Tsen Carolina, Andreatto Carla Andreza de Almeida, Aily Jéssica Bianca, Pelicioni Paulo Henrique Silva, Neto Décio Bueno, Mattiello Stela Márcia, Gomes Grace Angélica de Oliveira, de Andrade Larissa Pires
Department of Physiotherapy, Federal University of São Carlos, São Carlos, São Paulo, Brazil.
School of Health Sciences, University of New South Wales, Randwick, New South Wales, Australia.
Physiother Res Int. 2023 Apr;28(2):e1981. doi: 10.1002/pri.1981. Epub 2022 Nov 29.
Telehealth can be an alternative action at a distance that can help as a form of motor intervention, alleviating the deleterious effects arising from social distancing on functional capacity, mental health and quality of life among older people with dementia during the COVID-19 pandemic.
We aim to analyze the effects of a telehealth program on functional capacity, mental health and quality of life among older people with dementia and their caregivers.
seventy-eight individuals with mild and moderate dementia and their caregivers will answer an anamnesis and be evaluated through Clinical Dementia Assessment Score. They will also be evaluated by blinded examiners in terms of functional capacity (Activities of Daily Living Questionnaire and World Health Organization Disability Assessment Schedule 2.0), mental health (Mini-Mental State Examination, Clock Drawing Test, Verbal Fluency test and the Neuropsychiatric Inventor) and quality of life (Quality of Life in Alzheimer's Disease scale). Afterward, the volunteers will be randomized into the telehealth training group and the control group. The TR will perform systematic physical and cognitive exercises in 50-min sessions three times a week with professional monitoring, while the CG will receive non-systematized guidance, both for 12 weeks. Participants will be evaluated at baseline, immediately after the three-month interventions and with a 12-week follow- up.
Technological approaches such as telehealth can be a viable alternative in home care service during times of pandemic. We expect that older people with dementia and their caregivers have high adherence to the telehealth program and improve their functional capacity, mental health and quality of life of older people with dementia. Telehealth is an alternative that can contribute to public policies and the development of effective intervention strategies that neutralize adverse outcomes. It can also be presented as an alternative to home care services, which could reduce demands for health resources.
远程医疗可以作为一种远程替代措施,作为运动干预的一种形式发挥作用,减轻在新冠疫情期间社交隔离对老年痴呆症患者的功能能力、心理健康和生活质量产生的有害影响。
我们旨在分析一项远程医疗计划对老年痴呆症患者及其照顾者的功能能力、心理健康和生活质量的影响。
78名轻度和中度痴呆症患者及其照顾者将接受问诊,并通过临床痴呆评估量表进行评估。他们还将由不知情的检查人员从功能能力(日常生活活动问卷和世界卫生组织残疾评估量表2.0)、心理健康(简易精神状态检查表、画钟测试、语言流畅性测试和神经精神科问卷)和生活质量(阿尔茨海默病生活质量量表)方面进行评估。之后,志愿者将被随机分为远程医疗训练组和对照组。训练组将在专业监督下,每周进行三次50分钟的系统性身体和认知锻炼,而对照组将接受非系统性指导,为期12周。参与者将在基线、三个月干预结束后立即以及进行12周随访时接受评估。
在疫情期间,远程医疗等技术手段可以成为家庭护理服务的可行替代方案。我们预计老年痴呆症患者及其照顾者对远程医疗计划的依从性较高,并能改善老年痴呆症患者的功能能力、心理健康和生活质量。远程医疗是一种可以为公共政策和有效干预策略的制定做出贡献、抵消不良后果的替代方案。它也可以作为家庭护理服务的一种替代方案,从而减少对医疗资源的需求。