Tele-Rehabilitation for People with Dementia during the COVID-19 Pandemic: A Case-Study from England

被引:30
作者
Di Lorito, Claudio [1 ]
Duff, Carol [2 ]
Rogers, Carol [2 ]
Tuxworth, Jane [2 ]
Bell, Jocelyn [2 ]
Fothergill, Rachael [2 ]
Wilkinson, Lindsey [2 ]
Bosco, Alessandro [3 ]
Howe, Louise [1 ]
O'Brien, Rebecca [1 ]
Godfrey, Maureen [1 ]
Dunlop, Marianne [1 ]
van der Wardt, Veronika [4 ]
Booth, Vicky [1 ]
Logan, Pip [1 ]
Cowley, Alison [5 ]
Harwood, Rowan H. [6 ]
机构
[1] Univ Nottingham, Sch Med, Div Rehabil Ageing & Wellbeing, Nottingham NG7 2UH, England
[2] Lincolnshire Partnership NHS Fdn Trust, Lincoln LN1 1FS, England
[3] Univ Nottingham, Sch Med, Div Psychiat & Appl Psychol, Nottingham NG7 2TU, England
[4] Philipps Univ Marburg, Abt Allgemeinmed Pravent & Rehabilitat Med, D-35037 Marburg, Germany
[5] Nottingham Univ Hosp NHS Trust, Inst Care Excellence, Nottingham NG5 1PB, England
[6] Univ Nottingham, Sch Hlth Sci, Nottingham NG7 7TU, England
关键词
tele-rehabilitation; dementia; physical activity; exercise; COVID-19; MILD COGNITIVE IMPAIRMENT; QUALITY-OF-LIFE; ALZHEIMERS-DISEASE; EXERCISE; TELEHEALTH; PROGRAM; CARE; TELEREHABILITATION; INTERVENTION; PERFORMANCE;
D O I
10.3390/ijerph18041717
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Introduction: The Promoting Activity, Independence and Stability in Early Dementia (PrAISED) is delivering an exercise programme for people with dementia. The Lincolnshire partnership National Health Service (NHS) foundation Trust successfully delivered PrAISED through a video-calling platform during the Coronavirus Disease 2019 (COVID-19) pandemic. Methods: This qualitative case-study aimed to identify participants that video delivery worked for, to highlight its benefits and its challenges. Interviews were conducted between May and August 2020 with five participants with dementia and their caregivers (n = 10), as well as five therapists from the Lincolnshire partnership NHS foundation Trust. The interviews were analysed through thematic analysis. Results: Video delivery worked best when participants had a supporting caregiver and when therapists showed enthusiasm and had an established rapport with the client. Benefits included time efficiency of sessions, enhancing participants' motivation, caregivers' dementia awareness, and therapists' creativity. Limitations included users' poor IT skills and resources. Discussion: The COVID-19 pandemic required innovative ways of delivering rehabilitation. This study supports that people with dementia can use tele-rehabilitation, but success is reliant on having a caregiver and an enthusiastic and known therapist.
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页码:1 / 19
页数:18
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