Publication: Cognitive Outcomes During COVID-19 Confinement Among Older People and Their Caregivers Using Technologies for Dementia: Protocol for an Observational Cohort Study
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Identifiers
Date
2021-05-18
Authors
Goodman-Casanova, Jessica Marian
Dura-Perez, Elena
Guerrero-Pertiñez, Gloria
Barnestein-Fonseca, Pilar
Guzman-Parra, Jose
Vega-Nuñez, Amanda
Varela-Moreno, Esperanza
Cuesta-Vargas, Antonio
Mayoral-Cleries, Fermin
Advisors
Journal Title
Journal ISSN
Volume Title
Publisher
JMIR Publications
Abstract
Background:
The COVID-19 pandemic has led to worldwide implementation of unprecedented restrictions to control its rapid spread and mitigate its impact. The Spanish government has enforced social distancing, quarantine, and home confinement measures. Such restrictions on activities of daily life and separation from loved ones may lead to social isolation and loneliness with health-related consequences among community-dwelling older adults with mild cognitive impairment or mild dementia and their caregivers. Additionally, inadequate access to health care and social support services may aggravate chronic conditions. Home-based technological interventions have emerged for combating social isolation and loneliness, while simultaneously preventing the risk of virus exposure.
Objective:
The aim of this cohort study is to explore, analyze, and determine the impact of social isolation on (1) cognition, quality of life, mood, technophilia, and perceived stress among community-dwelling older adults with mild cognitive impairment or mild dementia and on the caregiver burden; (2) access to and utilization of health and social care services; and (3) cognitive, social, and entertainment-related uses of information and communication technologies.
Methods:
This study will be conducted in Málaga (Andalucía, Spain). In total 200 dyads, consisting of a person with mild cognitive impairment or mild dementia and his/her informal caregiver, will be contacted by telephone. Potential respondents will be participants of the following clinical trials: support, monitoring, and reminder technology for mild dementia (n=100) and television-based assistive integrated service to support European adults living with mild dementia or mild cognitive impairment (n=100).
Results:
As of May 2021, a total of 153 participants have been enrolled and assessed during COVID-19 confinement, of whom 67 have been assessed at 6 months of enrollment. Changes in the mean values of the variables will be analyzed relative to baseline findings of previous studies with those during and after confinement, using repeated-measures analysis of variance or the nonparametric Friedman test, as appropriate. The performance of multivariate analysis of covariance (ANCOVA) to introduce potential covariates will also be considered. Values of 95% CI will be used.
Conclusions:
If our hypothesis is accepted, these findings will demonstrate the negative impact of social isolation owing to COVID-19 confinement on cognition, quality of life, mood, and perceived stress among community-dwelling older adults with mild cognitive impairment and mild dementia, the impact on technophilia, caregiver burden, the access to and utilization of health and social care services, and the cognitive, social, and entertainment-related use of information and communication technologies during and after COVID-19 confinement.
Description
MeSH Terms
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Check Tags::Female
Medical Subject Headings::Persons::Persons::Age Groups::Adult::Aged
Medical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Personnel::Caregivers
Medical Subject Headings::Anthropology, Education, Sociology and Social Phenomena::Social Sciences::Quality of Life
Medical Subject Headings::Diseases::Virus Diseases::RNA Virus Infections::Nidovirales Infections::Coronaviridae Infections::Coronavirus Infections
Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Emotions::Loneliness
Medical Subject Headings::Geographical Locations::Geographic Locations::Europe::Spain
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cohort Studies
Medical Subject Headings::Anthropology, Education, Sociology and Social Phenomena::Human Activities::Activities of Daily Living::Independent Living
Medical Subject Headings::Health Care::Environment and Public Health::Public Health::Disease Outbreaks::Epidemics::Pandemics
Medical Subject Headings::Health Care::Environment and Public Health::Public Health::Public Health Practice::Communicable Disease Control::Infection Control::Quarantine
Medical Subject Headings::Psychiatry and Psychology::Mental Disorders::Delirium, Dementia, Amnestic, Cognitive Disorders::Dementia
Medical Subject Headings::Psychiatry and Psychology::Psychological Phenomena and Processes::Mental Processes::Cognition
Medical Subject Headings::Anthropology, Education, Sociology and Social Phenomena::Social Sciences::Sociology::Social Environment::Social Support
Medical Subject Headings::Technology and Food and Beverages::Technology, Industry, and Agriculture::Technology::Educational Technology::Audiovisual Aids::Television
Medical Subject Headings::Health Care::Health Services Administration::Patient Care Management::Delivery of Health Care::Health Services Accessibility
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Analysis of Variance::Multivariate Analysis
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Analysis of Variance
Medical Subject Headings::Diseases::Pathological Conditions, Signs and Symptoms::Pathologic Processes::Disease Attributes::Chronic Disease
Medical Subject Headings::Information Science::Information Science::Communication
Medical Subject Headings::Health Care::Health Care Economics and Organizations::Organizations::Government
Medical Subject Headings::Technology and Food and Beverages::Technology, Industry, and Agriculture::Technology
Medical Subject Headings::Information Science::Information Science::Communications Media::Telecommunications::Telephone
Medical Subject Headings::Check Tags::Female
Medical Subject Headings::Persons::Persons::Age Groups::Adult::Aged
Medical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Personnel::Caregivers
Medical Subject Headings::Anthropology, Education, Sociology and Social Phenomena::Social Sciences::Quality of Life
Medical Subject Headings::Diseases::Virus Diseases::RNA Virus Infections::Nidovirales Infections::Coronaviridae Infections::Coronavirus Infections
Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Emotions::Loneliness
Medical Subject Headings::Geographical Locations::Geographic Locations::Europe::Spain
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cohort Studies
Medical Subject Headings::Anthropology, Education, Sociology and Social Phenomena::Human Activities::Activities of Daily Living::Independent Living
Medical Subject Headings::Health Care::Environment and Public Health::Public Health::Disease Outbreaks::Epidemics::Pandemics
Medical Subject Headings::Health Care::Environment and Public Health::Public Health::Public Health Practice::Communicable Disease Control::Infection Control::Quarantine
Medical Subject Headings::Psychiatry and Psychology::Mental Disorders::Delirium, Dementia, Amnestic, Cognitive Disorders::Dementia
Medical Subject Headings::Psychiatry and Psychology::Psychological Phenomena and Processes::Mental Processes::Cognition
Medical Subject Headings::Anthropology, Education, Sociology and Social Phenomena::Social Sciences::Sociology::Social Environment::Social Support
Medical Subject Headings::Technology and Food and Beverages::Technology, Industry, and Agriculture::Technology::Educational Technology::Audiovisual Aids::Television
Medical Subject Headings::Health Care::Health Services Administration::Patient Care Management::Delivery of Health Care::Health Services Accessibility
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Analysis of Variance::Multivariate Analysis
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Analysis of Variance
Medical Subject Headings::Diseases::Pathological Conditions, Signs and Symptoms::Pathologic Processes::Disease Attributes::Chronic Disease
Medical Subject Headings::Information Science::Information Science::Communication
Medical Subject Headings::Health Care::Health Care Economics and Organizations::Organizations::Government
Medical Subject Headings::Technology and Food and Beverages::Technology, Industry, and Agriculture::Technology
Medical Subject Headings::Information Science::Information Science::Communications Media::Telecommunications::Telephone
DeCS Terms
CIE Terms
Keywords
Caregiver, Cognition, Cognitive impairment, Cohort, COVID-19, Dementia, Older people, Informal caregivers, Information and communications technologies, Isolation, Older adults, Outcome, Quality of life, Social isolation, Stress, Technologies, Cuidadores, Cognición, Disfunción cognitiva, Demencia, Anciano frágil, Calidad de vida, Aislamiento social, Tecnología
Citation
Goodman-Casanova JM, Dura-Perez E, Guerrero-Pertiñez G, Barnestein-Fonseca P, Guzman-Parra J, Vega-Nuñez A, et al. Cognitive Outcomes During COVID-19 Confinement Among Older People and Their Caregivers Using Technologies for Dementia: Protocol for an Observational Cohort Study. JMIR Res Protoc. 2021 May 18;10(5):e26431