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COVID-19 快速反应远程医疗小组解决老年人担忧和社会隔离问题的可行性。

Feasibility of a COVID-19 Rapid Response Telehealth Group Addressing Older Adult Worry and Social Isolation.

机构信息

VA New England Geriatric Research Education and Clinical Center (GRECC).

VA Boston Healthcare System, Boston, MA.

出版信息

Clin Gerontol. 2022 Jan-Feb;45(1):129-143. doi: 10.1080/07317115.2021.1906812. Epub 2021 Apr 17.

Abstract

OBJECTIVES

During the early months of the COVID-19 pandemic, virtual and telephone visits rapidly replaced most in-person care within the Veterans Health Administration (VA) to reduce the virus spread. To address the emerging mental health needs of older Veterans (e.g., social isolation) in the context of chronic underlying mental health needs (e.g., trauma), we developed an 8-week virtual group treatment manual. This article describes the results from a survey of geriatric mental health clinicians who used the COVID group manual to determine its acceptability and feasibility in these settings.

METHODS

Clinicians across three VA integrated care settings (home-based primary care, community living centers, and geriatric primary care) were surveyed about their experiences implementing this treatment (n = 21).

RESULTS

Clinicians found this intervention to be effective with their patients and useful and adaptable beyond the early pandemic period.

CONCLUSIONS

This group teletherapy intervention was feasible and acceptable when treating Veterans in integrated geriatric healthcare settings. Despite technical challenges experienced by older Veterans, clinicians found this manual to be effective in addressing COVID-related worry and social isolation.

CLINICAL IMPLICATIONS

This rapid response manual has remained clinically useful in geriatric mental health care settings beyond the initial weeks of the pandemic.

摘要

目的

在 COVID-19 大流行的早期,虚拟和电话访问迅速取代了退伍军人健康管理局 (VA) 内的大多数亲自护理,以减少病毒传播。为了应对老年退伍军人(例如社交隔离)在潜在慢性心理健康需求(例如创伤)背景下出现的新的心理健康需求,我们开发了一个为期 8 周的虚拟团体治疗手册。本文描述了对老年心理健康临床医生的调查结果,这些临床医生使用 COVID 团体手册来确定在这些环境中使用该手册的可接受性和可行性。

方法

来自三个 VA 综合护理环境(家庭初级保健、社区生活中心和老年初级保健)的临床医生对他们实施这种治疗的经验进行了调查(n=21)。

结果

临床医生发现这种干预措施对他们的患者有效,并且在大流行早期之后是有用且可适应的。

结论

当在综合老年保健环境中治疗退伍军人时,这种团体远程治疗干预是可行且可接受的。尽管老年退伍军人遇到了技术挑战,但临床医生发现该手册在解决与 COVID 相关的担忧和社会隔离方面非常有效。

临床意义

本快速反应手册在大流行的最初几周之后,在老年心理健康护理环境中仍然具有临床实用性。

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