTrials.gov NCT04523610; https://clinicaltrials.gov/ct2/show/NCT04523610?term=NCT04523610&draw=2&rank=1
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影响因子：
11.8
作者：
Hawryluck L;Gold WL;Robinson S;Pogorski S;Galea S;Styra R
通讯作者：
Styra R
DOI：
10.1016/j.jamda.2020.06.003
发表时间：
2020-07-01
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