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新冠疫情期间针对痴呆照护者的远程医疗支持:来自纽约大学家庭支持项目的经验教训。

Telehealth Support for Dementia Caregivers During the COVID-19 Pandemic: Lessons Learned From the NYU Family Support Program.

机构信息

Boston University School of Medicine (MKOC, AHN); VA Bedford Healthcare System (MKOC, AHN, SS).

University of Chicago; University of Massachusetts Chan Medical School.

出版信息

Am J Geriatr Psychiatry. 2023 Jan;31(1):14-21. doi: 10.1016/j.jagp.2022.08.005. Epub 2022 Aug 30.

Abstract

OBJECTIVES

In response to the needs of dementia caregivers during the COVID-19 pandemic, the NYU Langone Alzheimer's Disease and Related Disorders Family Support Program (FSP) quickly transitioned to providing most services online. To understand how dementia caregivers experienced FSP services after the switch to video telehealth, we conducted qualitative interviews of spouse or partner dementia caregivers.

PARTICIPANTS

Ten participants were recruited from a convenience sample of dementia spouse or partner caregivers who used one or more online FSP services offered during the pandemic.

DESIGN

Caregivers engaged in semi-structured interviews held via videoconference between May and June 2020. Qualitative analysis of interviews was conducted according to the principles of framework analysis.

RESULTS

Caregivers reported high satisfaction with the FSP pre-pandemic and continued to feel supported when services were provided online. They transitioned to video telehealth services with little difficulty.

CONCLUSIONS

While video telehealth is frequently cited as beneficial for those in rural communities, socioeconomically disadvantaged groups, or homebound individuals, our findings suggest that video telehealth is also advantageous for dementia caregivers, given their unique barriers, including lack of time due to caregiving responsibilities, lack of respite care for the person with dementia, and the additional burdens of travel time to access in-person services.

摘要

目的

为满足 COVID-19 大流行期间痴呆症照护者的需求,NYU 朗格尼阿尔茨海默病和相关疾病家庭支持计划 (FSP) 迅速将大部分服务转移到线上提供。为了解痴呆症照护者在转向视频远程医疗后对 FSP 服务的体验,我们对配偶或伴侣痴呆症照护者进行了定性访谈。

参与者

从大流行期间使用过一项或多项在线 FSP 服务的痴呆症配偶或伴侣照护者的便利样本中招募了 10 名参与者。

设计

照护者在 2020 年 5 月至 6 月期间通过视频会议进行半结构化访谈。根据框架分析的原则对访谈进行定性分析。

结果

照护者报告在大流行前对 FSP 非常满意,并且在线提供服务时仍感到得到支持。他们几乎没有困难地过渡到视频远程医疗服务。

结论

虽然视频远程医疗经常被认为对农村社区、社会经济弱势群体或居家的人有益,但我们的研究结果表明,视频远程医疗对痴呆症照护者也有优势,因为他们有独特的障碍,包括由于照护责任而缺乏时间、痴呆症患者缺乏暂息照顾,以及额外的旅行时间负担来获取面对面服务。

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