scholarly journals Native American Elders’ Experiences during the COVID-19 Pandemic: Case Studies

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 890-890
Author(s):  
Bo Xie ◽  
Kristina Shiroma ◽  
John Lowe ◽  
Atami Sagna de Main ◽  
Nathan Davis

Abstract The COVID-19 pandemic has affected community-dwelling elder adults’ experiences during the COVID-19 pandemic. We report 4 case studies of Native American elders’ pandemic experience. Participants were recruited from community-dwelling older adults in Central Texas. Data collection took place via in-depth, semi-structured telephone interviews during June-August 2020. Four of the participants self-identified as Native American. Three of them were male; between the ages of 74 and 75; had at least some college education. The fourth Native American elder was a 68 year-old female with some college education. All four participants were coping well with everyday life during the pandemic. Connectedness emerged as the overarching theme among the 4 cases. Regular communication with their families was expressed as most important. A variety of communication technology was used to maintain contact with family members such as phone calls, texting, email, and video chat services particularly Zoom, FaceTime, and Facebook Video Chat. Challenges with using these technologies were also frequently reported. The participants expressed they did not feel a sense of increased loneliness or loss of being connected. Another theme emerged related to surviving the impact of the pandemic. Having the vaccine accessible along with financial resources necessary to sustain essential needs were most frequently expressed by the participants. These findings have implications for community interventions and policies that support the provision of mechanisms for Native American elders to maintain a sense of connectedness, including the adoption and use of communication technology, during times of crises such as pandemics and natural disasters.

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 958-958
Author(s):  
Khoa Nguyen ◽  
Mattie McDonald ◽  
Colton Scavone ◽  
Nora Mattek ◽  
Jeffrey Kaye ◽  
...  

Abstract I-CONECT is a randomized controlled clinical trial to examine the impact of social interaction delivered via video-chat on cognitive function (clinicaltrials.gov number: NCT02871921, project website: www.I-CONECT.org ). We aimed to enroll 320 community-dwelling socially isolated older adults (age >=75 years). The recruitment of participants has started in 2018 and was ongoing when COVID-19 pandemic began. Video chat and telephone-based social interaction interventions did not change during COVID-19. However, new recruitment and cognitive assessments, which require in-person contact and deployment and retrieval of video chat devices in participant homes, were suspended due to the nature of our study population (i.e., older age, higher likelihood of comorbidities). Recently we were able to successfully switch to complete remote assessments including 1) telephone-based cognitive assessments using T-COG (Telephone Cognitive Assessment battery), and 2) contactless delivery of our study devices (Chrome books and electronic pill boxes) for subject self-installation. Our creative approach to self-installations includes color coded pictures and an easy-to-follow installation manual, accompanied by remote instruction and support via telephone. This poster introduces our remote assessment and installation protocol and participant and technical support team feedback regarding this new contactless protocol. This presentation provides useful guidance for future studies considering completely remote assessment and telemedicine approaches.


Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Christopher N. Sciamanna ◽  
Noel H. Ballentine ◽  
Melissa Bopp ◽  
Vernon M. Chinchilli ◽  
Joseph T. Ciccolo ◽  
...  

Abstract Background The aim of this paper is to describe the utility of various recruitment modalities utilized in the Working to Increase Stability through Exercise (WISE) study. WISE is a pragmatic randomized trial that is testing the impact of a 3-year, multicomponent (strength, balance, aerobic) physical activity program led by trained volunteers or delivered via DVD on the rate of serious fall-related injuries among adults 65 and older with a past history of fragility fractures (e.g., vertebral, fall-related). The modified goal was to recruit 1130 participants over 2 years in three regions of Pennsylvania. Methods The at-risk population was identified primarily using letters mailed to patients of three health systems and those over 65 in each region, as well as using provider alerts in the health record, proactive recruitment phone calls, radio advertisements, and presentations at community meetings. Results Over 24 months of recruitment, 209,301 recruitment letters were mailed, resulting in 6818 telephone interviews. The two most productive recruitment methods were letters (72% of randomized participants) and the research registries at the University of Pittsburgh (11%). An average of 211 letters were required to be mailed for each participant enrolled. Of those interviewed, 2854 were ineligible, 2,825 declined to enroll and 1139 were enrolled and randomized. Most participants were female (84.4%), under age 75 (64.2%), and 50% took an osteoporosis medication. Not having a prior fragility fracture was the most common reason for not being eligible (87.5%). The most common reason provided for declining enrollment was not feeling healthy enough to participate (12.6%). Conclusions The WISE study achieved its overall recruitment goal. Bulk mailing was the most productive method for recruiting community-dwelling older adults at risk of serious fall-related injury into this long-term physical activity intervention trial, and electronic registries are important sources and should be considered.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 301-301
Author(s):  
Kristina Shiroma ◽  
Atami de Main ◽  
Nathan Davis ◽  
Bo Xie

Abstract During the COVID-19 pandemic, much of our social interaction has transitioned from in-person to online. This study examined older adults’ social interaction during COVID-19, online and offline. Participants were recruited from community-dwelling older adults in Central Texas. Data collection took place via the telephone during June-August 2020 (N = 200; age range: 65-92 years; Mean: 73.6; SD: 6.33). Participants used a variety of communication modes, including phone or texting (used by 99% of the participants); email (44%); in person (35%); video chat (31%); social media (24%); and postal mail (4%). Most participants (77%) used more than one communication mode. Participants discussed their preferences for and challenges of technology (i.e., smart phones) and its applications (i.e., video chat, telehealth, and social media). Participants’ self-reported experiences ranged from positive (50%), mixed (35%), to negative (15%). These findings will inform policy and community interventions to promote older adults’ social interactions during the pandemic.


2021 ◽  
pp. 1-23
Author(s):  
Gareth O'Rourke ◽  
Claire Pentecost ◽  
Eleanor van den Heuvel ◽  
Christina Victor ◽  
Catherine Quinn ◽  
...  

Abstract Stringent social restrictions imposed during 2020 to counter the spread of the COVID-19 pandemic could significantly affect the wellbeing and quality of life of people with dementia living in the community and their family carers. We explored the impact of COVID-19 restrictions on people with dementia and family carers in England and considered how negative effects might be mitigated. We conducted semi-structured telephone interviews with 11 people with dementia and 11 family carers who were ongoing participants in the IDEAL cohort during the initial ‘lockdown’ period in May and June 2020, and follow-up interviews with five people with dementia and two carers as restrictions were eased in July. We analysed interview data and triangulated the findings with issues raised in dementia-specific online forums. Findings showed some people with dementia were coping well, but others experienced a range of negative impacts, with varying degrees of improvement as restrictions were eased. The need for clear personalised information relating to COVID-19 and the value of support in the form of regular ‘just checking’ phone calls was emphasised. This exceptional situation provides a natural demonstration of how social and psychological resources shape the potential to ‘live well’ with dementia. While some support is recommended for all, a personalised approach to determine needs and coping ability would ensure that further practical and emotional support is targeted effectively.


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 247-247
Author(s):  
Mackinsey Shahan ◽  
Seung Eun Jung ◽  
Frankie Palmer ◽  
Amy Ellis

Abstract Objectives Due to increased risk of social isolation caused by COVID-19, this study was conducted to understand changes in health behaviors among older adults, particularly concerning means of social interaction. Methods Community dwelling adults ages 60 and older completed qualitative individual interviews via Zoom and a 24 item online survey, the Questionnaire for Assessing the Impact of the COVID-19 Pandemic in Older Adults. Data were analyzed using directed content analysis and descriptive statistics. Results A total of 23 participants completed interviews and 25 completed online surveys. Participants were mainly female (72%), white (96%), with a mean age of 71.96 years. Nineteen (76%) participants were very concerned by the pandemic, and only one participant was not at all concerned. Participants frequently reported more interactions with their immediate family. Only five (20%) reported communicating with close friends and family less often than before the pandemic began. Seven (28%) reported communicating with friends and family more often than before and about half (52%) reported that their frequency of communication was “about the same” as pre-pandemic. Twenty-one (84%) participants communicated with others daily or at least several times per week. However, participants reported less face-to-face interaction and increased use of technology, such as virtual happy hours. All participants stayed in touch with others by phone calls (100%). Other often used means of communication were texting (92%), video calls (68%), email (68%), social media (52%), and postal mail (48%). Participants also reported some social gatherings with individuals bringing their own food and social distancing maintained. Despite this, 16 participants (64%) reported feeling isolated from others sometimes or often. Conclusions Although many older adults have adjusted their usual behaviors to stay in contact with others during the pandemic, this study found that most still felt isolated. Long-term feelings of isolation and lack of social support may compromise nutrition for this population. Therefore, it is crucial that nutrition professionals incorporate aspects of social support when working with these individuals. Funding Sources Julie O'Sullivan Maillet Research Grant Award funded by the Academy of Nutrition and Dietetics Foundation (ANDF).


Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 353
Author(s):  
Nurul Fatin Malek Rivan ◽  
Hanis Mastura Yahya ◽  
Suzana Shahar ◽  
Devinder Kaur Ajit Singh ◽  
Norhayati Ibrahim ◽  
...  

This study aimed to investigate the impact of food insecurity and poor nutrient intake on the psychological health of middle-aged and older adults during the COVID-19 pandemic. A sub-sample of 535 individuals aged 52 years and above, from the earlier cohort and interventional studies (n = 4) from four selected states in Peninsular Malaysia, were recruited during the COVID-19 outbreak (April to June 2020). Telephone interviews were conducted by trained interviewers with a health sciences background to obtain participants’ information on health status, physical activity, food security, and psychological health (General Health Questionnaire-12; normal and psychological distress). Univariate analyses were performed for each variable, followed by a logistic regression analysis using SPSS Statistics version 25.0. Results revealed food insecurity (OR = 17.06, 95% CI: 8.24–35.32, p < 0.001), low protein (OR = 0.981, 95% CI: 0.965–0.998, p < 0.05), and fiber intakes (OR = 0.822, 95% CI: 0.695–0.972, p < 0.05) were found to be significant factors associated with the psychological distress group after adjusting for confounding factors. The findings suggested that food insecurity and insufficiencies of protein and fiber intakes heightened the psychological distress during the COVID-19 pandemic. Optimal nutrition is vital to ensure the physical and psychological health of the older population, specifically during the current pandemic.


2012 ◽  
Vol 43 (4) ◽  
pp. 222-231 ◽  
Author(s):  
Nina Hansen ◽  
Tom Postmes ◽  
Nikita van der Vinne ◽  
Wendy van Thiel

This paper studies whether and how information and communication technology (ICT) changes self-construal and cultural values in a developing country. Ethiopian children were given laptops in the context of an ICT for development scheme. We compared children who used laptops (n = 69) with a control group without laptops (n = 76) and a second control group of children whose laptop had broken down (n = 24). Results confirmed that after 1 year of laptop usage, the children’s self-concept had become more independent and children endorsed individualist values more strongly. Interestingly, the impact of laptop usage on cultural values was mediated by self-construal (moderated mediation). Importantly, modernization did not “crowd out” traditional culture: ICT usage was not associated with a reduction in traditional expressions (interdependent self-construal, collectivist values). Theoretical and practical implications are discussed.


1998 ◽  
Author(s):  
G. I. J. M. Kempen ◽  
M. J. G. van Heuvelen ◽  
E. van Sonderen ◽  
R. H. S. van den Brink ◽  
A. C. Kooijman ◽  
...  

Author(s):  
Imam - Fauzi

AbstractMost of young people are enthusiasticin having the most recent mobile gadgets just to boast among their peers. They likely utilize them to make phone calls, take pictures, listen to songs, watch videos, or surf the internet access for learning or just entertainment. In a technologically advanced country like Indonesia, the third and fourth generation (3G, 4G) mobile devices are available at affordable prices, and people of all streams find it necessary to own a mobile gadget for connecting and communicating.  Moreover, it has become a common trend among undergraduates to carry a mobile gadget to the classroom as well.In this paper, the researcher emphasize the potential of mobile gadgets as a learning tool for students and have incorporated them into the learning environment.The present study examines the application of mobile gadgetin EFL learning and investigates the perceptions of EFL students about mobile gadget in learning activity.  A field study was conducted on thirty undergraduatestudents majoring in accounting study Serang Raya University.  The methodology of data collection included a self-report for students and teachers’ and students’ questionnaire. Findings of the research are significant for EFL teachers and researchers for introducing innovative methods and helpful materials for the English classroom.Keywords: Mobile gadget, students’ perception, teachers’ perception..


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