scholarly journals Resilience in In-Home Caregivers of Older Adults during the COVID-19 Pandemic

2021 ◽  
Vol 20 (2) ◽  
pp. 91-101
Author(s):  
Elizabeth Fajardo Ramos ◽  
Martha Lucia Nuñez Rodríguez ◽  
Angela Maria Henao Castaño

Objective: This study aims to identify the resilience level in formal and informal in-home caregivers of older adults in Ibagué during the COVID-19 pandemic. Methods: Quantitative, descriptive, cross-sectional study with a convenience sample of 49 formal and informal in-home caregivers of older adults. We administered the Brief Resilient Coping Scale (BRCS), an instrument consisting of four items, to these caregivers. The questionnaire was self-completed and, in some cases, answered by telephone. The data were collected in April 2020. Results: 35 women and 14 men participated in this study. The formal (69.4 %) and informal caregivers, mostly family (30.6 %), were between 18 and 30 years old (65.30 %). Their resilience levels were high (16.3 %), moderate (61.3 %), and low (22.4 %). There was a significant association between caregiver type and resilience level (p ≤ 0.05). Other studied covariates did not show a significant association. Conclusions: Due to stressful situations caused by care during social isolation and the risk of death of the elderly by COVID-19, strategies to improve resilience related to emotional, cognitive, and sociocultural interventions in the caregiver should be considered.

Author(s):  
Divyanshu Raheja ◽  
Evelyn Davila ◽  
Eric Johnson ◽  
Rijalda Deović ◽  
Michele Paine ◽  
...  

The purpose of this study is to understand among a convenience sample of 400 adults aged 60 years of age or older (1) reasons for being willing or unwilling to participate in a vaccine clinical research study and (2) overall perceptions about vaccine clinical research. A cross-sectional study using a sample of older adults residing in the metro-Atlanta area and surrounding neighborhoods was conducted. The study questionnaire contained 37 questions, including questions about socio-demographics and perceptions about clinical trial processes. Statistical analysis was conducted using logistic regression. The adjusted modeling results indicated that sex, distance to research clinic, and being informed about the research findings played a role in the likelihood of an elderly person participating in a vaccine study. Males were more likely to participate in clinical trials as compared to females (OR: 2.486; CI: 1.042–5.934). Most participants were willing to travel up to 25 miles from the research clinic. Of the respondents, 45% were unlikely to participate if the results of the current trial are not shared. Improving access to clinical trials in terms of distance traveled and ensuring streamlined processes to inform participants about the results of the trial in the future would increase willingness to participate in vaccine clinical trials. The survey could serve as a useful tool for conducting vaccine studies and other clinical trials by understanding the barriers specific to the elderly.


2020 ◽  
Vol 10 (2) ◽  
pp. 135-141
Author(s):  
Seyed Alireza Derakhshanrad ◽  
Emily Piven ◽  
Bahareh Zeynalzadeh Ghoochani

Background: On the basis of the Social-Ecological Model, there are assumed to be three sources of motivation – intrapersonal, interpersonal, and community motivation – that prompt older adults to participate in physical activity (PA). These three motivational sources can lead to PA behavior adherence. Little empirical research exists that investigates which motivational source is more influential in older adults’ adherence to PA, thus creating an area of interest for this research. Methods: A cross-sectional study was used to investigate the relationship between levels of PA and different sources of motivation. The convenience sample of 140 community-dwelling older adults, aged 60 and greater, living in Shiraz, Iran agreed to complete self-reported questionnaires,to measure motivation and PA. Five statistical tests were used: Independent-samples t test, one way ANOVA, Pearson correlation coefficient, chi-square, and ordinal regression. Results: Ordinal regression indicated that gender (P = 0.001, CI: 0.523-2.115) and intrapersonal motivation (P < 0.001, CI: 0.038-0.126) were useful predictors of variations in the levels of PA. Compared to males, females engaged in PA with less frequency (P = 0.006). Community motivation decreased with age (r = - 0.213, P < 0.05). There were no significant relationships between age, educational level, health status, and PA (P > 0.05). Conclusion: Interpersonal and community motivation were insignificant factors for PA participation, perhaps due to non-facilitating environment. Future research should be conducted to investigate the environmental issues that hinder PA participation in older adults.


2021 ◽  
Vol 10 (23) ◽  
pp. 5537
Author(s):  
Siddarth Agrawal ◽  
Mateusz Dróżdż ◽  
Sebastian Makuch ◽  
Alicja Pietraszek ◽  
Małgorzata Sobieszczańska ◽  
...  

The prevailing COVID-19 pandemic has dramatically affected the mental health and well-being of individuals. This cross-sectional study aimed to assess the perceived fear of COVID-19 among older adults in Poland and identify subpopulations with the highest risk of potential mental health disorders. The study was conducted in November–December 2020 on 500 people aged ≥60 years (mean M = 67.9, standard deviation SD = 4.2). In order to collect information on participants’ characteristics and COVID-19-related information, they were asked to complete a questionnaire based on recorded telephone calls. Perceived fear of COVID-19 was measured using our generated and validated seven-item tool: “Scale of fear of COVID-19 infection”, which ranged from 7 to 35. Multiple linear regression was performed to identify factors associated with the perceived fear of COVID-19. Our results showed that the highest level of fear of COVID-19 infection was observed among women (p = 0.025) and patients taking anticoagulants (p = 0.004). Moreover, older adults with higher anxiety levels were more likely to be fearful of COVID-19 (according to the GAS-10 scale; p < 0.001). These findings may help policy makers and healthcare workers to adapt and implement better mental health strategies to help the elderly fight fear and anxiety during the prevailing pandemic.


BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
César Fonseca ◽  
Lara Guedes de Pinho ◽  
Manuel José Lopes ◽  
Maria do Céu Marques ◽  
José Garcia-Alonso

Abstract Background The aging population and its associated health needs require specific nursing care. The aim of this study was to draw an epidemiological profile of Portuguese elderly adults attending in residential homes and day centers and to evaluate the association between the functioning and cognition of these older adults and their sociodemographic characteristics and presence of multimorbidity. Methods This was a cross-sectional study of 613 older adults. Functioning was assessed using the Elderly Nursing Core Set, and cognition was assessed using the Mini Mental State Examination. Descriptive and inferential analyses were performed. Results The mean age was 85.73 years; the majority of the participants were female (69.3 %), widowed (67.0 %) and over 85 years old (60.4 %). A total of 68.2 % of the sample presented multimorbidity. A total of 54.5 % had cognitive impairment, and the average functional profile was classified as “moderate difficulty”. Institutionalized older adults had more diseases than those who attended the day center. Women, those who were illiterate, those who were institutionalized and older adults who had diseases of the nervous system had a worse functional profile and greater cognitive impairment. Those with multimorbidity had a worse functional profile, and those without a spouse had greater cognitive impairment. Conclusions Given the functional and cognitive profile of older adults, it is necessary to adopt care practices focused on the rehabilitation/maintenance of self-care and affective relationships. This care must be provided by highly qualified professionals. Therefore, it is necessary to increase the ratio of nurses per older adult in these institutions.


2020 ◽  
Vol 29 (9) ◽  
pp. 2375-2381 ◽  
Author(s):  
Reshma A. Merchant ◽  
Shumei Germaine Liu ◽  
Jia Yi Lim ◽  
Xiaoxi Fu ◽  
Yiong Huak Chan

Author(s):  
Keisuke Fujii ◽  
Yuya Fujii ◽  
Yuta Kubo ◽  
Korin Tateoka ◽  
Jue Liu ◽  
...  

We clarified the relationship between occupational dysfunction and social isolation among community-dwelling adults. We used a self-administered questionnaire with a cross-sectional study for 2879 independently living older adults in Kasama City, Japan. Participants responded to a self-reported questionnaire in November 2019. Occupational dysfunction and social isolation were assessed. The participants were classified into two groups: healthy occupational function group, and occupational dysfunction group. To examine the relationship between occupational dysfunction and social isolation, we performed a logistic regression analysis with social isolation as a dependent variable and occupational dysfunction as an independent variable. In the crude model, the occupational dysfunction group had a higher risk of social isolation than the healthy occupational function group (odds ratio (OR) = 2.04; 95% confidence interval (CI), 1.63–2.55; p < 0.001). In the adjusted model, the occupational dysfunction group had a higher risk of social isolation than the healthy occupational function group (OR = 1.51; 95% CI, 1.17–1.94; p = 0.001). The results showed that occupational dysfunction was significantly associated with social isolation. These results can be used in constructing a support method for social isolation from a new perspective.


CMAJ Open ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. E915-E925
Author(s):  
Gina Agarwal ◽  
Melissa Pirrie ◽  
Angela Gao ◽  
Ricardo Angeles ◽  
Francine Marzanek

2021 ◽  
Vol 15 ◽  
Author(s):  
Rodrigo Garcia Fiorillo ◽  
Daniel Vicentini de Oliveira ◽  
Ágatha Graça ◽  
Higor Santos Fonseca ◽  
Flávio Ricardo Guilherme ◽  
...  

OBJECTIVE: This study aimed to analyze changes in the daily routine and life perceptions of older adults due to the coronavirus disease 2019 pandemic. METHODS: This is a cross-sectional study conducted with 338 older adults (93 men and 238 women) residing in southern Brazil. An online questionnaire consisting of 20 questions was created using the Google Forms platform and was distributed to older adults (> 60 years of age) during the isolation period caused by the coronavirus disease pandemic. Data analysis was conducted through Student's-t and χ2 tests. RESULTS: Our results showed a significant association between social isolation and sex (p < 0.01), revealing that women experienced higher levels of social isolation than men. We observed that 82.21% of the older adults participating in this study reported changes in their social routines during the pandemic. CONCLUSIONS: During this period of extended social isolation, women reported more negative effects than men.


Sign in / Sign up

Export Citation Format

Share Document