Health Service Accessibility, Mental Health, and Changes in Behavior during the COVID-19 Pandemic: A Qualitative Study of Older Adults

Humboldt, Sofia von; Low, Gail; Leal, Isabel

doi:10.3390/ijerph19074277

Cited by 26 publications

(20 citation statements)

References 46 publications

(62 reference statements)

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“…Of the 91 studies, 18 were removed because they were literature reviews, conference proceedings, commentary, instructional materials, or guidelines, 6o were removed after the title and abstract screening, and one was removed after reviewing the content. Twelve studies reported the risk management support to home-based community care staff during the COVID-19 pandemic, including six studies with qualitative feedback ( 20 – 25 ), four studies with quantitative feedback ( 26 – 29 ) and two studies with mixed method ( 30 , 31 ). Of these, three studies reported limited access to personal protective equipment (PPE) for home care staff and their service users in the early phase of COVID-19 and unclear guidelines on infection control ( 26 , 27 , 29 ).…”

Section: Introductionmentioning

confidence: 99%

“…Lethin et al ( 26 ) reported how community organization support affected the mental health of home care staff in four European countries. Many healthcare activities were stopped because of social isolation measures ( 20 , 23 , 25 , 28 ). Five studies ( 22 – 25 , 29 ) reported telemedicine as one of the strategies for maintaining the home-based primary care service and its challenges, such as technical difficulties in approaching patients amidst the pandemic.…”

Section: Introductionmentioning

confidence: 99%

“…Five studies ( 22 – 25 , 29 ) reported telemedicine as one of the strategies for maintaining the home-based primary care service and its challenges, such as technical difficulties in approaching patients amidst the pandemic. Researchers also stated how community health workers adjusted the services to meet their needs, such as arranging case management outreach, coordinating elderly services and providing assistance to secure the basic needs of their home-based community care services ( 20 , 21 , 28 , 30 , 31 ). Mulligan et al ( 31 ) evaluated the client satisfaction with mental health interventions, such as stress management, sleep hygiene etc.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Implementation and evaluation of a model-based risk management process and service enhancement for home-based community care services amidst COVID-19 pandemic in Hong Kong: A mixed-method approach

Yang

Wan²,

Kwok³

et al. 2023

Front. Public Health

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BackgroundThe COVID-19 pandemic has greatly challenged all public social services, particularly home-based community care services (HBCCS). Aberdeen Kai-Fong Association (AKA) is a non-government organization (NGO) in Hong Kong that systematically manages the challenges to HBCCS. This paper presents a practical example of the implementation and evaluation of the risk management process for HBCCS.MethodsMixed-method design was used to evaluate the implementation of the risk management process in encountering the challenges from existing and potential problems to maintain and enhance HBCCS in four major areas amidst the pandemic. A cross-sectional questionnaire survey and three qualitative focus group interviews were conducted by AKA from 30 December 2021 to 12 March 2022 to collect staff feedback on the institutional risk management process in four areas.Results109 HBCCS staff members (69% aged 40 years or above; 80% female) completed the questionnaire survey. For resource arrangement and staff training, over 90% of the participants agreed (including strongly agreed) that they had sufficient and reliable personal protective equipment and clear infection control guideline and effective training. Over 80% agreed they had safe working space and effective manpower allocation. However, only 75% agreed they had received emotional support from the organization. Over 90% agreed that the basic services were maintained for service continuation and enhancement, the service users and their families trusted the organization, and the provided services were adjusted according to users' needs. 88% agreed that the organization had obtained support from the neighborhood. For communication among stakeholders, over 80% agreed they had open discussions with the senior management team, and the senior management team was willing to listen. Twenty-six staff members joined the three focus group interviews. The qualitative findings corroborated the qualitative results. Staff appreciated the organisation's work to enhance staff safety and continue advancing services during this difficult period. Regular in-service training, updated information and guidelines to staff, and proactive phone calls to service users, especially the elderly, were suggested to enhance the quality of services.ConclusionsThe paper could help NGOs and others encountering management challenges in community social services in diverse settings amidst the pandemic and beyond.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Implementation and evaluation of a model-based risk management process and service enhancement for home-based community care services amidst COVID-19 pandemic in Hong Kong: A mixed-method approach

Yang

Wan²,

Kwok³

et al. 2023

Front. Public Health

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“…The outbreak of COVID-19 has also raised major challenges for mental health services aimed at older adults in the community. Older adults have expressed their psychological frailty, as infection numbers continue to increase, as related both to their health and their importance to others ( von Humboldt et al, 2022 ). In contrast, restrictions on public transportation to reduce the risk of disease transmission led to the widespread adoption of online mental health services ( Liu et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

The Upside of Negative Emotions: How Do Older Adults From Different Cultures Challenge Their Self-Growth During the COVID-19 Pandemic?

et al. 2022

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Background and ObjectiveThe outbreak of Coronavirus Disease 2019 (COVID-19) has raised increased challenges for older adults’ personal growth in diverse cultural settings. The aim of this study was to analyze negative emotions and their role on older adults’ self-growth in Mexico, Italy, Portugal, and Spain, during the COVID-19 pandemic. For this purpose, a cross-national qualitative research was carried out.MethodsData were collected from 338 community-dwelling participants aged 65 years and older, using a semi-structured interview protocol. Older adults were asked about negative emotions that significantly contribute to their self-growth during the COVID-19 pandemic. Content analysis was used to identify key themes.ResultsSeven main negative emotions (fear, sadness, anger, grief, boredom, loneliness, and shame) significantly contributed to seven themes of self-growth, across the samples: sharing difficult experiences with others, supportive partner, spiritual practices, engagement with life, generativity, volunteering activities, and intimacy and sexual satisfaction. Sharing difficult experiences with others was most pertinent to Mexican (13.9%) and to Italian (3.0%) participants, and a supportive partner to Portuguese (12.1%), and to Spanish participants (6.5%).ConclusionThe findings of this study indicate that negative emotions during the COVID-19 pandemic contributed to their older adults’ self-growth. This study highlighted the cultural diversity of experiences during the pandemics and underlined the upside of negative emotions and its relation to older adults’ self-growth during this period.

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“…The COVID-19 pandemic has had impact on health services access such as decreased physical accessibility to healthcare provider, increased use of online health services, online prescription, postponement of medical specialist consultations (von Humboldt et al, 2022). Telemedicine is defined as the use of devices along with technological resources to asses, evaluate and diagnose patient by healthcare provider (Nittari et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

Empowering Telemedicine as an Effort to Asses Knowledge, Asthma Symptoms Control and Risk Factors of Asthmatic Patients in the Era of Covid-19 Pandemic

Listyoko

Djajalaksana²,

Putra³

et al. 2022

JPMK

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Introduction: Asthma is heterogenous disease characterized by chronic airway inflammation. COVID-19 pandemic has an impact on health services where telemedicine could provide alternative method to evaluate patient’s condition, reduce risk of infection and disease transmission. The aim of this study is to analysis knowledge, asthma symptoms control and risk factors among the asthmatic patients via telemedicine Methods: Data was obtained from telemedicine of 28 asthmatic patients in the context of community services. Inclusion criteria is stable asthmatic patients who conducted medical interview via videocall application. Cross sectional data were taken including demographic, knowledge of subjects, profile of subjects, and assessment of asthma symptoms control and assessment of poor outcomes. Data were analyzed descriptively and variables were analyzed using chi-square. Results: Subjects consisted of 28 stable asthmatic patients. The average of asthma onset was 17.96 years old. Clinically profile showed that 67.86% subjects were not routinely controlled, 64.29% had never performed pulmonary function test, 67.86% subjects didn’t know the level of asthma control symptoms. Evaluation based on GINA symptoms control only 39.29% were in good control condition, 35.71% were partially controlled and 25% in uncontrolled condition. Use of inhaler device recently or previously prescribed on 67.86% subjects. Evaluation of knowledge about asthma still unsatisfactory, 67.86% subjects didn’t know about their modifiable risk factors, 96.43% didn’t know about written action asthma plan, 60.71% didn’t know about asthma exercise. Self-medication was associated with poor asthma control (p=0,036) and knowledge about modifiable risk factors related to asthma symptoms control (p=0,041). Conclusion: Self-medication is related to uncontrolled asthma and knowledge of modifiable factors is related asthma symptoms control. It is important to educate the patient about the modifiable risk factors of asthma and how to manage it. Patient knowledge about their disease is still lacking, and there is a need for ongoing education to achieve good asthma control. Alternative intervention through telemedicine especially for continuing education and may therapeutic strategies can be performed as an effort to obtain well controlled asthma in community. Telemedicine, particularly in asthma management may benefit as an alternative approach of healthcare service in the context of pandemic era.

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Health Service Accessibility, Mental Health, and Changes in Behavior during the COVID-19 Pandemic: A Qualitative Study of Older Adults

Cited by 26 publications

References 46 publications

Implementation and evaluation of a model-based risk management process and service enhancement for home-based community care services amidst COVID-19 pandemic in Hong Kong: A mixed-method approach

Implementation and evaluation of a model-based risk management process and service enhancement for home-based community care services amidst COVID-19 pandemic in Hong Kong: A mixed-method approach

The Upside of Negative Emotions: How Do Older Adults From Different Cultures Challenge Their Self-Growth During the COVID-19 Pandemic?

Empowering Telemedicine as an Effort to Asses Knowledge, Asthma Symptoms Control and Risk Factors of Asthmatic Patients in the Era of Covid-19 Pandemic

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