scholarly journals Experiences of Interdisciplinary Providers Deploying Telehealth During the COVID-19 Pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 586-586
Author(s):  
Katelyn Moore ◽  
Zachary Hathaway ◽  
Gloria Gonzalez-Kruger ◽  
Kymberlee Montgomery ◽  
Rose Ann DiMaria-Ghalili ◽  
...  

Abstract The expansion of telehealth services during COVID-19 is critical for healthcare delivery. This study describes the facilitators and barriers experienced by providers integrating telehealth during COVID-19. The sample consisted of 441 interdisciplinary providers (RNs, APNs, PAs, DPTs, RDs, mental health counselors) who were faculty or alumni of a college of nursing and health professions and completed the online telehealth provider survey. 53% of respondents were nurses/APNs, 59% implemented telehealth within the first week of federal legislation, and 48% received telehealth training once the pandemic started. Respondents reported telehealth changed several services provided during the pandemic (e.g., increased prescription of longer-term medication refills, increased counseling sessions). The greatest reported barrier to utilizing telehealth during the pandemic was the older adults’ ability to utilize technology. Understanding the facilitators and barriers experienced by providers during COVID-19 will lead to more robust healthcare delivery models to enhance health outcomes in older adults.

2017 ◽  
Vol 22 (6) ◽  
pp. 819-825 ◽  
Author(s):  
R.A. Burns ◽  
V. Loh ◽  
J.E. Byles ◽  
H.L. Kendig

2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Meneka C Johnson Nicholson ◽  
Peter Martin ◽  
Megan Gilligan ◽  
Carolyn E Cutrona ◽  
Daniel W Russell ◽  
...  

Abstract Background and Objectives Over the years, a large amount of research has been devoted to the investigation of factors that led to mental health outcomes in older adults. For African American older adults, their lived experiences place them at high risk for mental health problems. The purpose of this study was to examine the impact of early life influences (i.e., education, childhood life events, and childhood financial well-being) and present psychosocial resources (i.e., individual, financial, and social) on current mental health outcomes in a sample of African American older adults in their 60s, 80s, and 100s. Research Design and Methods Using data from the Georgia Centenarian Study, 125 participants were interviewed about their mental health, resources, and early life influences. Results A structural equation model was tested and resulted in a good fit. Results indicated that the more social resources African American older adults had available, the lower the number of depressive symptoms they reported. African Americans with higher levels of financial well-being during childhood reported higher self-rated mental health. Older adults had higher levels of financial resources. Level of education showed a positive relationship with financial resources. Indirect effects of distal influences on health outcomes via current resources were not found. Discussion and Implications The findings are of direct practical relevance and can be used to more readily identify older African Americans who may be susceptible to poorer mental health outcomes based upon the impact of their unique distal and proximal psychosocial resources.


2020 ◽  
Vol 8 ◽  
Author(s):  
Jenny Roe ◽  
Andrew Mondschein ◽  
Chris Neale ◽  
Laura Barnes ◽  
Medhi Boukhechba ◽  
...  

Author(s):  
Adam G Gavarkovs

The link between physical inactivity and poor health outcomes is well established. Older adults are especially at risk for many health conditions, and are one of the most inactive populations in Canada. Increasing levels of neighbourhood greenness has shown a positive relationship with walking and exercise behaviours, which in turn affects both mental and physical health. Currently in Ontario, the provincial Planning Act outlines the process of parkland dedication that individual municipalities are responsible for carrying out. This policy brief will discuss the inadequacies of the current system in effectively creating greenspace for older adults, and will propose several recommendations to resolve these issues.


2004 ◽  
Vol 26 (3) ◽  
pp. 260-281 ◽  
Author(s):  
Carla J. Sofka

As a result of the events of September 11, 2001, older adults have experienced a multitude of death-related and non-death losses. Mental health counselors who interact with older adults have a crucial role in identifying individuals who may be at risk for experiencing a subsequent, temporary, upsurge of grief. Following a review of basic concepts and underlying philosophies that can be utilized to inform work with bereaved older adults, interviewing strategies and standardized measures available for use with older adults experiencing trauma and grief are described. Then using Corr's (2003) task-based approach as a framework, strategies for identification of need and intervention are presented.


2013 ◽  
Vol 35 (4) ◽  
pp. 342-359 ◽  
Author(s):  
Joanne Cacciatore ◽  
J. Frøen ◽  
Michael Killian

Every year around the globe there are more than two million stillbirths, yet stillbirth is generally treated as a non-event, considered less impactful than the death of a live-born child. In up to 60 percent of third-trimester stillbirths, the causes of death were attributed to maternal conditions or were "undetermined." As a result, mothers blame themselves or specific others. This analysis set out to determine how the attitudes of 2,232 bereaved mothers predict their mental health outcomes measuring depressive and anxious symptoms with the Hopkins Symptom Checklist (HSCL). Of the women sampled, 24.6% reported blaming themselves, and 42.3% reported elevated HSCL mean scores. Self-blame in particular is correlated with symptoms of anxiety and depression. Multivariate analyses predicting elevated HSCL scores demonstrated the importance of time after death, level of education, and reported abuse during pregnancy in the models, as did self-blame and blaming others. Controlling for other demographic and pregnancy-related variables, self-blame was the strongest predictor of poor mental health outcomes. Implications for mental health counselors are discussed.


2008 ◽  
Vol 31 (1) ◽  
pp. 47-59 ◽  
Author(s):  
Kevin Feisthamel ◽  
Robert Schwartz

This study of mental health counselors' diagnoses of African-American and Euro-American clients (N=899) found that African-Americans were diagnosed disproportionately more often with disruptive behavior disorders whereas Euro-Americans were diagnosed more often with less severe adjustment disorders. These findings mirror those of researchers from other mental health professions considering different mental disorders. Implications for mental health counseling practice and future research are discussed, and pathways to account for the phenomenon are proposed.


2021 ◽  
Vol 7 (4) ◽  
pp. 1-6
Author(s):  
Mamta Saxena ◽  

The spread of COVID-19 mandated several restrictions, mediated changes in routines, and impacted coping abilities and mental health outcomes. In terms of physical health outcomes, undoubtedly, adults 50 years and older were more severely affected by a higher death rate, medical complications and hospitalization. Nevertheless, how do older adults respond to the uncertainty and scare for life compared to other age groups within the context of COVID-19 remains partially unexplored.


Author(s):  
Fereshteh Mehrabi ◽  
François Béland

This research investigated the effects of social isolation on frailty and health outcomes and tested whether these associations varied across different levels of frailty. We performed a multivariate analysis of data from the first wave of the FRéLE study among 1,643 Canadian older adults aged 65 years and over. We assessed social isolation using social participation, social networks, and support from various social ties, namely, friends, children, extended family, and partner. Frailty predicted disability, comorbidity, depression, and cognitive decline. Less social participation was associated with IADLs, depression, and cognitive decline. The absence of friends was associated with depression and cognitive impairment. Less social support from children and partner was related to comorbidity, depression, and cognitive decline. Overall, social isolation is linked to mental health, rather than physical health. The associations of having no siblings, receiving less support from friends, and participating less in social activities with ADL limitations, depression, and cognitive decline were higher among frail than pre-frail and robust older adults. This study corroborates the pivotal role of social connectedness, particularly the quality of relationships, on the mental health of older adults. Public health policies on social relationships are paramount to ameliorate the health status of frail older adults.


Sign in / Sign up

Export Citation Format

Share Document